70例儿童意外伤害临床分析  

Accidental injury in children: Clinical analysis of 70 cases

作　　者：张丽萍[1] 胡亚梅[1] 杨淑云[2] 刘晏佐 秦向阳[4] ZHANG Liping;HU Yamei;YANG Shuyun;LIU Yanzuo;and QIN Xiangyang(Department of Pediatrics;Department of Pathology;The Major of Imaging,Shanxi Medical University,Taiyuan 030002,China;Department of Ophthalmology,Shanxi Provincial Corps Hospital,Chinese People＇s Armed Police Forces,Taiyuan 030006,China)

机构地区：[1]武警山西总队医院儿科,太原030006 [2]武警山西总队医院病理科,太原030006 [3]山西医科大学影像系,太原030002 [4]武警山西总队医院眼科,太原030006

出　　处：《中华灾害救援医学》2018年第10期549-551,共3页Chinese Journal of Disaster Medicine

摘　　要：目的了解儿童意外伤害的发生原因,以便更好地采取措施进行预防干预。方法记录70例意外伤害患儿就诊时年龄、性别、意外发生地点、监护人文化程度、居住地等资料,对伤害分类和程度分别进行分组比较。结果 70例儿童中,男39例(55.7%),女31例(44.3%);意外伤害中烧伤人数最多32例(45.7%);轻度损伤32例(45.7%),中重度损伤38例(54.3%);1~3岁儿童最多44例(62.9%)。不同年龄组之间伤害损伤程度及伤害类型分布不同,差异有统计学意义(P<0.05);损伤程度与年龄呈负相关(P<0.05)。儿童伤害类型分布在监护人不同文化程度和不同伤害发生地点之间,差异具有统计学意义(P<0.05)。结论年龄小,监护人文化程度低是儿童意外伤害事件发生的危险因素,提高儿童家长及看护人的文化程度,加强安全意识教育及对伤害危险因素的重视对预防儿童意外伤害非常重要。Objective The objective of this study was to find the causes of children accidental injury and intervention measures against it. Methods The age, sex, location of accident, guardian＇s educational background and residence of 70 children with accidental injuries were recorded. The classification and degree of injuries were sorted and compared. Results Among 70 children, 39 （55.7%） were male and 31 （44.3%） female; burns accounted for the most [32 cases （45.7%）]; 32 cases （45.7%） were mild injuries, 38 cases （54.3%） were moderate and severe injuries; children aged 1 to 3 accounted for the most [44 cases （62.9%）]. There were significant differences in injury degree and injury type distribution among different age groups （P〈0.05）, and there was a negative correlation between injury degree and age （P〈0.05）. The types of injuries in children occurred under guardians of different educational backgrounds and in different places, and the differences were statistically significant （P〈0.05）. Conclusions Lower age and educational background of guardian are major risk factors for children accidental injuries. Improving education level of guardians, strengthening the security education and raising awareness of risk factors are important for preventing children from accidental injuries.

关 键 词：儿童 意外伤害 烧伤 中毒 

分 类 号：R729[医药卫生—儿科]