武汉市城区儿童意外跌落伤的危险因素研究

The Risk Factors Study of Fall Injuries among Children in the Urban Areas of Wuhan City

目的 :探讨城市儿童意外跌落伤发生的主要危险因素 ,为制定相应的预防策略和干预措施提供科学依据。方法 :采用 1∶1配对病例 -对照研究方法 ,对 119例武汉市城区因意外跌落伤住院治疗的 0～ 14岁儿童及 119例对照儿童的相关资料进行条件 L ogistic回归分析。结果 :意外跌落伤儿童平均住院 9.0 8d,平均住院费用 16 11.2 9元 ,有 2 1.0 1%留有不同程度的后遗症。多因素条件 L ogistic回归分析结果显示 ,家庭周围环境差、居住活动空间小、家庭欠有债务、父母劳动强度大、陪孩子游戏时间少、儿童注意力不集中、身体容易受伤、喜欢冒险、情绪变化快、爱在高处玩耍等因素是儿童意外跌落伤发生的危险因素。结论 :意外跌落伤是儿童伤害发生与致残的主要原因之一。它的发生与家庭环境。

Objective:To explore the main risk factors of fall injuries among children in city and provide guidance for prevention of childhood fall injuries.Methods:119 cases of fall injuries aged 0~14 years,were sampled from two hospitals.By applying 1:1 matched case-control study methods,each case was matched by one normal child.Data were analyzed with conditional logistic regression model.Results:Among these cases,the average length of hospital stay was 9.08 days,and the average cost was 1611 RMB.21.01%of all cases had different degree sequelas.With conditional logistic regression analysis,several risk factors were identified as follows:poor environment around house,narrow living space,family debts,parent's heavy workload,less time playing with parents,inattention,vulnerability to hurt,adventrue-seeking,instability of emotion,and playing in a high place.Conclusion:Unintentional fall injuries have become one of the leading causes of injuries and disabilities among children in urban areas,which is relevant with family environment,parents'occupations and the child mental status and behavior.