眉县2006—2012年儿童伤害流行病学分析

发布时间：2018-07-15 22:49

【摘要】：目的描述陕西省眉县儿童伤害发生的原因、地点及严重程度的分布现况,为制定科学的干预措施提供数据资料及基础依据。方法研究对象来自于陕西省眉县的3个监测哨点医院,同时收集2006—2012年因伤害首诊的儿童就诊资料及与伤害相关的信息。结果 2006—2012年共报告0~17岁儿童伤害病例3 561例,男、女童性别比为2.61∶1;伤害发生原因前3位依次为跌倒/坠落(31.56%)、道路交通(28.84%)以及钝器伤(13.82%),不同年龄组男、女童伤害原因构成差异均有统计学意义(χ2值分别为467.03,80.30,P值均0.01)。儿童伤害频发于4—10月期间,发生时间主要集中于8:00—20:00;伤害的发生地点主要在公路/街道(32.91%)、家中(31.93%)以及学校与公共场所(22.69%),发生时的活动主要为休闲活动(51.36%);非故意伤害占监测到的伤害总数的86.89%,伤害发生部位最多的是头部(32.18%);43.39%的伤害患儿门诊治疗后回家,65.80%的伤害事件为轻度伤害。结论农村地区儿童伤害发生的原因与儿童的性别、年龄密切相关。儿童伤害预防应采取多部门合作的方式,对不同年龄段儿童开展有针对性的干预措施。
[Abstract]:Objective to describe the cause, location and severity of child injury in Meimei County, Shaanxi Province, and to provide data and basis for making scientific intervention measures. Methods three surveillance sentinel hospitals in Meimei County of Shaanxi Province were studied. The data of children who were first diagnosed with injuries in 2006-2012 and the information related to injuries were collected at the same time. Results from 2006 to 2012, a total of 3 561 cases of injuries among children aged 17 years were reported, the sex ratio of male and female was 2.61: 1.The first three causes of injury were fall / fall (31.56%), road traffic (28.84%) and blunt instrument injury (13.82%). There were significant differences in the cause of injury among girls (蠂 ~ 2 = 467.03, P = 80.30, P = 0.01). Childhood injuries occurred frequently in the April-October period, The time of occurrence was mainly 8: 00-20: 00; the main location of injury was in the road / street (32.91%), the home (31.93%), and the school and public place (22.69%). The main activity was leisure activity (51.36%), and the unintentional injury accounted for the total number of injuries detected. 86.89% of the injuries occurred mostly in the head (32.18%) 43.39% of the children returned home after outpatient treatment and 65.80% of the injuries were mild injuries. Conclusion the causes of child injury in rural areas are closely related to their sex and age. Child injury prevention should adopt a multi-sectoral cooperative approach and carry out targeted interventions for children of different ages.
【作者单位】：陕西省疾病预防控制中心;
【分类号】：R174

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