上海市浦东新区2011-2012年0～6岁婴幼儿伤害情况分析

Analysis on status of injury among children from 0 to 6 years old in Pudong district of Shanghai,2011-2012

目的分析2011-2012年上海市浦东新区0～6岁婴幼儿伤害情况,为制定相应的伤害预防措施提供科学依据。方法采用描述性研究方法,以2011-2012年上海市浦东新区0～6岁婴幼儿伤害患者为研究对象,分析患者年龄、性别和伤害类型、原因、发生地点和伤害发生时的活动的关系。结果共报告1 336例0～6岁婴幼儿伤害病例,平均年龄为(3.83±1.61)岁,男女童比为1.73∶1;婴幼儿伤害患者前3位的伤害类型依次为挫伤或擦伤(46.48%)、锐器伤或咬伤或开放伤(32.49%)、扭伤/拉伤(10.25%),主要发生原因依次为跌倒或坠落(54.49%)、刀或锐器伤(19.16%)和钝器伤(12.20%);有64.82%的伤害发生在家中,36.08%的患者伤害部位是头部,多在休闲活动时发生伤害(74.93%)。结论浦东新区婴幼儿伤害主要是在家中休闲活动时跌落受到的伤害(尤其挫伤或擦伤),因此,婴幼儿伤害预防的优先领域是家庭内跌落伤预防。

Objective To analyze the status of injury and to provide references for developing measures of reducing the incidence of injury in children from 0 to 6 years old in Pudong district of Shanghai. Methods The injured patients from the community health center in 2011--2012 were surveyed with the descriptive analysis. The characteristics of age, gender, injury types and causes of the injured patients were analyzed. Results The reported numbers of injured children was 1 336. Their average age was （3.83±1.61） years and the ratio of boy to girl was 1.73 ： 1. The top three types of injuries were superficial wound ,open wound, and sprain. The top three causes of injuries were fall, cut/stab and blunt injury. The main occurred places of injuries were homes （64.82 %）. The high-risk sites were upper limb and 74.93% of the injuries oc- curred in leisure activities. Conclusions The most frequent types of children injuries, especially superficial wound, are hap- pened at home in leisure activities. The intervention for fall-related injuries at home should be a top priority.