2013-2018年青岛市市北区0-6岁儿童伤害病例特征分析

Analysis on characteristics of injury cases aged 0-6 years old,Shibei district,Qingdao city,2013-2018

目的了解青岛市市北区医院门急诊0~6岁儿童伤害病例特征及模式,为制定相关政策提供依据。方法采用描述性流行病学研究方法,对2013~2018年青岛市市北区伤害监测系统0~6岁儿童伤害病例进行分析。结果 2013~2018年青岛市市北区伤害监测系统共报告98 824例,0~6岁儿童伤害病例9 998例,占伤害事报告数的10.10%。0~6岁儿童伤害病例平均年龄(3.12±1.77)岁,其中幼儿期病例最多52.40%(5 239例),学龄前期40.34%(4 033例)、婴儿期7.26%(726例)(P<0.01)。男童多于女童(性别比1.54∶1)(P<0.01)。发生伤害高峰时间为9:00~11:00。伤害病例发生地点最多的为家中66.67%(6 666例),其次为公共居住场所10.05%(1 005例),公共场所7.10%(710例)。伤害发生原因前3位依次为跌倒/坠落56.79%(5 678例)、烧烫伤13.00%(1 300例)、钝器伤10.46%(1 046例)。伤害类型轻度为主,占79.03%(9 131例),中度占16.97%(763例),重度占4.00%(76例)。结论 0~6岁儿童伤害病例男童多于女童,低年龄组多发于高年龄组;最易发生伤害的类型是头部损伤。

Objective To understand the characteristics and patterns of injury cases in children aged0-6 years old in outpatient and emergency department of Shibei district,Qingdao city,so as to provide the evidence for developing relevant policies.Methods Descriptive epidemiological method was used to analyze the injury cases of children aged 0-6 years in the injury surveillance system of Shibei district,Qingdao city during 2013-2018.Results During 2013-2018,a total of 98824 cases were reported in the injury monitoring system in Shibei district,Qingdao city,including 9998 cases of children aged 0-6 years,accounting for 10.10%of the reported injury cases.The average age of injury cases in children aged 0-6 years was(3.12±1.77)years,among which the most cases were 52.40%(5239 cases)in early childhood,40.34%(4033 cases)in the early school age,and 7.26%(726 cases)in infancy(P<0.01).Boys have more cases than girls(1.54∶1)(P<0.01).The peak injury time was 9:00-11:00 am.The largest number of injury cases occurred at home(66.67%,6666 cases),followed by(10.05%,1005 cases)in public living places and(7.10%,710 cases)in public places.The top 3 causes of injury were fall down(56.79%,5678 cases),empyrosis(13.00%,1300 cases),blunt force injury(10.46%,1046 cases).The types of injuries was mainly mild(79.03%,9131 cases),followed by moderate(16.97%,763 cases)and severe(4.00%,76 cases).Conclusion In children aged 0-6 years,boys have more injury cases thangirls.The low age group have more cases than the high age group.The most common type of injury is head injury.