深圳南山区2011—2015年流动儿童伤害特点分析

发布时间：2018-04-29 23:06

本文选题：医院 + 创伤和损伤　；参考：《中国学校卫生》2017年07期

【摘要】：目的了解深圳市南山区伤害监测哨点医院流动儿童伤害病例的流行病学特征,为预防控制儿童伤害提供科学依据。方法收集2011—2015年因伤害首次在深圳市南山区伤害监测哨点医院急诊科就诊的0~18岁流动儿童病例资料,对发生的原因、地点、性质、意图、严重程度及结局等进行分析。结果 2011—2015年共报告流动儿童伤害病例11 806例,占总伤害病例数的5.7%,男、女童性别比为2.01∶1。伤害发生原因前4位分别为跌倒/坠落(52.0%)、钝器伤(18.5%)、动物伤(14.9%)、刀/锐器伤(7.3%);伤害发生地点前4位分别为家中(44.4%)、公共居住场所(21.0%)、学校与公共场所(16.4%)、公路/街道(10.2%);伤害性质前4位分别为挫伤(53.2%)、锐器伤(34.0%)、扭伤/拉伤(7.8%)、烧烫伤(2.4%)。不同年龄组儿童伤害原因、地点、性质构成差异均有统计学意义(Z值分别为3.89,44.37,14.06,P值均0.01)。伤害意图以非故意伤害为主(99.0%);伤害的严重程度以轻微的浅表伤(96.0%)为主;伤害结局中,处理后出院占96.1%。结论流动儿童伤害发生特点与性别、年龄密切相关。应采取多部门合作的方式,对不同年龄段儿童采取有针对性的干预措施。
[Abstract]:Objective to investigate the epidemiological characteristics of migrant child injury cases in sentinel hospital of Nanshan District, Shenzhen, and to provide scientific basis for prevention and control of child injury. Methods from 2011 to 2015, the data of 18 year old migrant children who were first visited by emergency department of injury surveillance sentinel hospital in Nanshan District of Shenzhen City from 2011 to 2015 were collected. The causes, location, nature, intention, severity and outcome of the cases were analyzed. Results 11,806 cases of injuries were reported in floating children from 2011 to 2015, accounting for 5.7% of the total number of injuries. The sex ratio of male and female was 2.01-1: 1. The first four causes of injury were fall / fall 52.0, blunt instrument 18.5, animal injury 14.9, knife / sharp instrument 7.30.The first 4 places of injury were home 44.4am, public living place 21.0, school and public place 16.44and road / street 10.22s. The first four were contusion (53.2%), sharp instrument (34.0), sprain / strain (7.8%), burn and burn (2.4%). There were significant differences in the cause, location and nature of injury among children of different age groups (P = 3.89, P = 4.37, P = 0.01). The intention of injury was mainly unintentional injury 99.0%; the severity of injury was slight superficial injury 96.0%; in the result of injury, 96.1% of the patients were discharged from hospital after treatment. Conclusion the characteristics of injury in floating children are closely related to sex and age. Multi-sectoral cooperation should be adopted and targeted interventions should be made for children of different ages.
【作者单位】：广东省深圳市南山区慢性病防治院慢病科;
【分类号】：R179

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