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目的了解安徽省0~14岁儿童伤害医院门/急诊病例变化趋势和现况特征,为制定相关干预措施和政策提供依据。方法利用2006-2014年全国伤害监测系统中安徽省0~14岁儿童伤害病例数据,分析儿童伤害病例变化趋势及人口学、伤害事件和临床等现况特征。结果 2006-2014年安徽省共监测0~14岁儿童伤害病例23 374例,占全部病例的12.56%,该比例呈现下降趋势。2014年安徽省0~14岁儿童男女性别比为2.09,一天中伤害发生高峰为9∶00和16∶00~17∶00,跌倒/坠落占66.30%,伤害发生地点构成比前三分别是家中(39.40%)、学校与公共场所(24.01%)、公路/街道(19.57%),70.18%的伤害是发生在休闲活动时,伤害部位41.44%为头部,轻度伤占90.90%,伤童中94.26%的就医结局为治疗后回家。结论儿童伤害是重大社会和公共卫生问题,然而儿童伤害是可预防的,儿童既是伤害的弱势群体又是伤害的重点干预人群,应针对不同年龄段和性别儿童以及家长和学校老师开展伤害预防教育。
Objective To understand the trends and current status of door / emergency cases of hospitalized children and adolescents aged from 0 to 14 in Anhui Province, and to provide basis for formulating relevant interventions and policies. Methods The data of injuries among children aged 0 ~ 14 years in Anhui Province from 2006 to 2014 were used to analyze the changing trend of children’s injuries and the characteristics of demography, injuries and clinical status. Results A total of 23 374 cases of children aged 0-14 years were monitored in Anhui Province from 2006 to 2014, accounting for 12.56% of all cases, showing a decreasing trend. In 2014, the sex ratio of children aged 0-14 in Anhui Province was 2.09. The peak of injury in one day was 9:00 and 16:00 ~ 17:00, and the fall / fall accounted for 66.30% (39.40%), schools and public places (24.01%), road / street (19.57%) and 70.18% of the injuries occurred in recreational activities, with 41.44% of injuries and 90.90% of minor injuries, 94.26% of the medical treatment ended after treatment. Conclusion Child injury is a major social and public health problem. However, child injury is preventable. Children are not only the vulnerable groups but also the key intervention groups. Injury prevention education should be conducted for children of different ages and genders as well as parents and school teachers .