苏州地区儿童意外伤害的单中心临床研究  

Unintentional injuries among children in Suzhou city:a single-center clinical research

作　　者：张霞[1] 施慧[1] 郁怀静 Zhang Xia;Shi Hui;Yu Huaijing(Department of Emergency,Childen′s Hospital of Soochow University,Suzhou 215003,China)

机构地区：[1]苏州大学附属儿童医院急诊科,苏州215003

出　　处：《中国实用护理杂志》2022年第20期1559-1563,共5页Chinese Journal of Practical Nursing

基　　金：苏州市科协软科学课题项目(2018C20)。

摘　　要：目的通过调查苏州地区城乡儿童意外伤害临床特征,为本地区儿童意外伤害的预防提供科学依据。方法采用横断面调查研究方法,选取2020年3月至2021年2月因意外伤害就诊于苏州大学附属儿童医院急诊科的患儿作为研究对象,采集患儿的性别、年龄、户籍、意外伤害时间、原因、地点及教育干预需求等资料。按照性别、季节及居住地等分组,分析儿童意外伤害临床特征。结果共纳入意外伤害患儿32561例,男20180例,女12381例。随着年龄的增长,男性意外伤害患儿的发生呈现升高趋势(χ^(2)=263.13,P<0.01)。儿童意外伤害多发生在家里为19177例占58.9%。0~<1岁组(447例)、1~<3岁组(12392例)和3~<6岁组(9381例)患儿发生意外伤害高于6~<10岁组(6931例)和10~<14岁组(3410例)患儿(χ^(2)值为14.69~246.83,P<0.01);跌倒、坠落是儿童最常见的意外伤害原因为12404例占38.1%。3~<6岁组患儿春季发生意外伤害高于0~<1岁组、1~<3岁组、6~<10岁组和10~<14岁组,3~<6岁组患儿夏季发生意外伤害高于0~<1岁组、1~<3岁组和10~<14岁组,0~<1岁组患儿秋季发生意外伤害高于1~<3岁组、3~<6岁组和6~<10岁组,0~<1岁组患儿冬季发生意外伤害高于1~<3岁组、3~<6岁组、6~<10岁组和10~<14岁组(χ^(2)值为6.80~310.53,均P<0.01)。1~<3岁组患儿家长对急救知识的需求较高,0~<1岁组患儿家长对急救技能的需求较高(χ^(2)值为5.03~821.23,均P<0.01)。结论苏州地区儿童意外伤害发生有年龄、季节、地区特点,本研究可为本地区儿童意外伤害的预防和干预策略实施提供科学依据。Objective To analyze of the clinical characteristics of unintentional injuries among urban and rural children in Suzhou city,aiming to provide a scientific basis for the prevention of unintentional injuries in the region.Methods This study was a cross-sectional survey.Children in the outpatient and emergency departments of the Children′s Hospital of Soochow University were selected from March 2020 to February 2021,the gender,age,household registration,accident injury time,cause,place and educational intervention needs of the children were collected.The patients were grouped according to gender,ages,seasons and household registrations,the SPSS 21.0 statistical software package was used to analyze the clinical characteristics of accidental injury in children.Results There were 32561 children included in the study,including 20180 males and 12381 females.The percentage of boy increases with ages(χ^(2)=263.13,P<0.01).Most unintentional injuries occurred at home,19117 cases,accounted for 58.9%of total cases.The accidental injury composition ratio of urban children in 0-<1 year group(447 cases),1-<3 year group(12392 cases)and 3-<6 year group(9381 cases)was higher than that of 6-<10 year group(6931 cases)and 10-<14 year group(3410 cases)(χ^(2)values were 14.69-246.83,all P<0.01);fall was the most common cause of unintentional injuries in children,12404 cases,accounted for 38.1%of total cases.The percentage of unintentional injuries of 3-<6 year group in spring was higher than that of 0-<1 year group,1-<3 year group,6-<10 year group and 10-<14 year group;the percentage of unintentional injuries of 3-<6 year group in summer was higher than that of 0-<1 year group,1-<3 year group,10-<14 year group;the percentage of unintentional injuries of 0-<1 year group in antumn was higher than that of 1-<3 year group,3-<6 group,6-<10 year group;the percentage of unintentional injuries of 0-<1 year group in winter was higher than that of 1-<3 year group,3-<6 year group,6-<10 year group and 10-<14 year group(χ^(2)values were 6.80-31

关 键 词：儿童 意外伤害 临床特征 

分 类 号：R179[医药卫生—妇幼卫生保健]