宁波市儿童伤害住院病例流行特征及住院费用调查  

Epidemiological characteristics and hospitalization expenses of child injury in Ningbo

作　　者：朱银潮[1] 史兴菊[2] 陈洁平[1] 李辉[1] ZHU Yin-chao;SHI Xing-ju;CHEN Jie-ping;LI Hui(Ningbo Center for Disease Control and Prevention,Ningbo,Zhejiang 315010,China)

机构地区：[1]宁波市疾病预防控制中心,浙江宁波315010 [2]宁波市妇女儿童医院

出　　处：《预防医学》2018年第12期1199-1202,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的了解宁波市儿童伤害住院病例的流行病学特征和住院费用,为制定儿童伤害防制策略提供依据。方法通过《宁波市住院伤害监测报告卡》收集宁波市妇女儿童医院2013—2017年出院的<15岁儿童伤害住院病例,对儿童伤害住院病例的流行病学特征和住院费用进行描述性分析。结果 11 064例住院治疗的儿童伤害病例中, 1~4岁组儿童6 699例,占60.55%;外地儿童6 073例,占54.89%。儿童伤害发生的主要地点为家庭,有8 553例,占77.43%。跌倒/坠落(37.62%)、烧烫伤(30.16%)和交通伤(16.90%)为儿童伤害发生的主要原因,其住院费用总和分别占所有儿童伤害病例的39.17%、 25.34%和24.36%。儿童伤害住院病例中,溺水病死率最高,为38.46%,且人次日均住院费用最高,中位数为0.34万元。结论 1~4岁儿童和外地儿童是宁波市儿童伤害住院治疗的高危人群,跌倒/坠落、烧烫伤和交通伤为儿童伤害的主要原因。Objective To understand the epidemiological characteristics and hospitalization expenses of injured children in Ningbo,and to provide scientific evidence for promoting the intervention strategies of child injury. Methods The Ningbo Hospitalized Injury Monitoring Report Card was used to collect the injury cases of children under 15 years old who were discharged from the Ningbo Women ＆ Children＇s Hospital from 2013 to 2017. The epidemiological characteristics and hospitalization expenses of these cases were analyzed. Results Among the 11 064 hospitalized child injury cases included in the study,6 699 cases（60.55%）were children aged 1 to 4 years;6 073 cases（54.89%）were nonlocal children. Home was the main place for child injury with 8 553 cases（77.43%）. The top three causes of child injury were falling down/falls（37.62%）,burns（30.16%）and traffic injuries（16.90%）,of which the total hospitalization expenses were accounted for 39.17%,25.34% and 24.36% of that in all injury causes. The hospitalized child injury cases due to drowning had the highest mortality rate of 38.46% and the highest daily hospitalization cost per person-time with a median of 3 400 yuan. Conclusion Children aged 1 to 4 years and from nonlocal places were high-risk population for hospitalization due to injury in Ningbo. Falling down/falls,burns and traffic injuries were the top three causes of child injury.

关 键 词：伤害 儿童 流行病学特征 住院费用 

分 类 号：R181.3[医药卫生—流行病学]