2016-2020年深圳市南山区儿童跌伤/坠落伤流行特征分析  

Analysis on the Epidemic Characteristics of Fall Injured among Children in Nanshan District of Shenzhen City from 2016 to 2020

作　　者：李正盘 钟旋 彭晓琳 龚家辉 李燕妮 赵丹 LI Zheng-pan;ZHONG Xuan;PENG Xiao-lin;GONG Jia-hui;LI Yan-ni;ZHAO Dan(Shenzhen Nanshan Center for Chronic Disease Control,Shenzhen 518054;School of Public Health,Zunyi Medical University,Zunyi 563000)

机构地区：[1]深圳市南山区慢性病防治院,深圳518054 [2]遵义医科大学公共卫生学院,遵义563000

出　　处：《伤害医学（电子版）》2022年第3期17-22,共6页Injury Medicine(Electronic Edition)

基　　金：南山区医学重点学科建设资助(慢性非传染性疾病)。

摘　　要：目的了解2016—2020年深圳市南山区儿童跌伤/坠落伤病例的分布特征,为制定儿童跌伤/坠落伤的预防干预措施提供科学依据。方法选取深圳市南山区某伤害监测哨点医院急诊科2016—2020年首次就诊且被诊断为跌伤/坠落伤的儿童病例,分析儿童跌伤/坠落伤的病例特征。结果2016—2020年该哨点共监测跌伤/坠落伤患儿38287例,占总伤害病例的60.49%,是儿童因伤就诊的首位原因。男女性别比为1.98∶1,年龄分布主要集中在0~5岁组(52.17%),各年龄组男童均多于女童。跌伤/坠落伤时间多发生在10~12月份(30.43%)。发生地点以住宅(41.64%)、公路/街道(23.32%)、公共居住场所(10.98%)为主。常见易受伤部位为头部(46.69%)、上肢(25.53%)、下肢(19.15%)。跌伤/坠落伤多发生于休闲活动过程(78.91%)、体育活动(11.70%)、步行(5.25%)。以挫伤/擦伤(62.84%)、扭伤/拉伤(22.43%)、锐器伤/咬伤/开放伤(11.23%)为多见。损伤程度主要为轻度(91.64%)。结论跌伤/坠落伤是深圳市南山区儿童因伤害就诊的首位原因,且主要高发于0~5岁男性儿童;应针对性地开展有效预防措施,减少跌伤/坠落伤的发生。Objective Understand the distribution characteristics of children’s falls in Nanshan District,Shenzhen from 2016 to 2020,and provide scientific basis for formulating prevention and intervention measures for falls among children.Methods Selected cases of children who were diagnosed with falls for the first time in the emergency department of an injury monitoring sentinel hospital in Nanshan District,Shenzhen from 2016 to 2020,and analyzed the characteristics of children’s falls.Results From 2016 to 2020,a total of 38287 children with fall injuries were monitored,accounting for 60.49%of the total injury cases,and it was the first reason for children to see a doctor due to injuries.The sex ratio of male to female was 1.98:1,and the age distribution was mainly concentrated in the 0-5 year old group(52.17%),with more boys than girls in all age groups.Most falls occur in October to December(30.43%).Occurrence locations are mainly residential(41.64%),highway/street(23.32%),and public residential place(10.98%).The common vulnerable parts were head(46.69%),upper limbs(25.53%)and lower limbs(19.15%).Fall injuries mostly occurred during leisure activities(78.91%),sports activities(11.70%),and walking(5.25%).Contusion/abrasion(62.84%),sprain/strain(22.43%),sharps/bite/open injury(11.23%)were the most common.The degree of injury was mainly mild(91.64%).Conclusions Falls are the first reason for children to seek medical attention due to injuries in Nanshan District,Shenzhen,and are mainly found in boys aged 0-5.Effective preventive measures should be taken to reduce the incidence of falls.

关 键 词：伤害监测 跌伤/坠落伤 流行特征 儿童 

分 类 号：R181.3[医药卫生—流行病学]