2006—2010年浙江省慈溪市0～14岁儿童门诊伤害病例分析

目的了解浙江省慈溪市哨点监测医院0～14岁儿童门诊伤害发生情况和流行病学特征,为预防控制儿童伤害提供依据。方法利用慈溪市3家监测哨点医院的伤害监测资料,对2006年1月1日至2010年12月31日门诊首诊0～14岁儿童伤害病例进行分析。结果共报告0～14岁儿童伤害病例21 758例,男女性别比为1.97∶1;造成伤害的前3位原因分别是跌倒/坠落(51.82%)、动物伤(19.32%)和机动车车祸(7.77%);家中、公路/街道以及学校与公共场所为伤害发生的三大地点,分别占43.72%、19.90%和18.02%;死亡病例41例,占0.19%,溺水为首位死因。结论跌倒/坠落、动物伤和机动车车祸是0～14岁慈溪市儿童伤害的主要原因,溺水为0～14岁儿童伤害的首位死因,应针对不同的伤害类型开展相应的干预和健康教育。

Analysis on out-patients injury among children under 14 years in Cixi City of Zhejiang Province,2006-2010

Objective To understand epidemiological distribution characteristics of out-patients injury among children under 14 years in Cixi City,and provide evidence for injury control and prevention.Methods Injury surveillance data from three sentinel hospitals were used to analyze epidemiological characteristics of out-patient injury cases among children under 14 years who were diagnosed firstly during 2006 and 2010.Results In 21 758 out-patient injury cases,the sex ratio of male to female was 1.97∶ 1.The top three causes of injuries were fall(51.82%),bite or scratch by pets(19.32%) and motor vehicle accident(7.77%).House,highway/streets and schools were the top three sites where injuries happened,which accounted for 43.72%,19.90% and 18.02%.41 cases were dead,accounted for 0.30%,and the leading cause of death was drowning.Conclusion Fall,bite or scratch by pets and motor vehicle accidents were the main causes of injury among children under 14 years.Drowning was the first cause of death.Targeted health education activities and intervention should be carried out according to different damage types.