广州市七岁以下儿童意外伤害发生现状分析

胡艳; 邢艳菲; 蒋琳; 曾芳玲; 林穗方

Abstract

胡艳,邢艳菲,蒋琳,曾芳玲,林穗方.广州市七岁以下儿童意外伤害发生现状分析[J].Chinese journal of Epidemiology,2011,32(8):777-780

广州市七岁以下儿童意外伤害发生现状分析

Study on the status of unintentional injuries in children under age 7 in Guangzhou

Received:February 28, 2011

DOI：

KeyWord: 意外伤害儿童分布特征

English Key Word: Unintentional injuries Children Distribution and characteristic

FundProject:国家“863”高技术研究发展计划(SQ2006AA02Z112882)；国家自然科学基金(30630049)

Author Name	Affiliation	E-mail
Hu Yan	Guangzhou Women and Children Medical Center,Guangzhou 510180,China
Xing Yan-fei	Guangzhou Women and Children Medical Center,Guangzhou 510180,China
Jiang Lin	Guangzhou Women and Children Medical Center,Guangzhou 510180,China
Zeng Fang-ling	Guangzhou Women and Children Medical Center,Guangzhou 510180,China
Lin Sui-fang	Guangzhou Women and Children Medical Center,Guangzhou 510180,China	suifanglin@163.com

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Abstract:

目的<\b>了解和分析7 岁以下儿童意外伤害发生现状和分布特点。方法<\b>对2010 年广州市7 岁以下儿童意外伤害监测网络的470 770 名集体和散居儿童中发生的意外伤害现状进行描述性分析。结果<\b>2010 年广州市7 岁以下儿童意外伤害发生率为1.48%，其中集体儿童意外伤害发生率为1.66%，散居儿童意外伤害发生率为1.11%，城区儿童意外伤害发生率为1.36%，区县（农村地区）儿童意外伤害发生率为2.52%；集体儿童高于散居儿童，农村儿童高于城区儿童。儿童伤害发生原因构成顺位依次是跌伤（70.54%）、动物伤害（8.48%）、烧烫伤（5.75%）、钝器伤（3.92%）和交通道路伤（3.48%）。儿童意外伤害发生部位依次是头面部（60.00%）、腕和手（15.48%）、膝部和小腿（11.70%）、肘和前臂（4.54%）、肩部和上臂（2.99%）。意外伤害病例中，轻度意外伤害占85.35%，中度意外伤害占9.12%，重度意外伤害占0.57%。其中去医院门诊/急诊的儿童占49.66%，需住院或重症监护的儿童占2.06%，在家中或托幼园所就地处理的儿童占43.34%。结论<\b>2010 年广州市7 岁以下儿童意外伤害发生率为1.48%，发生原因主要以跌伤、动物伤害、烧烫伤、钝器伤以及交通道路伤为主，不同年龄、区域儿童意外伤害发生特征及临床特征存在差异。

English Abstract:

Objective To understand the pravelence and distribution of unintentional injuries in children under age 7 in Guangzhou.Methods Data was descriptively analyzed from the Guangzhou Unintentional Injuries Surveillance System among 470 770 children under age 7 living scatterly or collectively.Results The incidence rates of unintentional injuries among children in Guangzhou was 1.48% ，among which the incidence rates were：living scatterly as 1.11% living collectively as 1.66%，living in urban areas as 1.36% in rural as 2.52%. In order，the proportion of main causes of children's unintentional injuries were as follows：falls（70.54%），animal injuries （8.48%），burn and scald（5.75%），blunt force injuries（3.92%），and road traffic injuries（RTIs）（3.48% ）. The main body parts being injured were head and face （60.00% ），wrist and hand （15.48%），knee and leg（11.70%），elbow and forearm（4.54%），shoulder and arm（2.99%）. The degrees of children's unintentional injuries were as follows：mild impairment（85.35%），moderate impairment （9.12%），and severe impairment （0.57%）. Places that the patients went were as follows：hospital outpatient department or emergency room（49.66%），inpatient department or ICU （2.06%），home and kindergarten（43.34%）.Conclusion The overall incidence rate of children's unintentional injuries under age 7 in Guangzhou was 1.48%，with main causes as fall，animal injuries， burn and scald，blunt force injuries，and RTIs. There were considerable differences of characteristics and distributions on age and areas among the patients.

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