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目的:探讨乌鲁木齐市18岁以下儿童青少年伤害的流行特征,以寻求有效的干预措施,控制和降低伤害的发生。方法:选取2006~2013年乌鲁木齐市3家伤害监测哨点医院前来就诊的首诊儿童青少年伤害病例,对其发生的原因、地点、性质、意图、结局、患者年龄和性别等特征进行分析。结果:男生构成比为66.7%,女生为33.3%,男女比较,差异有统计学意义(P<0.01)。伤害原因前4位顺位分别为跌倒/坠落(54.5%)、机动车车祸(14.6%)、钝器伤(10,6%)、刀/锐器伤(7.1%)。伤害发生地点前3位顺位分别为家中(28,0%),其中主要是0~4岁儿童(57.7%)、学校与公共居住场所(25.5%),其中主要为10~18岁(36.3%),公路/街道(19.7%)。伤害性质主要为挫伤、擦伤(57.8%)。伤害意图以非故意(92.4%)为主,而中、重度伤需要接受住院治疗的以15~18岁的青少年为主(29.9%)。结论:儿童青少年伤害是乌鲁木齐市一个严重的公共卫生问题,应加强安全教育,采取有效措施并加强多部门合作预防儿童青少年伤害的发生。
Objective: To explore the epidemiological characteristics of adolescent injuries among children under 18 in Urumqi in order to seek effective interventions to control and reduce the occurrence of injuries. Methods: The first case of childhood and adolescent injuries in Urumqi City from 2006 to 2013 was analyzed. The causes, location, nature, intention, outcome, age and sex of the patients were analyzed. Results: The percentage of male students was 66.7% and that of female students was 33.3%. There was significant difference between male and female (P <0.01). The top 4 causes were fall / fall (54.5%), motor vehicle accident (14.6%), blunt injury (10.6%) and knife / sharp injury (7.1%) respectively. The top 3 places of injuries occurred were at home (28.0%), mainly children aged 0-4 (57.7%), schools and public places of residence (25.5%), mainly 10 to 18 years (36.3%), %), Road / street (19.7%). Injuries were mainly contusion, abrasions (57.8%). The intention of injury was mainly unintentional (92.4%), while the majority of adolescents aged 15-18 were hospitalized for moderate and severe injuries (29.9%). Conclusion: Child and adolescent injuries are a serious public health problem in Urumqi. Safety education should be strengthened, effective measures should be taken and multi-sectoral cooperation should be strengthened to prevent harm to children and adolescents.