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目的了解金山区中小学生非故意伤害的发生状况及流行特征,为政府和相关部门制订伤害干预策略和措施提供依据。方法收集上海市金山区2009—2013学年全部中小学生非故意伤害个案报告卡,分析伤害发生的原因、性质、临床特征等。结果 2009—2013学年共监测学生非故意伤害888例,伤害发生率为0.372%;学校是中小学生伤害发生的最主要场所(52.48%),其次是家庭和街道公路(20.27%,17.68%);中小学生非故意伤害最主要原因为跌倒,其次是碰撞/挤压伤(分别占67.46%和10.81%),由跌倒所致的伤害主要为四肢部位的骨折,占全部骨折的78.83%;4—5月及9—10月为伤害高发时间,共发生伤害500例(56.31%)。不同性别与不同学段学生非故意伤害发生的场所分布不同,男生以校内伤害为主(57.14%),女生则以校外伤害为主(58.49)(χ2=18.220,P<0.05);小学以校外为主(59.34%),中学生伤害主要发生在校内(68.71%),差异有统计学意义(χ2=68.324,P<0.05)。结论金山区中小学生非故意伤害发生情况需要更多关注,应根据中小学生伤害发生特点开展健康教育及制定干预策略。
Objective To understand the prevalence and epidemic characteristics of unintentional injuries among primary and secondary school students in Jinshan District, and to provide evidences for the government and relevant departments to formulate their intervention strategies and measures. Methods Report card of all cases of primary and secondary school students’ unintentional injuries from 2009-2013 school year in Jinshan District of Shanghai was collected to analyze the causes, characteristics and clinical features of the injuries. Results A total of 888 unintentional injuries were detected during the 2009-2013 school year, with a rate of 0.372%. School was the most important place for primary and secondary school students (52.48%), followed by family and street highways (20.27% and 17.68% respectively) The primary cause of unintentional injuries of primary and secondary school students was fall, followed by collision / crush injuries (67.46% and 10.81%, respectively). The injuries caused by falls were mainly fractures of the extremities, accounting for 78.83% of all fractures. May and September-October as the injury time, a total of 500 cases of injury (56.31%). The distribution of venues for unintentional injuries among students of different genders and different segments differed. School-based injuries were mainly boys (57.14%) and girls (58.49%) (χ2 = 18.220, P <0.05). Primary schools were outside schools (59.34%). The secondary school injury mainly occurred in the school (68.71%), the difference was statistically significant (χ2 = 68.324, P <0.05). Conclusion The unintentional injuries of primary and secondary school students in Jinshan District need more attention. Health education and intervention strategies should be based on the characteristics of primary and secondary school students’ injuries.