摘要
目的分析因意外伤害住院儿童的临床特点,为防范儿童意外伤害的发生提供有效依据。方法回顾性分析2015年1月1日至2019年12月31日厦门大学附属第一医院收治的0~14岁因意外伤害住院儿童的临床资料。对不同类型儿童意外伤害的年龄、性别、季节、居住地、预后、监护人受教育程度及治疗费用等因素进行分析。结果1379例病例中,男童894例(64.9%),女童495例(35.1%);高发年龄组为1~5岁849例(61.6%)。发生意外伤害前3位的原因分别为:异物526例(38.1%),跌倒伤372例(27.0%),烧烫伤236例(17.1%)。意外伤害发生季节主要集中于夏季(29.0%)。农村儿童发生意外伤害777例(56.3%),城镇儿童602例(43.7%)。意外伤害儿童的监护人受教育程度主要集中于初中及以下696例(50.5%)。未愈或死亡47例(3.4%),发生伤残/后遗症292例(21.2%);交通意外伤害儿童住院时间最长[11(7,18)d],住院费用最高[11130.32(5389.69,24216.90)元]。结论儿童意外伤害以1~5岁农村男童为主,异物为意外伤害主因,监护人受教育程度低者发生率高。
Objective To prevent the occurrence of children′s unintentional injuries,clinical characteristics were analyzed for 1379 children hospitalized for unintentional injuries over a 5-year period at the First Affiliated Hospital of Xiamen University.Methods We searched the First Affiliated Hospital of Xiamen University Pediatric Refined Management Database for all cases of children aged 0-14 years who were hospitalized for unintentional injuries from January 1,2015 to December 31,2019.Descriptive statistics were calculated for age,gender,season of injury,location of residence,education level of the child′s parents/guardians,injury etiology and outcome,and cost of treatment.Results Of 1379 cases,894 children(64.8%)were boys and 485(35.2%)were girls.The majority of cases were 1-5 years old(61.6%,n=849).The top three causes of unintentional injuries were foreign bodies(38.1%,n=526),falls(27.0%,n=372),and burns(17.1%,n=236).Children′s unintentional injuries occurred most frequently during the summer(29.0%).More children came from rural locations(56.3%,n=777).Approximately half of the parents/guardians had attained an education level of junior high school or below(50.5%,n=696).There were 47 cases(3.4%)resulting in death or permanent injury and 292 cases(21.2%)resulting in disability.Children injured in traffic accidents had the longest average length of hospital stay[11(7,18)d]and incurred the highest healthcare costs per case[11130.32(5389.69,24216.90)RMB].Conclusion Children′s unintentional injuries are concentrated among rural boys aged 1-5 years,foreign bodies are the most common cause of unintentional injuries.Children from families with low parental/guardian education levels may be at heightened risk of unintentional injuries.
作者
邱文柳
林晓亮
廖志佳
陈国兵
蔡圣博
Qiu Wenliu;Lin Xiaoliang;Liao Zhijia;Chen Guobing;Cai Shengbo(School of Clinical Medicine,Fujian Medical University,Fuzhou 350108,China;Pediatric Key Laboratory of Xiamen,Xiamen 361003,China;Department of Pediatrics,the First Affiliated Hospital of Xiamen University,Xiamen 361003,China)
出处
《中国小儿急救医学》
CAS
2021年第10期895-898,共4页
Chinese Pediatric Emergency Medicine
基金
厦门市医疗卫生重点项目(YDZX20193502000003)。
关键词
意外伤害
儿童
临床特点
预防
Unintentional injuries
Children
Clinical characteristics
Prevention
