CAJ | 학술논문

目的调查海口市儿童创伤流行病学规律,了解儿童创伤的发生规律,为儿童创伤的预防和治疗提供客观依据.方法建立儿童患者急诊创伤登记本,收集2012年1月1日至2014年12月31日到海南医学院附属医院和海南省人民医院急诊外科就诊的儿童创伤患者信息,应用SPSS18.0统计学软件进行统计学分析.结果共收集儿童创伤患者1 296例,男女性别比例为1.22:1,性别差别在1~4岁组之间不明显(P>0.05),但5~14岁组之间中男童多于女童(P<0.05);1~4岁组儿童最多,在5~14岁组随着年龄的增大,儿童创伤患者的数目逐渐减少(P<0.05);受伤时间方面,在全天时间分布上,11:00~13:00、18:00~22:00为创伤发生高峰时间;全年时间分布上,7~8月、1~2月创伤高发;儿童创伤主要发生地点为家庭和学校.跌倒/坠落伤是主要致伤原因,在所有年龄段中均为首位;交通事故在9~14岁组最高,烧烫伤的发生率在0~1岁组最高,锐器伤的发生率在5~8岁组最高,儿童意外伤害的原因在不同年龄差异有统计学意义(P<0.05);创伤部位主要为四肢、头面部;创伤严重程度评分,轻伤(ISS<16分)占95.76%,严重创伤(ISS≥16分)占4.24%;海口市儿童创伤的院前时间小于1 h者占76.67%,1~2 h之间占13.65%,院前时间均大于2 h者占9.95%.结论儿童创伤具有自身的流行病学特征,政府、学校、家庭和医院应该共同参与,制定儿童创伤科学的预防和救治措施,保障儿童的生命健康.
목적 조사해구시인동창상류행병학규률,료해인동창상적발생규률,위인동창상적예방화치료제공객관의거.방법 건립인동환자급진창상등기본,수집2012년1월1일지2014년12월31일도해남의학원부속의원화해남성인민의원급진외과취진적인동창상환자신식,응용SPSS18.0통계학연건진행통계학분석.결과 공수집인동창상환자1 296례,남녀성별비례위1.22:1,성별차별재1~4세조지간불명현(P>0.05),단5~14세조지간중남동다우녀동(P<0.05);1~4세조인동최다,재5~14세조수착년령적증대,인동창상환자적수목축점감소(P<0.05);수상시간방면,재전천시간분포상,11:00~13:00、18:00~22:00위창상발생고봉시간;전년시간분포상,7~8월、1~2월창상고발;인동창상주요발생지점위가정화학교.질도/추락상시주요치상원인,재소유년령단중균위수위;교통사고재9~14세조최고,소탕상적발생솔재0~1세조최고,예기상적발생솔재5~8세조최고,인동의외상해적원인재불동년령차이유통계학의의(P<0.05);창상부위주요위사지、두면부;창상엄중정도평분,경상(ISS<16분)점95.76%,엄중창상(ISS≥16분)점4.24%;해구시인동창상적원전시간소우1 h자점76.67%,1~2 h지간점13.65%,원전시간균대우2 h자점9.95%.결론 인동창상구유자신적류행병학특정,정부、학교、가정화의원응해공동삼여,제정인동창상과학적예방화구치조시,보장인동적생명건강.
Objective To investigate the epidemiological characteristics of child trauma in Haikou, analyze the regularity of child trauma, and provide basis for the prevention and treatment. Methods A dedicated survey re-cord was established. The epidemiological information of children with trauma were collected in the Affiliated Hospi-tal of Hainan Medical University and People's Hospital of Hainan Province from Jan. 1, 2012 to Dec. 31 2014, which were then analyzed by SPSS18.0. Results A total of 1 296 cases of child trauma were collected, with male to female ratio of 1.22:1. The 1~4 age group showed no statistically difference in gender (P>0.05), but the 5~14 age group had more male patients than female patients (P<0.05). Trauma occurred mostly in the children of 1~4 age group, and the number of children with trauma decreased with the growing of age in the 5~14 age group (P<0.05). Trauma tended to happen mostly in 18:00~22:00, 11:00-13:00 of a day, and July to August and January to February of a year. The loca-tions were mostly home and school. Fall was the leading cause of unintentional injury, with traffic accidents most dis-tributed in 9~14 age group, burn most distributed in 0~1 age group, sharp most distributed in 5~8 age group. The causes of unintentional injuries showed statistically significant difference between different age groups (P<0.05). The leading trauma parts of the body were limbs, followed by head and face. For the degree of trauma, the patients with slight injury (ISS≤16) accounted for 95.76%, and the patients with severe injury accounted for 4.24%. 76.67%of the patients got into the hospital in one hour, with 13.65%in 1~2 h and 9.95%more than 2 h. Conclusion Government, school, hospitals and parents should develop effective new options for prevention and treatment on the base of the epi-demiological characteristics of child trauma, in order to ensure the health of children.