急诊科儿童严重创伤危险因素分析  

Risk factors analysis of child serious trauma in the department of emergency

作　　者：曾辉 余碧艳[2] 冯春[2] Zeng Hui;Yu Biyan;Feng Chun(Nursing Department, Shanghai Children＇s Medical Center Affiliated to Shanghai JiaoTong University School of Medicine, Shanghai 200127, China （Zeng H;Department of Emergency, Shanghai Children＇s Medical Center Affiliated to Shanghai JiaoTong University School of Medicine, Shanghai 200127, China （Yu BY, Feng C)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心护理部,200127 [2]上海交通大学医学院附属上海儿童医学中心急诊科,200127

出　　处：《中华现代护理杂志》2017年第31期3951-3955,共5页Chinese Journal of Modern Nursing

摘　　要：目的 分析急诊儿童严重创伤发生率及危险因素,为制定儿童创伤的预防策略提供科学依据.方法 对2013年1月1日—2015年12月31日由120救护车送到上海儿童医学中心急诊的1602例儿童创伤患者进行回顾性分析,先对可能的危险因素进行单因素分析,筛选出有统计学意义的危险因素,然后对主要危险因素进行Logistic回归分析.结果 在1602例创伤儿童中有529例发生严重创伤,发生率为33%;不同性别、创伤发生原因和创伤部位患儿创伤情况差异均有统计学意义（χ2值分别为11.040、6.263、23.040;P〈0.05）;Logistic回归分析显示,性别、创伤发生原因与创伤部位为严重创伤发生的主要影响因素（P〈0.05）.结论 急诊儿童严重创伤发生率较高.儿童性别、创伤发生原因、创伤部位是儿童发生严重创伤的影响因素;应针对影响因素制定相关防治策略和管理措施,以减少儿童严重创伤的发生率.Objective To analyze the incidence of child serious trauma in the emergency room and its risk factors, providing scientific evidence for prevention strategies of child trauma. Methods A retrospective analysis was carried out in 1 602 children with serious trauma who were sent to the emergency room of Shanghai Children＆#39;s Medical Center by 120 ambulance from January 1st, 2013 to December 31st, 2015. Firstly, the possible risk factors were analyzed for univariate analysis, to screen out statistically significant risk factors. Then the major risk factors were analyzed by Logistic regression analysis. Results In 1 602 trauma children, serious trauma occurred in 529 children and the incidence was 33%. Significant differences of child trauma were found in the gender, the traumatic cause, the traumatic site （χ2=11.040,6.263,23.040;P〈0.05）. The Logistic regression analysis showed that the gender, the traumatic cause and the traumatic site were the main influencing factors of the occurrence of the serious trauma（P〈0.05）. Conclusions The incidence of child serious trauma in the emergency room is relatively high. The gender, the traumatic cause and the traumatic site are the influencing factors of child serious trauma. Corresponding prevention and management measures should be made according to the influencing factors, in order to reduce the incidence of child serious trauma.

关 键 词：儿童 急诊科 创伤 危险因素 

分 类 号：R473.72[医药卫生—护理学]