Abstract： Objective To retrospectively analyze the urban and rural differences in demographic characteristics, predisposing factors, time of confirmed diagnosis and type of foreign bodies among 2,846 pediatric patients with airway foreign bodies in a hospital in Changsha City during 2011-2015, so as to provide a basis for further formulating effective prevention measures. Methods We recruited 2,864 pediatric patients with airway foreign bodies hospitalized in Hunan Children’s Hospital, Changsha from January 1st, 2010 to December 31th, 2015 to serve as the research objects, and then retrospectively analyzed the urban and rural distribution differences in the pediatric patients’ gender and age, predisposing factors, duration of the disease and types of foreign bodies. Results Most of the patients were children aged 3 years and below (87.28%), and male patients were more than female ones, with the male to female ratio being 1.89:1. The number of urban cases was significantly less than that of rural cases, with the urban-rural ratio being 1:2.31. The distribution of gender showed a statistically significant difference among different age groups (P<0.01) as well as among different age groups in the rural areas (P<0.05), but showed no statistically significant difference among different age groups in the urban areas (P>0.05).Feeding children when they werecrying or laughing was the most common predisposing factor, accounting for 72.91% of the total cases (2,076/2,846). 147 (5.19%) caseswere due to falling when feedingand 241 (8.46%) cases owing tomistaken eating. Predisposing factors for pediatric airway foreign bodies seemed to show no statistically significant difference between the urban and rural cases (P=0.05). Only about 20% of the pediatric patients with airway foreignbodies were diagnosed within 24 hours. The proportions of the urban cases confirmed within 24 hours as well as with the disease duration > 7 days were respectively higher than those of the rural ones (22.18% vs. 17.53%, 37.48% vs. 31.94%). There was a statistically significant difference in the time of confirmed diagnosis between the urban and rural cases (P=0.005). The most common materials in pediatric trachea-bronchial foreign body aspiration were plants (90.58%), such as peanuts, watermelon seeds, beans, chestnuts and other nuts. Among the cases of trachea-bronchial plant aspiration, the proportion of the urban cases was higher than that of the rural ones (91.94% vs. 87.46%). The types of pediatric airway foreign bodies showed statistically significant difference between the urban and rural cases (P=0.001). Conclusions There existed differences in the epidemiological characteristics, predisposing factors, time of confirmed diagnosis and types of foreign bodies between the urban and rural cases of pediatric airway foreign bodies in the Children’s Hospitalin Hunan Provinceduring 2011-2015. Therefore, it is necessary to formulating targeted and effective intervention strategies and policies based on the features of different areas so as to fundamentally prevent and reduce the occurrence of pediatric airway foreign bodies.
王可为, 吴欢欢, 仇君, 赵斯君. 2011-2015年长沙市某医院儿童呼吸道异物城乡分布特征[J]. 实用预防医学, 2018, 25(3): 325-328.
WANG Ke-wei, WU Huan-huan, QIU Jun, ZHAO Si-jun. Urban and rural distribution characteristics of pediatric airway foreign bodies in a hospital in Changsha City, 2011-2015. , 2018, 25(3): 325-328.
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