宁波市儿童烧伤住院病例特征分析  

Epidemiological characteristics of hospitalized children with burn in Ningbo

作　　者：朱银潮[1] 史兴菊[2] 陈洁平[1] 李辉[1] ZHU Yin-chao;SHI Xing-jyu;CHEN Jie-ping;LI Hui(Ningbo Municipal 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》2019年第8期771-773,777,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的分析2013-2018年宁波市儿童烧伤病例流行特征,为制定儿童伤害防控策略提供依据。方法收集2013-2018年宁波市妇女儿童医院15岁以下儿童烧伤首诊病例《宁波市住院伤害监测报告卡》,对病例的人群分布、烧伤发生的时间、空间分布、烧伤部位和结局进行描述性分析。结果 2013-2018年共有3 862例儿童烧伤住院首诊病例,其中1~3岁儿童2 977例,占77.08%;外地儿童2 532例,占65.65%。儿童烧伤高发时间为9-12时和17-21时,分别有898例和1 833例,分别占23.25%和47.46%。儿童烧伤主要发生在家庭,3 810例占98.65%。烧伤以多部位为主,1 820例占47.13%;下肢835例占21.62%;上肢541例占14.01%。随年龄增长,儿童多部位受累比例呈下降趋势(P单侧<0.05);外地儿童多部位受累比例高于本地儿童(P<0.05)。结论烧伤是宁波市儿童伤害住院的主要原因之一,家庭是主要发生地点,1~3岁儿童和外地儿童是高危人群。Objective To analyze the epidemiological characteristics of hospitalized children with burn in Ningbo from 2013 to 2018,and to provide evidence for developing intervention strategies. Methods The pediatric burn cases,discharged from the Ningbo Women & Children's Hospital from 2013 to 2018,were registered using the Ningbo Hospitalized Injury Monitoring Report Card,and their distributions of time,places,groups,involved body parts and prognosis were analyzed. Results There were 3 862 pediatric burn inpatients included in this study,with 2 977(77.08%) cases aged 1-3 years and 2 532(65.65%) nonlocal cases. About 898(23.25%) cases occurred during 9:00-12:00 a.m. and 1 833(47.46%) cases occurred during 17:00- 21:00 p.m. Burns predominantly occurred at home,with 3 810(98.65%) cases. The top three body regions involved were multiple regions,lower limbs and upper limbs with 1 820(47.13%),835(21.62%) and 541 cases(14.01%). The proportions of involving multiple regions declined with age(Psingle<0.05). The proportion of involving multiple regions in nonlocal children was higher than that of local children(P<0.05). Conclusion Burn is one of the leading causes of child injury-related hospitalization in Ningbo. Home is the main burn scene. Nonlocal and 1-3 year-old children were especially at high risk of burns.

关 键 词：烧伤 伤害 儿童 

分 类 号：R181.3[医药卫生—流行病学]