农村社区儿童犬伤情况调查与处理

Investigation and clinical treatment of children with injure of dog biting in the rural community

目的调查农村社区儿童犬伤现状,分析创口的临床处理,预防人兽共患疾病。方法调查2010年1月-2012年12月,某农村社区儿童犬伤的临床特点、创面急诊处理的临床疗效,组间数据率的比较,用χ2检验。结果 470例儿童犬伤患者,夏秋季节发生338例,冬春季节132例,夏秋季节和冬春季节比较差异有统计学意义(χ2=218.0,P<0.01)。470例儿童犬伤患者创面全部愈合。随访至今,470例患者中无破伤风与狂犬病的病例发生。结论农村社区儿童犬伤是儿童意外严重伤害的重要原因,及时处理创口,预防接种,健康教育,加强犬类管理,有利于预防人兽共患疾病。

Objective To investigate clinical characteristic and discuss the clinical treatment of children with wound of dog biting in the rural community for improving the level of prevention of zoonosis in rural community. Methods The da- ta of those cases of children with wound of dog biting in the Yinkeng community hygiene service centre between January 2010 and December 2012 were gathered statistics and analyzed. Clinical characteristic and efficiency of clinical emergency treatment of children with injure of dog biting were investigated. The comparison between the rates of group data was done with the chi-square test. Results A total of 470 cases of children with injure of dog biting in Yinkeng rural community were cured successfully and those children had health condition without rabies and tetanus after follow-up between January 2010 and December 2012. There were 338 cases of young patients with injure of dog biting in summer and autumn and 132 cases of young patients in winter and spring among those patients （x2 =218.0,P〈0.01）. Conclusions Children with in- jure of dog biting is one of the important reasons children seriously hurt accident. To deal with wounds of dog biting in chil- dren promptly, vaccination, health education and to strengthen the management of dogs in rural community play an important role to prevent zoonosis in rural community.