頭部外傷在城鄉間之比較研究--2002 年
A comparison of head injury between urban and rural area--2002
中文摘要 目標:頭部外傷模式在臺灣地區城鄉間之比較研究.研究設計:收集代表城市的台 北市之 23 家醫院與代表鄉村的花蓮縣之 4 家醫院之頭部外傷個案,進行一年之描 述性的研究.材料與方法:中華民國頭脊髓研究小組於 2002 年 1 月 1 日至 12 月 31 日間所收集頭部外傷的個案均包括在本研究中.參數包含:年齡,性別,戶籍所在地, 發生原因,嚴重度,預後,及後送方式.結果:台北市有 3,079 名,花蓮縣有 427 名.頭部 外傷之發生率,台北市(117 人/10 萬人)\與花蓮縣 (123 人/10 萬人)有顯著的不同. 就年齡分佈顯示,臺北市(20-29)歲較高,花蓮縣(40-49)歲較高.性別分佈,兩區男女 比都是 1.7:1.0.兩區頭部外傷主要原因都是車禍,跌落及暴力傷害.進一步車禍形 式分析發現:機車,汽車在花蓮發生較高,但腳踏車及行人在台北市較高.暴力傷害, 花蓮地區比在台北市高.戶籍所在地而言,花蓮縣以本地人為主.其餘嚴重度及預 後,台北市較好,送醫方式也不同.結論:2002 年頭部外傷在城鄉的之年齡層分佈,戶 籍地,車禍形態,送醫方式,嚴重度及預後都有明顯的差異.與 1997 年實施安全帽立 法前的報告比較,顯示在安全帽立法後,城鄉整體的頭部外傷形態已有大幅的改 變. 關鍵字:頭部外傷,城鄉 英文摘要A population based comparative retrospective study of head injury was conducted from January to December 2002 in Taiwan. Taipei City was selected to be represent as an urban population and Hualien County as urban population. A total of 3,079 cases in Taipei and 427 cases in Hualien were studied. The incidence in Hualien was
somewhat more than in Taipei. The peak stratum of age in Taipei is (20-29) and in Hualien is (40-49). Male was about 1.7 times than female in both areas. The major causes of head injury were traffic event, fall and violence. Motorcycle event was the major cause of traffic accidents in both areas. However, pedestrian injury and fall injury was more in Taipei than in Hualien, violence was more in Hualien than in Taipei. Taipei was superior to Hualien in severity and outcome. The transfer method of head injury was different in both areas. These data showed that there were
differences of head injury in urban and rural area in a developing country. However in comparison with data in 1993, there were good results after traffic safety legislation. Key word: head injury, urban, rural, age, sex, severity, GOS outcome, transfer method
