台灣地區腳踏車頭部外傷之探討

A Study of Bicycle Related Head Injuries in Taiwan

黃純凰(Huang Chun Huang)

指導教授 ： 邱文達 ； 邱弘毅

臺北醫學大學/公共衛生暨營養學院/傷害防治學研究所/碩士(2003年)

摘要

腳踏車傷害是一個嚴重的公共衛生問題，然而在台灣卻很少有針對腳踏車傷害的相關研究。本篇研究的目的為調查腳踏車頭部外傷不同性別、年齡與受傷型態之關係及評估腳踏車安全帽對頭部外傷預防的適用性。本研究收集84年7月1日至91年6月30日2,127個因騎乘腳踏車導致頭部外傷的病例。結果顯示受傷年齡層集中在10-19歲（35.2%）及70歲以上（19.6%）;男性佔64.7%，女性佔35.3%；與受傷者相撞的物體41.2%為汽車、33.3%為機車;有21.6%的人受傷後昏迷指數為中重度，雖然大部分的人都有良好的預後情形，但仍有5%的人最後為死亡，安全帽對於頭部外傷傷者有無意識喪失及顱內出血的危險性，有明顯減少的現象。在本研究中，騎腳踏車者之安全帽的使用率很低，除了本研究的結果外，台灣應有更多相關的研究去探討腳踏車頭部外傷的預防方法，以期降低腳踏車頭部外傷的人數及嚴重度。

關鍵字

公共衛生 ； 腳踏車 ； 頭部外傷

並列摘要

Bicycle injury is a serious public health issue. However, currently there are only a few studies concerning bicycle-related injuries. The purpose of this study was to survey the relationship between different sex, age groups, injury patterns, severity, outcome and the effectiveness of bicycle helmets. Our study collected 2,127 bicycle-related head injury patients from 56 hospitals during the period of July 1st, 1995 to June 30th, 2002. The result shows majority of the injuries concentrated in the age groups of 10-19 years old (35.2%) and over 70 years old (19.6%)；The males occupied 64.7% and the females occupied 35.3%. The types of objects that bicycles most often collide with were cars (41.2%) and motorcycles (33.3%). 21.6% of injured patients showed moderate or severe in coma scales. Though most of the people had a good recovery rate, there were still 5% of patients, which resulted in death. Wearing a bicycle helmet can obviously reduce the risk in loss of consciousness and intracranial hemorrhage. The bicycle helmet usage rates were quite low in our study. More related studies should be performed in the future to evaluate the prevention methods, thus reducing the bicycle-related head injuries.

並列關鍵字

public health ； bicycle ； head injury

參考文獻

5 McDermott F.T. Bicyclist head injury prevention by helmets and mandatory wearing legislation in Victoria, Australia. Ann R Coll Surg Engl 1995; 77: 38-44.

14 McDermott, F.T. Bicyclist head injury prevention by helmets and mandatory wearing legislation in Victoria, Australia. Annals of the Royal College of Surgeons of England 1995; 77(1): 38-44.

1 Cohen, D. Bicycle accidents. Med J Aust 1986; 144:114-5.

2 Sacks, J.J., Kresnow, M.J., Houston, B., Russell, J. Bicycle helmet use among American children, 1994. Injury Prevention 1996; 2:258-262.

3 CDC, 1995. 4 Maimaris, C., Summers, C.L., Browning, C. et al. Injury patterns in cyclists attending an accident and emergency department: a comparison of helmet wearers and non-wearers. Br Med J 1994; 308: 1537-40.