2016—2018年厦门市14岁以下儿童伤害流行病学特征

doi:10.3969/j.issn.1006-3110.2021.08.001

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (735 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的了解厦门市14岁以下儿童伤害流行病学特征,为开展儿童伤害防制工作提供科学依据。方法收集、分析2016年1月1日—2018年12月31日首诊于厦门市伤害监测哨点医院的0～14岁儿童伤害病例,分析伤害流行病学特征。结果共收集病例70 239例,男女比例1.763∶1;1～3岁年龄组伤害发生例数最高,共25 636例(36.50%);伤害发生地点主要为家中(52.34%);伤害原因以跌倒/坠落(55.46%)和钝器伤(18.69%)为主;伤害性质方面,前四位依次是挫伤/擦伤(48.23%)、锐器伤/咬伤/开放伤(19.51%)、扭伤/拉伤(13.37%)和骨折(11.03%);伤害部位则主要集中在头部(41.44%)和上下肢(32.46%、17.88%);伤害严重程度以轻度(75.18%)为主;伤害意图以非故意为主(95.97%);伤害结局以处理后离院(98.42%)为主。不同性别伤害发生的原因不同(χ²=75.760,P<0.001);不同年龄段的伤害原因、伤害性质、伤害部位、伤害严重程度、伤害意图和伤害结局差异均有统计学意义(χ²=799.204, χ²=1 898.434, χ²=3 385.066, χ²=145.200, χ²=362.855, χ²=17.879,P<0.05)。结论不同年龄别、性别儿童的伤害流行病学特征不同,应就各自特点采取相应的预防措施。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	陈洁
	陈国伟
	伍啸青
	张卓平
	张琼花
	张金华

关键词 ：儿童伤害, 监测, 流行病学特征

Abstract：Objective To understand the epidemiological characteristics of injuries among children under 14 years of age in Xiamen City, and to provide a scientific basis for conducting injury preventive and control work for children. Methods We collected and analyzed the injury cases aged 0-14 years and first diagnosed at injury monitoring sentinel hospitals in Xiamen from January 1, 2016 to December 31, 2018. And the epidemiological characteristics of injuries were analyzed. Results A total of 70,239 cases were collected, and the male to female ratio was 1.763:1. Most of the cases were children aged 1-3 years, with a total of 25,636 (36.50%) cases. The injury cases mainly occurred at home (52.34%). The main causes of injuries were drop/fall (55.46%) and blunt force injury (18.69%). As for the nature of injuries, the top four were bruise/scratch (48.23%), sharp instrument injury/bite/open wound (19.51%), sprain/tension (13.37%) and fracture (11.03%). Most of injuries occurred at the head (41.44%), followed by upper limbs (32.46%) and lower limbs (17.88%). The degree of injuries was mainly mild (75.18%), and the intention of injuries unintentional (95.97%). The outcome of the injury cases was mainly discharged from the hospitals after treatment (98.42%). There were differences in the causes of injuries between different genders (χ²=75.760, P<0.001). There were statistically significant differences in the causes, nature, site, severity, intention and outcome of injuries among different age groups (χ²=799.204, χ²=1,898.434, χ²=3,385.066, χ²=145.200, χ²=362.855, χ²=17.879, all P<0.05). Conclusion The epidemiological characteristics of injuries in children of different age and sex are different; and hence, the corresponding preventive measures should be taken according to their characteristics.

Key words： child injury surveillance epidemiological characteristic

收稿日期: 2020-08-30

R179

基金资助:中国疾控中心委托全国伤害监测工作项目

通讯作者: 张金华,E-mail:xmcdcmbk@126.com。

作者简介: 陈洁(1990-),女,福建莆田人,硕士,医师,主要从事慢性病防治研究工作。

引用本文:

陈洁, 陈国伟, 伍啸青, 张卓平, 张琼花, 张金华. 2016—2018年厦门市14岁以下儿童伤害流行病学特征[J]. 实用预防医学, 2021, 28(8): 897-900. CHEN Jie, CHEN Guo-wei, WU Xiao-qing, ZHANG Zhuo-ping, ZHANG Qiong-hua, ZHANG Jin-hua. Epidemiological characteristics of injuries among children under 14 years of age in Xiamen City, 2016-2018. , 2021, 28(8): 897-900.

链接本文:

https://www.syyfyx.com/CN/10.3969/j.issn.1006-3110.2021.08.001 或 https://www.syyfyx.com/CN/Y2021/V28/I8/897

[1] 中国疾病预防控制中心慢性非传染性疾病预防控制中心. 中国死因监测数据集2014[M]. 北京:科学普及出版社, 2015:1-20.
[2] 高峻璞. 我国儿童伤害的流行病学研究进展[J]. 中国学校卫生, 2006, 27(7):555-557.
[3] 施红,李恩.厦门城区中小学校学生意外伤害现况调查[J]. 实用预防医学, 2008, 15(2):440-441.
[4] 戴龙,施红,柯惠燕,等.厦门市中小学生学校伤害现况调查[J].海峡预防医学杂志, 2009, 15(6):32-33.
[5] 王卓, 王德征, 张颖, 等. 天津市2014年0~14岁儿童院内报告伤害流行特征分析[J]. 中华疾病控制杂志, 2018, 22(8):813-816.
[6] 王临虹, 段蕾蕾, 汪媛, 等. 全国伤害医院监测数据集(2014)[M]. 军事医学出版社, 2016:3.
[7] Schwebel DC, Gaines J. Pediatric unintentional injury: behavioral risk factors and implications for prevention[J]. J Dev Behav Pediatr, 2007, 28(3):245-254.
[8] 金会庆, 张树林, 陈朴, 等. 儿童非致死性意外伤害的流行病学研究[J]. 人类功效学, 1999, 5(1):1-5.
[9] 戴宁彬, 王菁, 龚甜, 等. 苏州市0~14岁儿童伤害流行病学特征分析[J]. 中华疾病控制杂志, 2019, 23(3):299-303.
[10] 易光辉, 邓颖, 王浩臣. 四川省城市与农村儿童伤害监测结果分析[J]. 职业卫生与病伤, 2013, 28(5):274- 278.
[11] 江文海, 张卓平, 林水春, 等. 厦门市湖里区5岁以下儿童伤害流行病学特征分析[J]. 社会医学杂志, 2014, 12(6):52-53.
[12] 汪媛, 叶鹏鹏, 段蕾蕾. 2006—2014年我国门急诊儿童非故意和故意伤害病例分析[J]. 中华疾病控制杂志, 2016, 20(7):670-674.
[13] 段蕾蕾, 邓晓, 吴春眉, 等. 2006—2008年全国伤害监测病例分布特征分析[J]. 中华流行病学杂志, 2010, 31(8):880-884.
[14] 王芸,王绍华,张琨,等.北京市延庆区2017年中小学生伤害现况及影响因素分析[J].实用预防医学, 2019,26(10):1194-1196.
[15] 鲍文, 栗华, 孙纪新, 等. 河北省0~14岁儿童伤害病例监测分析[J]. 河北医药, 2018, 40(17):2691-2694.
[16] 卫生部. 老年人跌倒干预技术指南[EB/OL]. (2011-09-06)[2020-09-08]. http://www.nhc.gov.cn/wjw/gfxwj/201304/729e74b51ab5434c965ec03164eca46d.shtml.