南昌地区单中心2013年-2019年儿童意外伤害特点分析

Analysis on the Characteristics of Children Accidental Injury in Single Center of Nanchang Area from 2013 to 2019

目的了解南昌市单中心意外伤害就诊患儿的流行病学特点,为儿童意外伤害防治提供依据。方法收集2013年1月1日-2019年12月31日江西省南昌市某三级甲等儿童专科医院HIS系统数据库中主要诊断国际疾病分类ICD-10编码为S00-T98范围,属于因损伤、中毒和外因的某些其他后果就诊的门急诊患儿病例信息并进行流行病学特点分析。结果共收集意外伤害就诊患儿224101人次,其中南昌地区就诊人员占71.28%,男女性别比例为1.77:1;中位数年龄3岁1月,随着年龄的增加意外伤害呈现下降的趋势,不同年份的意外伤害均以婴幼儿及学龄期儿童多见,各年份年龄构成的差异有统计学意义(χ^(2)=197.33,P<0.001);2013年-2019年意外伤害就诊人次总体呈现逐年增高的趋势(χ^(2)趋势=2563.919,P<0.001);不同年份的意外伤害就诊患儿均以外伤及异物为主,各年份伤害原因构成的差异有统计学意(χ^(2)=1421.06,P<0.001)。意外伤害以夏秋季多见,不同年份各季节意外伤害构成比的差异有统计学意义(χ^(2)=337.78,P<0.001)。结论儿童意外伤害患者以男童居多,婴幼儿及学龄前儿童是意外伤害的高危人群,近年来呈现逐年增高的趋势,外伤和异物是儿童意外伤害防治的重点,夏秋季为防范儿童意外伤害出现的重点时期。

Objectives To explore the epidemiological characteristics of children with accidental injuries in this region,and provide evidence for the prevention and treatment of children with accidental injuries.Methods The case information of outpatients and emergency patients with injuries,poisoning and other external causes were collected from HIS system database of a Three A and Tertiary Children's Hospital in Nanchang of Jiangxi Province from 2013 to 2019,which were mainly diagnosed by the International Classification of Diseases(ICD-10)from S00 to T98.Results A total of 224101 person-time with accidental injuries were collected,including 71.28%patients from the area of Nanchang,and the male to female ratio was 1.77:1;The median age was 3 years and 1 month;With the increase of age,the accidental injuries showed a decreasing trend,and the accidental injuries were more common in infants and school-age children in different years,and the differences in age composition in each year were statistically significant(χ^(2)=197.33,P<0.001);The overall trend of person-time of hospital visits in accidental injuries from 2013 to 2019 was increasing year by year(χ^(2)trend=2563.919,P<0.001);In different years,trauma and foreign bodies were the main cases of children with accidental injuries,and the difference of injury causes in each year was statistically significant(χ^(2)=1421.06,P<0.001).Accidental injuries were more common in summer and autumn,and the difference of the composition ratio of accidental injuries in different seasons and years had statistical significance(χ^(2)=337.78,P<0.001).Conclusions The majority of children with accidental injuries were boys,and infants and preschool children were high-risk groups of accidental injuries,showing an increasing trend year by year in recent years.Trauma and foreign bodies were the focus of prevention and treatment of accidental injuries in children,and summer and autumn were the key periods to prevent accidental injuries in children.