86例被虐待儿童临床及流行病学研究  

A clinical and epidemiological study of 86 cases on abused children

作　　者：焦富勇[1] 乔荆[1] 周霞[1] 李月华[1] 康华[1] 

机构地区：[1]陕西省人民医院儿科,西安710068

出　　处：《中华流行病学杂志》2000年第5期335-337,共3页Chinese Journal of Epidemiology

摘　　要：目的　研究被虐待儿童的临床特征及流行病学特征 ,寻求预防干预措施。方法　采用统一表格及方法和判断标准 ,回顾性调查和分析 1998年 1月～ 1999年 12月期间 86例被虐待儿童的临床资料和流行病学资料。结果　受虐待儿童男女之比为 0 .76∶1,女孩多于男孩 ,年龄以 3～ 16岁居多 ,占 6 0 .46 %。发病季节以春冬季为主 ,分别占 32 .5 6 %和 33 .72 %。虐待方式以身体虐待为主 ,占45 .34%。损伤类型以皮肤软组织和四肢骨折为主 ,分别占 30 .2 3 %和 11.2 7% ,心理行为异常占2 4.41%。死亡 14例占 16 .2 7%。虐待者文盲及低于小学文化程度者 5 5人占 6 4%。结论　虐待可使小儿身心健康受到严重损害 ,甚至死亡。女孩多于男孩 ,以皮肤软组织损伤为主 ,虐待者文化程度较低 ,故应加强宣传教育及防范干预措施 ,以防止虐待儿童的发生。Objective To study the clinical and epidemiological manifestations on abused children, in order to find ways of prevention. Methods Retrospective study was carried out clinically and epidemiologically on 86 cases abused children from 1998.1-1999.12. Results The sex ratio (male:female) in the abused children was 0.76 ∶1. Most cases were 3-16 years olds. Abuse incidences were most commonly occurred in spring and winter, accounted for 32.56 % and 33.72 % respectively. Most abuses happened physically ( 45.34 %), predominantly involved skin ( 30.23 %) and parenchyma ( 11.27 %). Mental abuse accounted for 24.41 %. 14 cases resulted in death ( 16.27 %). 55(64%) of the abusers were illiterate or with poor education. Conclusion The abused sites mostly involved skin and parenchyma, but also caused harm to children's mental health, even causing deaths. Most abused children were female and abusers had lower cultural background. Thus, we need to provide a sounding board, to work on child abuse preventin.

关 键 词：虐待 儿童 临床特征 流行病学 伤害 忽视 

分 类 号：R181.3[医药卫生—流行病学]