北京市7334例住院儿童意外伤害流行病学特征分析

发布时间：2018-12-27 18:52

【摘要】：目的了解北京市儿童意外伤害的流行病学特征,为开展针对性预防提供证据。方法从北京儿童医院的医院信息系统(hospital information system,HIS)中收集了2007-2013年因意外伤害住院的全部0~14岁患者,根据国际疾病分类(ICD-10)进行意外伤害后果及外因分类,使用描述性方法分析意外伤害在不同性别和年龄组之间的分布特征。结果共收集7 334例住院患者资料。其中男性(64.81%)占大多数;1岁儿童(25.43%)所占人数最多;创伤(50.75%)是意外伤害的最主要后果;跌落(26.60%)是最主要的意外伤害外因;伤害最容易发生的部位是头部(32.70%)。意外伤害的主要外因在婴幼儿中是呼吸道异物吸入和烧烫伤,而在学龄前及学龄儿童中则是跌落,交通伤。结论随年龄的增长,儿童意外伤害预防的重点应从烧烫伤和异物逐渐转移到跌落和交通伤,重点预防的部位应从头部躯干转移至肢端。
[Abstract]:Objective to investigate the epidemiological characteristics of accidental injuries in children in Beijing and to provide evidence for prevention. Methods all the patients aged 0 to 14 were collected from the hospital information system (hospital information system,HIS) of Beijing Children's Hospital from 2007 to 2013. According to the International Classification of Diseases (ICD-10), the results of accidental injury and external causes were classified. Descriptive methods were used to analyze the distribution of accidental injuries among different gender and age groups. Results data of 7 334 inpatients were collected. Male (64.81%) accounted for the majority, 1-year-old children (25.43%) accounted for the most, trauma (50.75%) was the main result of accidental injury, fall (26.60%) was the main external cause of accidental injury. The most likely site for injury was the head (32.70%). The main external causes of accidental injury are respiratory tract foreign body inhalation and burn injury in infants, but fall and traffic injury in preschool and school age children. Conclusion with the increase of age, the emphasis of prevention of accidental injuries in children should be shifted from burns and foreign bodies to falls and traffic injuries, and the focus should be transferred from the trunk of the head to the extremities.
【作者单位】：北京大学公共卫生学院流行病与卫生统计学系;首都医科大学附属北京儿童医院院办公室;
【分类号】：R179

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