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目的了解富阳市14岁以下儿童伤害分布特征并探讨伤害发生原因,为儿童伤害干预提供依据。方法选取富阳市3家监测哨点医院,采用统一制定的伤害监测登记表对2011年前来就诊的首诊儿童伤害病例进行登记。对伤害发生的地点、类别、严重程度、患者职业、性别和年龄等进行描述性分析。结果全年累计收集0～14岁伤害儿童977例,男女性别比为1.61∶1。伤害发生地点前3位分别为住宅(81.78%)、学校(9.31%)和街道/城区(4.81%)。伤害原因前5位分别为动物伤(49.74%)、跌落伤(25.90%)、钝器伤(14.02%)、刺割伤(3.07%)和烧烫伤(1.84%)。伤害发生时的活动情况前3位分别为空闲时(81.68%)、学校活动(6.04%)和运动(4.71%)。伤害的严重程度以轻微的浅表伤(89.97%)为主。伤害意图以非故意伤害为主(98.60%)。结论儿童伤害是富阳市一个严重的公共卫生问题,应加强对儿童的安全教育,采取有效措施预防儿童伤害特别是动物伤的发生。
Objective To understand the distribution characteristics of injuries in children under 14 years of age in Fuyang City and to explore the causes of injuries and provide the basis for the intervention of children injuries. Methods Three sentinel hospitals in Fuyang City were selected to register the first cases of child injury cases coming to the hospital in 2011 with a unified injury registration form. Descriptive analysis of the location, type, severity, patient occupation, gender and age of the injury occurred. Results A total of 977 children aged 0-14 years were collected and the sex ratio was 1.61:1. The top 3 places of injury were residential (81.78%), school (9.31%) and street / urban area (4.81%) respectively. The first five injuries were animal injury (49.74%), fall injury (25.90%), blunt injury (14.02%), barb injury (3.07%) and burns and burns (1.84%). The first three activities at the time of injury were free (81.68%), school activities (6.04%) and sports (4.71%) respectively. The severity of injuries was mainly mild superficial injuries (89.97%). The intention of injury was mainly unintentional injury (98.60%). Conclusion Child injury is a serious public health problem in Fuyang City. Children’s safety education should be strengthened and effective measures should be taken to prevent child injuries, especially animal injuries.