摘要目的 分析2013年天津市道路交通伤害病例分布特征.方法 数据源自天津市发病报告监测体系中2013年首次就诊于各级医疗机构的病例资料.结果 2013年天津市共报告道路交通伤害26405例,发生率为263.01/10万.男女性别比为1.68∶1,平均年龄(40.24±17.58)岁;机动车交通事故19 547例(74.0％),非机动车交通事故6 858例(26.0％);道路交通伤害发生率前四位的地区依次为滨海新区684.86/10万、东丽区634.03/10万、西青区519.83/10万、津南区504.12/10万.轻、中、重度伤害和死亡依次为15 771例(59.7％)、8 747例(33.1％)、1 783例(6.8％)和103例(0.4％),且不同地区和年龄组间的差异均有统计学意义(P＜0.005);死亡病例最多的地区为滨海新区,占全部死亡病例的28.16％,其中塘沽街/镇占全部死亡的26.21％,最高年龄组为45～64岁组,占所有死亡病例的46.60％.结论 2013年天津市道路伤害的发生例数、严重程度在不同地区、年龄组间存在较大差异,应制定针对性政策有效预防道路交通伤害发生.

abstractsObjective To understand the distribution of reported road traffic injuries case in Tianjin from January to December 2013.Methods The injury data was collected from the disease surveillance system which covered all the areas in Tianjin.All the reported injury cases were at their first medical care seeking in sentinel hospitals from 1 January 2013 to 31 December 2013.Results A total of 26 405 injury cases were reported,including 103 deaths (0.4％),during this period with the incidence of 263.01/100 000.The male to female ratio of the cases was 1.68 ∶ 1 and average age of the cases was (40.24 ± 17.58) years.The injuries caused by motor vehicle traffic accident accounted for 74.0％ (19 547 cases) and the non-motor vehicle traffic accident caused cases accounted for 26.0％ (6 858).The first four areas with higher incidence were Binhai (684.86/100 000),Dongli (634.03/100 000),Xiqing (519.83/100 000) and Jinnan (504.12/100 000) districts.The three districts with lower incidence were Heping (44.69/100 000),Nankai (52.36/100 000) and Hedong (64.34/100 000) districts.The mild,moderate and serious cases accounted for 59.7％ (15 771 cases),33.1％ (8 747 cases) and 6.8％ (1 783 cases) respectively.The differences in incidence among different districts and age groups were statistical significant (P＜0.005).The death number in Tanggu district was highest,accounting for (26.21％) of the total,and age specific death number was highest in age group 45-64 years,accounting for 46.60％ of the total.Conclusion The case number and severity of road traffic accident caused injury varied with area and age group in Tianjin.It is necessary to develop targeted prevention and control measures to reduce the incidence of road traffic accident related injuries.