某新建医院犬伤门诊动物致伤暴露人群的流行病学分析  

Epidemiological analysis of people exposed to injuries caused by animals in the outpatient clinic of dog bite in a newly-built hospital

作　　者：孙婷 吴红月 王冰 徐家旋 黄莉娜 覃玉珍 唐甜 闫美花 唐华民 Sun Ting;Wu Hongyue;Wang Bing;Xu Jiaxuan;Huang Lina;Qin Yuzhen;Tang Tian;Yan Meihua;Tang Huamin(Department of Emergency,Guangxi International Zhuang Medical Hospital,Nanning 530201,China;Graduate School of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西国际壮医医院急诊科,南宁530201 [2]广西医科大学研究生院,南宁530021

出　　处：《创伤外科杂志》2022年第7期509-512,共4页Journal of Traumatic Surgery

基　　金：国家自然科学基金(81660327);广西卫健委计划课题(Z20211353);广西医疗卫生重点培育学科课题(急诊医学)2021项目资助。

摘　　要：目的 调查和分析某犬伤门诊动物致伤暴露人群的流行病学特征,为预防狂犬病提供策略。方法 回顾性分析2020年1月—2021年1月在某新建医院犬伤门诊就诊的803例动物致伤暴露人群(均为Ⅱ、Ⅲ级暴露),收集患者一般资料,如性别、年龄、致伤动物、受伤部位、自行处理情况等相关数据,应用SPSS 26.0统计软件进行分析。结果 男性412例,女性391例,男女比例为1.05∶1;年龄6个月~65岁,平均28.0岁;犬和猫是主要致伤动物;29.14%为10岁以下儿童;54.05%受伤部位在上肢;42.47%自行冲洗伤口;11.46%在暴露后24h后就诊;受伤部位和致伤方式在致伤动物种类间差异有统计学意义(P<0.05);暴露后就诊时间在性别间的差异有统计学意义(P<0.05)。结论 加强对人群科普宣教,动物致伤暴露后规范化处置,在狂犬病预防方面具有重要意义。Objective To investigate and analyze the epidemiological characteristics of the exposed population caused by animal injuries in a dog-bite outpatient clinic,so as to provide strategies for the prevention of hydrophobia.Methods Totally 803 cases of animal injury exposed population(all gradeⅡandⅢexposure)in the outpatient department of dog-bite of a newly-built hospital from Jan.2020 to Jan.2021 were retrospectively analyzed.The general data of the patients,such as gender,age,animal,injured site,self-treatment and other related data,were collected and analyzed by SPSS 26.0 software.Results Among the 803 patients,there were 412 males and 391 females,with a male-to-female ratio of 1.05∶1;dogs and cats were the main injury animals;the youngest was 6 months old,the oldest was 65 years old,the average age was 28.0 years,and 29.14%of the exposed population were children under 10 years old;54.05%of the injured sites were in the upper limbs;42.47%of the exposed people washed the wounds by themselves;11.46%of the patients were treated 24 hours after exposure.There were significant differences in the injury sites and mode of injury among the types of injured animals(P<0.05),and there were significant differences between gender in the consultation time after exposure(P<0.05).Conclusion It is important to strengthen the popularization of science and education to the population and standardize the disposal after animal-induced injury exposure in hydrophobia prevention.

关 键 词：动物致伤 犬伤门诊 狂犬病 流行病学 

分 类 号：R646[医药卫生—外科学]