17 268例非住院儿童创伤发病特点的流行病学调查
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Epidemiological study of onset characteristics in 17 628 non-hospitalized children with trauma
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    摘要:

    目的:调查非住院儿童创伤发病特点的流行病学特征,为儿童创伤的科普、预防与治疗提供参考。方法:回顾性分析2017年8月至2019年7月重庆医科大学附属儿童医院收治的非住院创伤患儿病历资料。结果:共纳入患儿17 268例,男女比为1.73∶1,平均年龄(4.31±2.82)岁;年创伤高发期为4月(1 777/17 268,10.29%)、7月(1 752/17 268,10.15%)及12月(1 574/17 268,9.12%),日创伤高发时段为18:00~19:59(3 475/17 268,20.12%);家庭(7 932/17 268,45.93%)和学校(5 526/17 268,32.00%)是常见受伤地点;头部(12 150/17 268,70.36%)和四肢(3 605/17 268,20.88%)易受伤,头部受伤多由跌倒(7 805/12 150,64.24%)和撞伤(3 657/12 150,30.10%)引起,四肢受伤多由锐器伤(1 122/3 605,31.12%)和烫伤(1 342/3 605,37.23%)引起,头部跌倒受伤是首位致伤原因(7 805/17 268,45.20%)。结论:非住院儿童创伤的发病特点有规律可循。加强儿童及其照顾者健康宣教,合理配置医疗资源,家校联动防范创伤,注重防护头部与四肢,重视烫伤预处理与活动场地安全,可有效减少创伤。

    Abstract:

    Objective:To investigate the epidemiological feature in non-hospitalized children with trauma,providing references to the science popularization,prevention and treatment. Methods:Electronic medical records of non-hospitalized children with trauma in Children's Hospital of Chongqing Medical University from August 2017 to July 2019 were retrospectively analyzed. Results:A total of 17 268 children were included,with gender ratio of 1.73∶1 and average age of (4.31±2.82) years old. Annual high prevalence time included April (1 777/17 268,10.29%),July(1 752/17 268,10.15%) and December(1 574/17 268,9.12%). Daily high prevalence time was 18:00 to 19:59 (3 475/17 268,20.12%). Common injury places contained homes(7 932/17 268,45.93%) and schools (5 526/17 268,32.00%). Positions were easily injured were head (12 150/17 268,70.36%) and limbs(3 605/17 268,20.88%). Head injuries were mostly caused by falling down(7 805/12 150,64.24%) and bump(3 657/12 150,30.10%),while limb injuries by sharp instruments(1 122/3 605,31.12%) and scald (1 342/3 605,37.23%). Moreover,falling down to cause head injury was the initial in-jury cause(7 805/17 268,45.20%). Conclusion:The characteristics of trauma in non-hospitalized children follows some rules. Strengthening health education for children and caregivers,ra-tional allocation of medical resources,home-school joint pre-vention of trauma,protection of head and limbs,and focusing on scald pretreatment and safety of activity places can effectively reduce the trauma.

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吴玉洁,吴利平,林光燕,王燕,徐红芳,魏平.17 268例非住院儿童创伤发病特点的流行病学调查[J].重庆医科大学学报,2020,45(8):

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  • 在线发布日期: 2020-09-22
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