摘要
目的探究未成年创伤患者发生创伤的流行病学规律,为未成年人创伤的防治提供参考。方法收集某医院创伤中心2020年6月1日-2023年5月31日全部病例数据,筛选出其中数据完整且通过质控的未成年创伤患者病例进行回顾性分析。结果未成年创伤患者共3156例,其中男性2155例,女性1001例,比例为2.15:1;年创伤高发于3月份-6月份以及9月份,11月份-12月份发生较少;日创伤高发于18时-22时,0时-8时发生较少;0岁~6岁儿童受伤人数最多;受伤原因以高坠/跌倒(51.08%)为主;受伤部位以四肢/皮肤(59.28%)为主,其次为头颈部(32.22%),不同创伤部位间分布差异具有统计学意义(P<0.001)。结论未成年人创伤的发生男性多于女性,以学龄前儿童的受伤人数最多,高坠与跌倒是主要的受伤原因。加强对未成年人尤其是学龄前儿童的防跌倒保护,增强其自我保护意识、交通安全意识,能够降低未成年人创伤的发生率,保护未成年人的生命健康。
Objectives This study aims to explore the epidemiological rules of trauma in juvenile trauma patients,so as to provide a reference for the prevention and treatment of trauma in juveniles.Methods All case data in a hospital’s trauma center from June 1,2020 to May 31,2023 were collected,and cases of juvenile trauma patients with complete data that passed quality control were selected for retrospective analysis.Results There were 3156 juvenile trauma patients,including 2155 males and 1001 females,with a ratio of 2.15:1.The annual incidence of trauma was high in March,April,May,June,and September,and lower in November and December.The incidence of daily trauma was high from 18 to 22 o'clock,and lower from 0 to 8 o'clock.Children aged 0-6 years accounted for the highest number of injuries.The main cause of injury was falling from height(51.08%).The main injury site was limbs/skin(59.28%),followed by head and neck(32.22%),and the distribution of injury sites among different trauma sites was statistically significant(P<0.001).Conclusions The incidence of juvenile trauma is higher among males than females,with the highest number of cases occurring in preschool children.The main causes of injury are falls from height and falls.Enhancing fall prevention measures for minors,especially preschool children,and raising awareness about self-protection and traffic safety can reduce the incidence of juvenile trauma and safeguard the lives and health of young individuals.
作者
粟昭隐
王翔宇
王伟涛
贵金涛
刘亚涛
郭振霞
吕媛
宋志富
蓝聆匀
Michael Nerlich
Su Zhaoyin;Wang Xiangyu;Wang Weitao;Gui Jintao;Liu Yatao;Guo Zhenxia;Lyu Yuan;Song Zhifu;Lan Lingyun;Michael Nerlich(The First Clinical Medical College of Lanzhou University,Lanzhou 730000,Gansu Province,China;不详)
出处
《中国病案》
2024年第7期55-57,共3页
Chinese Medical Record
基金
科学技术部高端外国专家项目(G2019028023,G2020028007)
甘肃省高等学校创新基金项目(2021B-004)
兰州大学第一医院院内项目(ldyyyn2019-07)
兰州大学学生创新创业行动计划(20230060103,20230060114)
兰州大学医学教育创新发展项目(lzuyxcx-2022-99)
甘肃省联合科研基金项目(23JRRA1496)。
