江苏省儿童青少年伤害流行病学特征分析

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目的了解江苏省儿童青少年伤害发生的流行特征及变化趋势,为儿童青少年伤害预防和干预工作提供依据。方法收集2006—2014年在江苏省6家哨点医院首次被诊断为伤害的<18岁病例资料,对伤害病例的人口学特征、伤害发生原因、地点及部位等进行描述性分析。结果共收集儿童青少年伤害病例61 367例,占同期总伤害病例数的12.06%;男女比为1.9∶1;0岁~组占0.71%,1岁~组占32.42%,6岁~组占32.67%,12岁~组占34.19%。各年龄组儿童青少年伤害原因均以跌倒/坠落伤为主,分别占31.03%、38.63%、42.79%和37.67%;0岁~组、1岁~组和6岁~组其次为动物伤,分别占24.60%、20.94%和16.66%;而12岁~组其次为交通伤,占20.44%。0岁~组、1岁~组和6岁~组伤害发生地点多为家庭,分别占70.11%、62.60%和37.60%;12岁~组为学校和公共场所,占31.97%。各年龄组儿童青少年伤害发生时多在进行休闲活动(64.91%)和驾乘交通工具(13.92%)。0岁~组、1岁~组和6岁~组主要受伤部位均为头部,分别占36.32%、38.37%和34.08%;而12岁~组受伤部位多为四肢,占62.15%。结论儿童青少年伤害病例以男童居多,以跌倒/坠落伤、交通伤和动物伤为主。 Objective To understand the epidemiological characteristics and trends of child and adolescent injuries in Jiangsu Province, and to provide a basis for the prevention and intervention of child and adolescent injuries. Methods The data of 18-year-old patients who were diagnosed as having been injured for the first time in 6 sentinel hospitals in Jiangsu Province from 2006 to 2014 were collected. Demographic characteristics, causes, locations and locations of the injuries were analyzed descriptively. Results A total of 61 367 cases of childhood and adolescent injuries were collected, accounting for 12.06% of the total number of injuries in the same period. The ratio of men to women was 1.9:1. The proportion of male to female was 0.71% in group 0, 32.42% in group 1, 32.67 in group 6 %, 12-year-old group accounted for 34.19%. The causes of injury among children and adolescents in all age groups were mainly falls and falls, accounting for 31.03%, 38.63%, 42.79% and 37.67%, respectively; followed by animal injuries in 0-year-old group, 1-year-old group and 6-year- Accounting for 24.60%, 20.94% and 16.66% respectively; while those aged 12 to 20 were followed by traffic injuries, accounting for 20.44%. The incidence of injuries in the 0-year-old group, 1-year-old group and 6-year-old group were mostly families, accounting for 70.11%, 62.60% and 37.60% respectively. The 12-year-old group was in schools and public places accounting for 31.97%. Children and adolescents in all age groups were mostly engaged in recreational activities (64.91%) and motor vehicles (13.92%). The main injuries in the 0-year-old group, the 1-year-old group and the 6-year-old group were all heads, accounting for 36.32%, 38.37% and 34.08% respectively; while the 12-year-old group mostly had limbs, accounting for 62.15%. Conclusions The majority of cases of child and adolescent injuries are boys, with falls and falls, traffic injuries and animal injuries.
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