中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2010年
8期
885-889
,共5页
吴春眉%邓晓%安媛%段蕾蕾
吳春眉%鄧曉%安媛%段蕾蕾
오춘미%산효%안원%단뢰뢰
伤害监测%医院%儿童%分布特征
傷害鑑測%醫院%兒童%分佈特徵
상해감측%의원%인동%분포특정
Injury surveillance%Hospital%Child%Distribution characteristics
目的 了解中国儿童伤害门急诊就诊病例的分布特点.方法 对2006-2008年因伤害首次在全国伤害监测系统哨点医院门急诊室就诊的儿童病例进行描述性分析.结果 2006-2008年全国伤害监测儿童病例男童是女童的2倍以上(2.22、2.15、2.15),伤害病例以5～14岁年龄组为主(50.74%、49.75%、49.75%).3年中儿童伤害主要发生原因为跌倒/坠落(44.14%、45.68%、47.15%)、道路交通伤害(15.71%、14.46%、13.79%)和钝器伤(13.20%、12.92%、12.40%).各年度儿童伤害主要发生地点为家中(34.96%、36.86%、38.84%)、学校与公共场所(24.72%、19.80%、21.19%)、公路/街道(21.21%、19.63%、19.33%).各年度主要伤害部位为头部(34.88%、35.84%、37.07%)、上肢(28.00%、28.21%、27.81%)、下肢(21.86%、21.49%、21.31%);以非故意伤害(93.01%、92.66%、90.58%)、轻度伤害(78.50%、81.20%、81.52%)、接受治疗后回家为主(82.37%、85.19%、84.84%).不同年龄儿童伤害发生原因、地点、部位等分布差异较大.结论 中国伤害监测系统收集的儿童伤害就诊病例的伤害原因、地点等特征与儿童年龄密切相关,且与儿童伤害死亡谱存在较大差异.
目的 瞭解中國兒童傷害門急診就診病例的分佈特點.方法 對2006-2008年因傷害首次在全國傷害鑑測繫統哨點醫院門急診室就診的兒童病例進行描述性分析.結果 2006-2008年全國傷害鑑測兒童病例男童是女童的2倍以上(2.22、2.15、2.15),傷害病例以5～14歲年齡組為主(50.74%、49.75%、49.75%).3年中兒童傷害主要髮生原因為跌倒/墜落(44.14%、45.68%、47.15%)、道路交通傷害(15.71%、14.46%、13.79%)和鈍器傷(13.20%、12.92%、12.40%).各年度兒童傷害主要髮生地點為傢中(34.96%、36.86%、38.84%)、學校與公共場所(24.72%、19.80%、21.19%)、公路/街道(21.21%、19.63%、19.33%).各年度主要傷害部位為頭部(34.88%、35.84%、37.07%)、上肢(28.00%、28.21%、27.81%)、下肢(21.86%、21.49%、21.31%);以非故意傷害(93.01%、92.66%、90.58%)、輕度傷害(78.50%、81.20%、81.52%)、接受治療後迴傢為主(82.37%、85.19%、84.84%).不同年齡兒童傷害髮生原因、地點、部位等分佈差異較大.結論 中國傷害鑑測繫統收集的兒童傷害就診病例的傷害原因、地點等特徵與兒童年齡密切相關,且與兒童傷害死亡譜存在較大差異.
목적 료해중국인동상해문급진취진병례적분포특점.방법 대2006-2008년인상해수차재전국상해감측계통초점의원문급진실취진적인동병례진행묘술성분석.결과 2006-2008년전국상해감측인동병례남동시녀동적2배이상(2.22、2.15、2.15),상해병례이5～14세년령조위주(50.74%、49.75%、49.75%).3년중인동상해주요발생원인위질도/추락(44.14%、45.68%、47.15%)、도로교통상해(15.71%、14.46%、13.79%)화둔기상(13.20%、12.92%、12.40%).각년도인동상해주요발생지점위가중(34.96%、36.86%、38.84%)、학교여공공장소(24.72%、19.80%、21.19%)、공로/가도(21.21%、19.63%、19.33%).각년도주요상해부위위두부(34.88%、35.84%、37.07%)、상지(28.00%、28.21%、27.81%)、하지(21.86%、21.49%、21.31%);이비고의상해(93.01%、92.66%、90.58%)、경도상해(78.50%、81.20%、81.52%)、접수치료후회가위주(82.37%、85.19%、84.84%).불동년령인동상해발생원인、지점、부위등분포차이교대.결론 중국상해감측계통수집적인동상해취진병례적상해원인、지점등특정여인동년령밀절상관,차여인동상해사망보존재교대차이.
Objective To understand the pattern of children injuries treated in hospitals and to provide evidence for its further prevention and control. Methods Data of children cases was descriptively analyzed from the Chinese National Injury Surveillance System (NISS), from 2006 to 2008. Results The incidence rates of boys were twice (2.22,2.15,2.15 ) higher than girls. About one half (50.74% ,49.75% ,49.75%) of them were 5-14 year of age. The main causes were falls (44.14%,45.68%, 47.15% ), RTIs (15.71%, 14.46%, 13.79% ), and blunt force injuries (13.20%, 12.92%,12.40% ). Main locations where the injuries happened were at home (34.96%, 36.86%, 38.84% ),school and public places (24.72%, 19.80%,21.19%) ,and road/street (21.21%, 19.63%, 19.33%). The major injured body parts were head (34.88%, 35.84%, 37.07% ), upper limbs (28.00%, 28.21%,27.81% ) and lower limbs (21.86%, 21.49%, 21.31% ). The majority cases were unintentional (93.01%, 92.66%, 90.58% ), minor (78.50%, 81.20%, 81.52% ) injuries, treated and discharged (82.37%, 85.19%, 84.84% ). There were considerable differences in the distributions of causes,locations, injured body parts, and other contexts depending on age. Conclusion The pattern of children' s injury would include causes, places and other characteristics treated at hospitals from NISS and was related to the age of the injured child which was quite different from the spectrum of death caused by injury. NISS acts as an important source of information on children's injury in China, and can contribute to the prevention and control program on children' s injury.
