2015―2021年江苏省未成年人伤害病例分析报告

Analysis of minor injuries cases in Jiangsu Province from 2015 to 2021

目的 了解2015―2021年江苏省未成年人伤害发生情况及特点,为制定未成年人伤害预防措施提供依据。方法 收集2015―2021年江苏省伤害监测系统中0~17岁未成年人伤害首诊病例资料,内容包括患者的一般信息、伤害事件基本情况、伤害临床信息和填报人信息。采用频数和频率描述伤害发生的分布特征;组间频率的比较采用χ^(2)检验,通过秩和检验比较不同类别间未成年人伤害严重程度的差异。结果 2015―2021年共收集江苏省5个监测点12家哨点医院未成年人伤害病例98 954例次,其中男性60 380例次(61.02%),男女比例为1.57∶1。伤害发生原因构成前3位的是动物伤(35.38%)、跌倒/坠落伤(32.00%)和钝器伤(10.81%)。8―10月是未成年人伤害发生的高峰季节,不同原因所致伤害类型在不同月份的分布也不同。不同年龄组未成年人伤害主要发生在家中,分别占78.13%(0~<4岁组)、68.00%(4~<7岁组)、52.98%(7~<13岁组)和36.27%(13~17岁组),≥7岁组伤害发生于学校与公共场所所占比例较<7岁组显著增加,分别为84.96%和15.04%。未成年人伤害发生时活动主要是休闲活动,占66.88%。结论 江苏省未成年人伤害病例以男性居多,以动物伤为主要原因,夏秋季是高峰季节,多发生在家中,应有针对性地开展安全教育和加强保护。

Objective To investigate the occurrence and characteristics of minor injury cases in Jiangsu Province from 2015 to 2021,providing basis for developing strategies and measures for preventing Injury among minors.Methods All the first diagnosed injury cases of minors aged 0-17 years reported by outpatient and emergency departments of injury surveillance sentinel hospitals in Jiangsu province from 2015 to 2021 were collected and analyzed.The content includes general information of patients,basic information and clinical information of injury cases,and information of the reporting persons.We used the composition ratio to describe the distribution characteristics of injuries.And rank sum test were used to compare the differences in the severity of minor injuries between different categories.Results A total of 98954 cases of minor injuries were collected from 12 sentinel hospitals in 5 monitoring points in Jiangsu Province from 2015 to 2021,with 60380 were males(61.02%).The ratio of male to female was 1.57∶1.Most injuries were caused by animal bite,drop and blunt,respectively accounted for 35.38%,32.00%and 10.81%.August to October of each year is the peak season for minor injuries.The distribution of injuries caused by different reasons were varied in different months.Injuries in different age groups were mainly occurred at home,accounting for 78.13%(0-<4 years old),68.00%(4-<7 years old),52.98%(7-<13 years old),and 36.27%(13-17 years old).The proportion of minor injuries aged 7 and above occurred in schools and public places were increased to those aged 7 and below,with 84.96%and 15.04%respectively.The main activity of injury was leisure,accounting for 66.88%.Conclusions Most minor injuries in Jiangsu Province were male,mainly caused by animal bite and occurred at home in summer and autumn.Safety education and protection should be carried out.Key words:Minor/Injure/Monitoring and analysis Objective To investigate the occurrence and characteristics of minor injury cases in Jiangsu Province from 2015 to 2021,providing basis for developing strategies and measures for preventing Injury among minors.Methods All the first diagnosed injury cases of minors aged 0-17 years reported by outpatient and emergency departments of injury surveillance sentinel hospitals in Jiangsu province from 2015 to 2021 were collected and analyzed.The content includes general information of patients,basic information and clinical information of injury cases,and information of the reporting persons.We used the composition ratio to describe the distribution characteristics of injuries.And rank sum test were used to compare the differences in the severity of minor injuries between different categories.Results A total of 98954 cases of minor injuries were collected from 12 sentinel hospitals in 5 monitoring points in Jiangsu Province from 2015 to 2021,with 60380 were males(61.02%).The ratio of male to female was 1.57∶1.Most injuries were caused by animal bite,drop and blunt,respectively accounted for 35.38%,32.00%and 10.81%.August to October of each year is the peak season for minor injuries.The distribution of injuries caused by different reasons were varied in different months.Injuries in different age groups were mainly occurred at home,accounting for 78.13%(0-<4 years old),68.00%(4-<7 years old),52.98%(7-<13 years old),and 36.27%(13-17 years old).The proportion of minor injuries aged 7 and above occurred in schools and public places were increased to those aged 7 and below,with 84.96%and 15.04%respectively.The main activity of injury was leisure,accounting for 66.88%.Conclusions Most minor injuries in Jiangsu Province were male,mainly caused by animal bite and occurred at home in summer and autumn.Safety education and protection should be carried out.