富阳市儿童伤害首诊监测分析

An Analysis on Characteristics and Causes of Injury in Children Visiting Hospital for the First Time in Fuyang City

目的了解富阳市14岁以下儿童伤害分布特征并探讨伤害发生原因,为儿童伤害干预提供依据。方法选取富阳市3家监测哨点医院,采用统一制定的伤害监测登记表对2011年前来就诊的首诊儿童伤害病例进行登记。对伤害发生的地点、类别、严重程度、患者职业、性别和年龄等进行描述性分析。结果全年累计收集0～14岁伤害儿童977例,男女性别比为1.61∶1。伤害发生地点前3位分别为住宅(81.78%)、学校(9.31%)和街道/城区(4.81%)。伤害原因前5位分别为动物伤(49.74%)、跌落伤(25.90%)、钝器伤(14.02%)、刺割伤(3.07%)和烧烫伤(1.84%)。伤害发生时的活动情况前3位分别为空闲时(81.68%)、学校活动(6.04%)和运动(4.71%)。伤害的严重程度以轻微的浅表伤(89.97%)为主。伤害意图以非故意伤害为主(98.60%)。结论儿童伤害是富阳市一个严重的公共卫生问题,应加强对儿童的安全教育,采取有效措施预防儿童伤害特别是动物伤的发生。

Objective To understand the epidemiological characteristics and causes of injury among children under 14 years old in Fuyang, and Hangzhou, and to provide scientific evidence for the effective prevention. Methods The surveillance of injury was conducted among children visiting hospital for the first time in 3 sentinel hospitals using unified damage monitoring registration form in Fuyang city in 2011. A descriptive analysis was conducted on the occurring place, type, severity of the injury and the demographic characteristics of the injury patients. Results A total of 977 injury cases aged 0 - 14 was reported accumulatively in 2011. The male to female ratio of the cases was 1.61. The first 3 injury occurring places were home （81.78%）, school （9. 31% ） and street （4. 81% ）. The first5 injury causes were animal attack （49.74%）, falling down （25.90%） , blunt strike （14.02%） , cut （3.07%） and bum injury （1.84%）. The injuries occurred during leisure time, school activity and sports accounted for 81.68%, 6.04% and 4.71% respectively. Most injuries were unintentional （98.60%） and mild injuries accounted for 89. 97%. Conclusion The children injury in Fuyang, Hangzhou was still a serious public health problem. The safety education for children should be strengthened and the effective measures should be taken to prevent injury among children, especially from animal attack.