CAJ | 학술논문

目的了解和分析7岁以下儿童意外伤害发生现状和分布特点.方法对2010年广州市7岁以下儿童意外伤害监测网络的470 770名集体和散居儿童中发生的意外伤害现状进行描述性分析.结果 2010年广州市7岁以下儿童意外伤害发生率为1.48%,其中集体儿童意外伤害发生率为1.66%,散居儿童意外伤害发生率为1.11%,城区儿童意外伤害发生率为1.36%,区县(农村地区)儿童意外伤害发生率为2.52%;集体儿童高于散居儿童,农村儿童高于城区儿童.儿童伤害发生原因构成顺位依次是跌伤(70.54%)、动物伤害(8.48%)、烧烫伤(5.75%)、钝器伤(3.92%)和交通道路伤(3.48%).儿童意外伤害发生部位依次是头面部(60.00%)、腕和手(15.48%)、膝部和小腿(11.70%)、肘和前臂(4.54%)、肩部和上臂(2.99%).意外伤害病例中,轻度意外伤害占85.35%,中度意外伤害占9.12%,重度意外伤害占0.57%.其中去医院门诊/急诊的儿童占49.66%,需住院或重症监护的儿童占2.06%,在家中或托幼园所就地处理的儿童占43.34%.结论 2010年广州市7岁以下儿童意外伤害发生率为1.48%,发生原因主要以跌伤、动物伤害、烧烫伤、钝器伤以及交通道路伤为主,不同年龄、区域儿童意外伤害发生特征及临床特征存在差异.
목적 료해화분석7세이하인동의외상해발생현상화분포특점.방법 대2010년엄주시7세이하인동의외상해감측망락적470 770명집체화산거인동중발생적의외상해현상진행묘술성분석.결과 2010년엄주시7세이하인동의외상해발생솔위1.48%,기중집체인동의외상해발생솔위1.66%,산거인동의외상해발생솔위1.11%,성구인동의외상해발생솔위1.36%,구현(농촌지구)인동의외상해발생솔위2.52%;집체인동고우산거인동,농촌인동고우성구인동.인동상해발생원인구성순위의차시질상(70.54%)、동물상해(8.48%)、소탕상(5.75%)、둔기상(3.92%)화교통도로상(3.48%).인동의외상해발생부위의차시두면부(60.00%)、완화수(15.48%)、슬부화소퇴(11.70%)、주화전비(4.54%)、견부화상비(2.99%).의외상해병례중,경도의외상해점85.35%,중도의외상해점9.12%,중도의외상해점0.57%.기중거의원문진/급진적인동점49.66%,수주원혹중증감호적인동점2.06%,재가중혹탁유완소취지처리적인동점43.34%.결론 2010년엄주시7세이하인동의외상해발생솔위1.48%,발생원인주요이질상、동물상해、소탕상、둔기상이급교통도로상위주,불동년령、구역인동의외상해발생특정급림상특정존재차이.
Objective To understand the pravelence and distribution of unintentional injuries in children under age 7 in Guangzhou. Methods Data was descriptively analyzed from the Guangzhou Unintentional Injuries Surveillance System among 470 770 children under age 7 living scatterly or collectively. Results The incidence rates of unintentional injuries among children in Guangzhou was 1.48%, among which the incidence rates were: living scatterly as 1.11% living collectively as 1.66%, living in urban areas as 1.36% in rural as 2.52%. In order, the proportion of main causes of children's unintentional injuries were as follows: falls (70.54%), animal injuries (8.48%), burn and scald (5.75%), blunt force injuries (3.92%) , and road traffic injuries (RTIs) (3.48%). The main body parts being injured were head and face (60.00%) , wrist and hand (15.48%), knee and leg (11.70%), elbow and forearm (4.54%), shoulder and arm (2.99%). The degrees of children's unintentional injuries were as follows: mild impairment (85.35%), moderate impairment (9.12%) , and severe impairment (0.57%). Places that the patients went were as follows: hospital outpatient department or emergency room (49.66%), inpatient department or ICU (2.06%), home and kindergarten (43.34%). Conclusion The overall incidence rate of children' s unintentional injuries under age 7 in Guangzhou was 1.48%, with main causes as fall, animal injuries,burn and scald, blunt force injuries, and RTIs. There were considerable differences of characteristics and distributions on age and areas among the patients.