2009—2010年深圳市中小学生校内非故意伤害监测结果

Surveillance Results of In-school Unintentional Injuries among Primary and Middle School Students in Shenzhen during 2009-2010

目的为探索中小学生校内非故意伤害发生的危险因素,为学生非故意伤害的预防与控制提供依据。方法在2009—2010学年期间对深圳市21所中小学校进行哨点主动监测,学生发生伤害后填写《深圳市中小学生伤害报告》卡,由校医报至疾病预防控制中心。结果报告校内非故意伤害病例212例,发生率为0.53%;伤害病例平均年龄(13.83±3.031)岁;男生伤害发生率高于女生(χ2=101.18,P<0.01)。伤害发生部位主要为上肢(49.5%)、下肢(28.8%)和头部(15.6%);受伤类型主要是跌落或坠落伤(38.2%),其次是运动伤(18.4%);伤害的后果为骨折(33.5%)、挫伤或擦伤(24.1%)、开放伤(24.1%)、扭伤或拉伤(15.2%);93.60%伤后能够完全恢复。结论学生校内非故意伤害的控制与干预应以社区为基础,强调共同责任,需社会多部门、多领域的共同协作,提高学校安全工作管理水平,从而降低非故意伤害在校园内的发生。

[Objective]To explore the risk factors of in-school unintentional injuries among primary and middle school students,provide the reference for prevention and control of student unintentional injury.[Methods]The active sentinel surveillance was conducted in 21 primary and middle schools in Shenzhen during the period of 2009 to 2010 school year.The Cards for injury report of primary and middle school students in Shenzhen were filled in after injury,and were reported to Center for Disease Control and Prevention by school doctors.[Results]A total of 212 in-school unintentional injury cases were reported,the incidence was 0.53%.The average age was（13.83±3.031） years old.The incidence of males students were higher than that of female students（χ^2=101.18,P0.01）.Most injury wound occurred in upper 1imb（49.50%）,lower limb（28.8%） and head（15.6%）.The major injury types were drop and fall（38.2%）,sharp injury（24.1%） and sport-related injury.The consequences of injury were fracture（33.5%）,contusion（24.1%）,open injury（24.1%） and sprain（5.2%）.93.60% of students got fully recovered after injury.[Conclusion]The control and prevention of in-school unintentional injuries should be based on community,focus on mutual responsibility,require intersectional and interdisciplinary collaboration,strengthen the level of school safety management,so as to reduce the incidence of unintentional injury in schools.