广州市中学生校园内伤害特征分析

The Characteristics of Campus Injury among Middle School Students in Guangzhou

目的分析广州市中学生校内伤害特征,为制定校园内伤害干预措施,减少伤害发生提供科学依据。方法基于广州市学生伤害监测网络直报系统,收集2013-2017年中学生校内伤害病例,进行统计分析。结果共收集51所监测中学在校内伤害卡片3055张,中学生校内男女生发生伤害比例为2.69∶1。男生在体育活动(65.56%)和娱乐活动(18.18%)时伤害发生的比例高于女生(50.73%和12.92%),差异有统计学意义(χ^2=146.96,P<0.001)。初中生在娱乐活动(24.49%)中发生伤害的比例高于高中生(11.17%),高中生则在体育活动(65.71%)中发生伤害的比例高过初中生(55.77%),差异有统计学意义(χ^2=96.92,P<0.001)。体育活动中无意自伤(76.54%)比例高于娱乐玩耍(66.80%),娱乐玩耍中无意他伤(29.10%)比例高于体育活动(22.50%),差异有统计学意义(χ^2=117.90,P<0.001)。结论男生是中学生伤害干预的重点人群,减少中学生体育运动中自我伤害是预防伤害重点,密切关注初中生在娱乐活动引起的伤害。

Objective To explore the characteristics of injuries among middle school students in Guangzhou,and to provide scientific basis for formulating injury intervention measures and reducing the occurrence of injuries.Methods The injury surveillance system in Guangzhou was established to collect injury cases among middle school students from 2013 to 2017 for statistical analysis.Results A total of 3,055 injuries cards were collected in 51 schools.The ratio of male to female students was 2.69:1.The proportion of injuries among boys for physical activities(65.56%)and recreational activities(18.18%)was higher than that of girls(50.72%and 12.92%).The difference was statistically meaningful(x^2=146.96,PV0.001).The injuries proportion of junior middle school students in recreational activities was 24.49%which was higher than that of high school students(11.17%).On the contrary,injuries rate for high school students in physical activities(65.71%)was higher than that of junior high school students(55.77%).This difference was also statistically significant(x^2=96.92,P<0.001).The proportion of unintentional self-injury in physical activities(76.54%)was higher than that in entertainment and play(66.80%),and the proportion of unintentional other-injury in entertainment and play(29.10%)was higher than that in physical activities(22.50%).The difference was statistically significant(x^2=117.90,PV0.001).Conclusions Male students are the main target of injury intervention among middle school students.The key to prevent injury in middle school is to reduce self-injury proportion in sports or outdoor activities.Also,high attention should be paid to the injury caused by recreational activities among middle school students.