摘要
目的分析2010—2014年福建省惠安县15岁以下儿童意外伤害、门/急诊就诊病例的分布特点。方法对2010—2014年因伤害首次在全国伤害监测系统(NISS)惠安县哨点医院门/急诊就诊的15岁以下儿童意外伤害病例进行描述性分析。结果 2010—2014年,15岁以下儿童意外伤害总例数为8 892例,占意外伤害总例数的14.41%;其中2010、2011、2012、2013、2014年儿童意外伤害占意外伤害的比例分别为12.02%、12.16%、14.65%、14.62%、16.45%。8 892例儿童意外伤害病例中,男童与女童,性别比为2.03(5 959/2 933)。不同年龄组意外伤害构成比,0~4岁为44.68%,5~9岁为33.16%,10~14岁为22.15%。前5位伤害发生原因依次为跌倒/坠落(66.08%)、机动车车祸(12.79%)、刀/锐器伤(8.38%)、钝器伤(5.58%)和非机动车车祸(3.01%)。意外伤害发生部位前四位分别为头部(47.58%)、上肢(20.32%)、下肢(14.04%)和神经系统(8.31%)。伤害发生种类前四位依次为挫伤、擦伤(48.99%),锐器伤、咬伤、开放伤(21.01%)、骨折(13.66%),脑震荡、脑挫裂伤(8.50%)。8 892例儿童意外伤害的结局中7 501例(84.36%)治疗后回家,需要观察、住院或转院1 386例(15.59%),仅有5例(0.06%)死亡。结论儿童意外伤害病例数量和占全部意外伤害病例的比例2014年较2013年上升,儿童意外伤害病例以男童为主,应根据当地儿童意外伤害流行情况,开展有针对性的控制策略和预防措施。
Objective To describe the distribution characteristics of outpatient/emergency cases of unintentional injury among children under age 15 in Hui'an county of Fujian province from 2010-2014.Method Cases of unintentional injury were descriptively analyzed based on their data at the sentinel hospitals of the Chinese National Injury Surveillance System(NISS) from 2010-2014. Results There were 8 892 children under age 15 of accidental injury from 2010 to 2014 which accounted for 14.41% of the total cases of accidental injury, and the propotion is increasing year by year(12.02%,12.16%, 14.65%, 14.62%, 16.45%). Boys were more than girls with the gender ratio 2.03(5 959/2 933). The propotion was 44.68% in 0-4 age group, 33.16% in 5-9 age group, 22.15% in 10-14 age group. The top five causes of the injury were falling/dropping(66.08%), motor car accident(12.79%), knife/sharp(8.38%), blunt force injuries(5.58%) and non-motor car accident injuries(3.01%). The top four sites of accidental injury were head(47.58%), upper limb(20.32) %, lower limb(14.04%) and nervous system(8.31%). The top four damage types were contusion and bruise(48.99%), sharp injuries, bites, and open injuries(21.01%), fracture(13.66%), concussion and cerebral contusion(8.50%). Totally 7 501 cases(84.36%) went home after the treatment, and 1 386 cases(15.59%) need to be observed in hospital or transferred to another hospital, and only 5 cases(0.06%) died. Conclusion The proportions of childhood unintentional injury among total unintentional injuriy from 2010 to 2014 were increased year by year, especially in 2013-2014, and boys were more than girls. A targeted control strategy and preventive measures should be carried out in accordance with the epidemic situation of local children's accidental injury.
出处
《慢性病学杂志》
2017年第12期1331-1336,共6页
Chronic Pathematology Journal
关键词
儿童
意外伤害
流行病学
Children
Unintentional injury
Epidemiology
