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目的分析河北省儿童伤害状况和危害程度,为控制儿童伤害的发生,制定儿童伤害干预措施提供科学依据。方法资料来源于2006年1月1日至2012年12月31日首次就诊于河北省6家伤害监测哨点医院急诊室的儿童伤害患者。结果 2006~2012年,河北省伤害监测系统共收集16 129例儿童伤害病例,占监测总数的11.46%,男性多于女性,男女性别比为2.35:1,男、女性别伤害原因构成差异有统计学意义(χ2=363.64,P<0.01)。前五位伤害发生的原因依次是跌倒/坠落(43.54%)、机动车车祸(16.40%)、钝器伤(15.52%)、非机动车车祸(6.20%)和刀/锐器伤(5.91%)。伤害经常发生的地点为公路/街道(31.95%)、家中(31.04%)、学校与公共场所(16.52%)、贸易和服务场所(8.46%)、公共居住场所(7.33%)。伤害部位主要为头部(37.77%)、上肢(23.60%)、下肢(20.14%)、多部位(6.63%)、躯干(5.77%)。以非故意伤害(90.18%)、轻度伤害(73.55%)、接受治疗后回家(70.80%)为主。不同年龄儿童伤害发生原因、地点、部位等差异较大。结论河北省伤害监测系统收集的儿童伤害病例的伤害原因、地点等特征与儿童年龄密切相关,应根据年龄不同有针对性的开展伤害预防控制工作。
Objective To analyze the status of child injury and the degree of harm in Hebei province and provide a scientific basis for controlling the occurrence of child injury and formulating child injury intervention measures. Method information from January 1, 2006 to December 31, 2012 for the first time in Hebei Province, 6 injured sentinel hospital emergency room for child injury patients. Results From 2006 to 2012, Hebei Province Injury Monitoring System collected a total of 16 129 cases of child injury, accounting for 11.46% of the total number of monitoring, more men than women, gender ratio was 2.35: 1, male and female causes of injury were statistically different Significance (χ2 = 363.64, P <0.01). The top five injuries were followed by fall / fall (43.54%), motor vehicle accidents (16.40%), blunt injuries (15.52%), non-motor vehicle accidents (6.20%) and knife / ). Injuries often occur at highways / streets (31.95%), at home (31.04%), schools and public places (16.52%), trade and service establishments (8.46%) and public places of residence (7.33%). The main injuries were head (37.77%), upper limbs (23.60%), lower limbs (20.14%), multiple sites (6.63%) and trunk (5.77%). Inadvertent injury (90.18%), mild injury (73.55%), after treatment, go home (70.80%) based. Injuries of children of different ages causes, locations, locations and other differences. Conclusions The causes, locations and other characteristics of childhood injury cases collected by the injury monitoring system in Hebei Province are closely related to the age of children. Injury prevention and control should be carried out according to their age.