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 NameAffiliationE-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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