2006-2010年江苏省监测地区儿童跌倒/坠落伤特征分析
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江苏省预防医学基金(Y201035);江苏省疾控中心科教兴业工程基金(JKRC2011014)


Analysis on the characteristics of children falling injury in surveillance areas in Jiangsu province during 2006 to 2010
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    目的:了解2006~2010年江苏省监测地区儿童跌倒/坠落伤发生特征,为制定干预措施提供依据-方法:收集5年来医院监测点儿童跌倒/坠落伤病例资料进行分析-结果:跌倒/坠落伤位居各类儿童伤害就诊的首位,占40.4%;男性多于女性,男女比例为2.1∶1;各年龄段均有发生,比例近似-跌倒/坠落伤发生的前3位地点为家中(32.9%)-学校与公共场所(32.0%)和公共居住场所(18.1%);伤害发生时从事最多的活动为休闲活动,占66.5%;受伤性质以扭伤/擦伤最为多见,占55.3%;受伤最多的3个部位为头部(39.9%)-上肢(28.9%)和下肢(24.6%);80.3%的病例为轻伤,重度伤害仅占0.4%;意外伤害占99.3%-比较城乡间跌倒/坠落伤特征,发现两地就诊者性别-伤害意图-发生季节-发生旬段4个特征分布差异无显著性,在年龄-文化程度-发生地点-发生时活动-发生时段-伤害性质-部位-严重程度-结局等特征分布差异有显著性(P < 0.05)-结论:跌倒/坠落伤是江苏省监测地区就诊比例最高的儿童伤害,应根据不同分布特征选择优先干预的方向并开展干预活动-

    Abstract:

    Objective:To describe the distribution and characteristics of children falling injury in surveillance areas in Jiangsu province,and to provide basis for injury prevention and control. Methods:Data of children falling injury incidence during 2006 to 2010 were collected and analyzed from provincial injury surveillance system. Results:Falling was the first leading cause(40.4%) of children injury in outpatients. Falling injury occurrence in boys was much higher than that in girls,gender ratio of boy to girl was 2.1∶1. The injury occurred in all ages and the proportion of each age was similar. The top three frequently occurred location of injury was home(32.9%),school and public place(32.0%),public living place(18.1%). Most injury events took place in leisure activities,accounted for 66.5%. Regarding the character of wound,the first one was contusions and abrasions,accounted for 55.3%. The most three common body regions injured were head(39.9%),higher limbs(28.9%) and lower limbs(24.6%). About 80.3% cases were minor injuries,and only 0.4% cases were serious wound. Most injury events were accident,accounted for 99.3%. Comparing between urban and rural areas,no significant difference was observed in gender,intention,season and time. Whereas,significant differences were found in terms of characteristics of age,education background,location,activities and time at injury,character and sites of wounds the body,severity and outcome of injury(P < 0.05). Conclusion:In Jiangsu Province,falling has become the first leading cause of children injury. We should carry out more intervention activities according to the specific injury distributions and characteristics.

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杨 婕,张永青,张晓燕,陆晓娜,武 鸣.2006-2010年江苏省监测地区儿童跌倒/坠落伤特征分析[J].南京医科大学学报(自然科学版),2012,(10):1476-1479

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  • 收稿日期:2012-04-13
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