2010-2022年鄞州区中小学生跌倒伤害特征分析  

Characteristics of fall injuries among primary and middle school students in Yinzhou District from 2010 to 2022

作　　者：孙强 赵磊 李小勇[1] 潘文杰 SUN Qiang;ZHAO Lei;LI Xiaoyong;PAN Wenjie(Department of Health Education and Chronic Disease Control and Prevention,Yinzhou District Center for Disease Control and Prevention,Ningbo,Zhejiang 315100,China;The Third Hospital of Yinzhou District,Ningbo,Zhejiang 315191,China)

机构地区：[1]宁波市鄞州区疾病预防控制中心健康教育与慢性病防制科,浙江宁波315100 [2]鄞州区第三医院,浙江宁波315191

出　　处：《预防医学》2024年第3期207-210,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的了解2010—2022年浙江省宁波市鄞州区中小学生跌倒伤害特征,为中小学生跌倒伤害防控提供参考。方法通过浙江省慢性病监测管理系统伤害子系统收集2010—2022年鄞州区6~17岁中小学生跌倒伤害首诊病例资料,描述性分析跌倒伤害发生时间、发生地点、发生时活动和临床特征等。结果2010—2022年鄞州区共报告中小学生跌倒伤害病例7808例,占同年龄总伤害病例的45.72%;其中男生5413例,女生2395例,男女性别比为2.26∶1;以小学生为主,4302例占55.10%。2012—2022年女生、初中生和高中生跌倒伤害发生比例呈上升趋势(均P<0.05)。跌倒伤害发生时间主高峰为9—11月,次高峰为5—7月,共4510例,占57.76%。跌倒伤害发生地点主要为学校、家和街道/城区,分别为2680、2343和2247例,占34.32%、30.01%、和28.78%。跌倒伤害发生时活动主要为空闲时、运动和学校活动,分别3490、2861和1094例,占44.70%、36.64%和14.01%。伤害性质以软组织伤为主,6224例占79.71%;伤害部位主要为下肢、头部和上肢,分别为3101、2419和1974例,占39.72%、30.98%和25.28%。伤害严重程度以轻度损伤为主,5896例占75.51%。结论男生和小学生是鄞州区中小学生跌倒伤害高危人群,学校是跌倒伤害高发地点,应将学校作为重点干预场所,加强跌倒伤害防护健康教育。Objective To investigate the characteristics of fall injuries among primary and middle school students in Yinzhou District,Ningbo City,Zhejiang Province from 2010 to 2022,so as to provide insights into prevention and con⁃trol of fall injuries among primary and middle school students.Methods Data of 6 to 17 year-old primary and middle school students with initial diagnosis of fall injury from 2010 to 2022 were collected through Injury Subsystem of Zheji⁃ang Provincial Chronic Disease Surveillance Information Management System.The time,place,activity and clinical char⁃acteristics of fall injury were analyzed using a descriptive method.Results Totally 7808 fall injury cases among pri⁃mary and middle school students were reported in Yinzhou District from 2010 to 2022,accounting for 45.72%of the to⁃tal injury cases in the same age.There were 5413 boys and 2395 girls,with a boy/girl ratio of 2.26∶1.Primary school students were the majority,accounting for 55.10%.The incidence of fall injuries among girls,junior high school students and high school students showed increasing trends from 2012 to 2022(both P<0.05).The primary peak of fall injury was from September to November,and the secondary peak was from May to July,with 4510 cases(57.76%).The place of fall injury development mainly included schools(2680 cases,34.32%),homes(2343 cases,30.01%)and streets/urban areas(2247 cases,28.78%).The activities at the time of fall injury mainly included leisure time(3490 cases,44.70%),sports(2861 cases,36.64%)and school activities(1094 cases,14.01%).Soft tissue injury was the main characteristics(6224 cases,79.71%).Lower limbs(3101 cases,39.72%),head(2419 cases,30.98%)and upper limbs(1974 cases,25.28%)were the main injury sites.Mild injury was predominant(5896 cases,75.51%).Conclu⁃sions Boys and primary school students are high-risk groups of fall injury in Yinzhou District,schools are high-risk places of fall injury.Schools should be regarded as key intervention places and health education on fall injury preven⁃tion

关 键 词：中小学生 跌倒 伤害 

分 类 号：R179[医药卫生—妇幼卫生保健]