臺灣博碩士論文加值系統

在台灣地區機車是很重要、很普遍的交通運輸工具；因而每年機車交通事故造成許多死亡及造成社會上之巨大損失；故台灣地區於1997年6月1日；開始實施強制戴安全帽之立法，規範機車騎士及乘客需強制戴安全帽，違者罰新台幣伍佰元，對機車騎士及乘客而有所保護。
本研究係以臺北市的二十二家教學醫院以合作調查方式，研究強制戴安全帽立法前一年(民國85年6月1日至86年5月31日)及後一年(民國86年6月1日至87年5月31日)之機車事故頭部外傷發生情形，嚴重度、預後結果，來分析安全帽法案對機車事故頭部外傷防治之影響；以評估機車安全帽對頭部外傷之功效。本研究期間為兩年；共收集頭部外傷2511例；年齡層以20-29歲為主；經比較立法前一年(民85年6月1日至86年5月31日)與立法後一年(民86年6月1日至87年5月31日)之機車事故頭部外傷情形；發現立法後機車車禍之頭部外傷事故比立法前明顯減少；顱內出血病例數及手術數亦明顯降低了，死亡人數減少，而預後良好則有意義的增加。由台北市頭部外傷研究資料可知騎乘機車戴安全帽確實有保護頭部的效果；並可減少醫療的費用支出；但目前安全帽的使用率又有降低的現象；尤其是在鄉村地區；因此必需強而有力的貫徹執行戴安全之法令以挽救更多的生命。

In Taiwan, motorcycles are the most common means of transportation, and account for 65% of all motor vehicle. Motorcycle accidents cause many fatalities in Taiwan yearly Most serious or fatal motorcycle-related injuries involve the head. Motorcycle helmet use law was passed and enacted in the whole nation on June 1, 1997. In order to measure the effect of prevention of head injuries by helmet among motorcycle riders,
head injury cases were collected in Taipei city from June 1,1996 to May 31, 1998. We compared the head injury situations in one year before the law( June 1, 1996 to May 31, 1997) and after implementation of the helmet law(June 1,1997 to May 31,1998) in Taipei city. From June 1,1996 to May 31,1998, We collected 2511 motorcycle-related head cases from 22 teaching hospital in Taipei city.
Data analysis showed that after implementation of the law (June 1, 1997 to May31, 1998), the incidence of motorcycle-related head injury decreased by 46.4% when compared to the incidence before the law (June 1,1996 to May 31,1997). After the helmet law, intracranial hematoma, numbers and operation numbers decreased; mortality numbers decreased, too . From these data, it is evident that the helmet law effectively decreased the incidence and severity of motorcycle-related head injury.

壹、中文摘要 …………………………………………………P2
貳、英文摘要 …………………………………………………P4
參、前言 …………………………………………………………P5
肆、材料與方法 ………………………………………………P8
伍、資料收集 ………………………………………………….P15
陸、結果 ………………………………………………………….P16
柒、討論 ………………………………………………………….P28
捌、結論 …………………………………………………………..P33
玖、建議……………………………………………………………. P34
拾、頭部外傷調查表 ……………………………………….. P34-1
拾壹、參考資料 …………………………………………………P35

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