常山县产品相关的儿童伤害病例特征分析  

Epidemiological characteristics of product-related injuries among children in Changshan County

作　　者：赵鸣[1] 钟节鸣[1] 段家福[2] 吴正福 郭丽花[1] 曾红霞[2] 付美华[2] 刘文峰[2] 刘胜 俞敏[1] ZHAO Ming;ZHONG Jie-ming;DUAN Jia-fu;WU Zheng-fu;GUO Li-hua;ZENG Hong-xia;FU Mei-hua;LIU Wen-feng;LIU Sheng;YU Min(Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China)

机构地区：[1]浙江省疾病预防控制中心,浙江杭州310051 [2]常山县疾病预防控制中心

出　　处：《预防医学》2019年第8期765-770,共6页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的分析2011-2017年衢州市常山县产品相关儿童伤害病例特征,为开展儿童产品伤害干预提供依据。方法从常山县开展产品伤害监测的3所哨点医院收集2011-2017年就诊的18岁以下儿童的产品伤害首诊病例资料,采用描述流行病学方法分析病例的性别、年龄、伤害发生原因和涉及产品类别分布,以及家具、文教体育用品、家用日用品和儿童玩具及用品4类常见产品相关的儿童伤害特征。结果 2011-2017年常山县3家哨点医院共报告儿童伤害病例5 111例,占产品相关伤害病例总数的13.49%。其中男童3 138例,占61.40%;女童1 973例,占38.60%。伤害发生时年龄以<10岁为主,2 973例占58.17%。伤害发生原因主要为交通伤(49.46%)、钝器伤(16.02%)、刀/锐器伤(12.39%)和跌倒/坠落(10.37%)。涉及产品类别主要为除汽车外的其他交通运输工具(36.83%)、汽车(17.82%)、家具(12.23%)、文教体育用品(8.45%)、家用日用品(4.89%)和儿童玩具及用品(3.25%)。4类常见产品相关的儿童伤害中,家用日用品相关的儿童伤害发生原因以刀/锐器伤为主(53.01%),其他3类以钝器伤为主;文教体育用品相关的儿童伤害主要发生在学校和公共场所(64.57%)、体育和运动场所(18.48%),发生时以体育活动为主(54.13%),其他3类主要发生在家庭,发生时以休闲活动为主;家用日用品相关的儿童伤害性质以锐器伤/咬伤/开放伤为主(51.50%),其他3类以挫伤/擦伤为主。4类常见产品相关的儿童伤害受伤部位均以头部为主,严重程度均以轻度为主,结局均以治疗后回家为主。结论常山县产品相关儿童伤害病例中男童多于女童,涉及产品主要为除汽车外的其他交通运输工具、汽车、家具、文教体育用品、家用日用品和儿童玩具及用品,开展产品相关儿童伤害预防控制需重点关注后4类产品。Objective To understand the epidemiological characteristics of product-related injuries among children in Changshan County from 2011 to 2017 and to provide evidence for targeted intervention. Methods The surveillance data of product-related injuries among children aged below 18 years from 2011 to 2017 was collected from three sentinel hospitals in Changshan County.The characteristics of product-related injuries among children were analyzed, especially those injuries caused by furniture,stationery and sporting goods,commodities and toys. Results A total of 5 111 product-related injury cases among children were reported,accounting for 13.49% of product-related injury cases of all age. There were 3 138 boys and 1 973 girls,accounting for61.40% and 38.60%. There were 2 973 cases less than 10 years old,accounting for 58.17%. The main causes of product-related injuries were road traffic injury(49.46%),blunt(16.02%),stab/cut(12.39%) and fall(10.37%). The main categories of products included transportation equipments(not including motor vehicles,36.83%),motor vehicles(17.82%),furniture(12.23%),stationery and sporting goods(8.45%),commodities(4.89%) and toys(3.25%). Stab/cut(53.01%) was the main cause of commodities related injuries;blunt was the main cause of furniture,stationery and sporting goods and toys. The stationery and sporting goods related injuries occurred mainly in schools/public places(64.57%) and sports venues(18.48%)when engaging in sports(54.13%);furniture, commodities and toys related injuries injured cases occurred at home when engaging in leisure activities. Commodities mainly resulted in sharp/bite/open wound(51.50%);furniture,stationery and sporting goods and toys mainly resulted in bruises. Most cases were injured in head,slight and allowed home after treated. Conclusion The product-related injuries among children in Changshan County are more boys. The products mainly involve transportation equipments(not including motor vehicles),motor vehicles,furniture,stationery and sporting goods,commodities an

关 键 词：伤害 儿童 产品 监测 

分 类 号：R179[医药卫生—妇幼卫生保健]