2016—2018年甘肃省0~6岁儿童伤害病例流行病学特征分析

张静; 张丑吉; 董彩霞

doi:10.16462/j.cnki.zhjbkz.2021.05.021

2016—2018年甘肃省0~6岁儿童伤害病例流行病学特征分析

doi: 10.16462/j.cnki.zhjbkz.2021.05.021

730020 兰州，甘肃省疾病预防控制中心社区卫生与慢性非传染性疾病防制科

详细信息

中图分类号: R179
计量
- 文章访问数: 249
- HTML全文浏览量: 171
- PDF下载量: 52
- 被引次数: 0
出版历程
- 收稿日期: 2020-11-03
- 修回日期: 2021-01-28
- 网络出版日期: 2021-06-16
- 刊出日期: 2021-05-10

Epidemiological characteristics of injured children aged 0-6 years in Gansu Province from 2016 to 2018

Department of Community Health and Chronic Non-communicable Disease Control and Prevention, Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730020, China

摘要

摘要: 目的了解甘肃省0~6岁儿童伤害发生特征，为儿童伤害防控提供依据。方法收集2016-2018年因伤害在哨点医院就诊的儿童伤害病例信息并进行流行病学特征分析。结果共收集0~6岁儿童伤害病例7 054例，男女童性别比为1.5∶1。伤害发生前3位原因依次是跌倒/坠落(42.2%)、烧烫伤(31.5%)及钝器伤(7.2%)。78.7%的儿童伤害发生在家中。伤害部位主要为头部(41.9%)、上肢(24.6%)和下肢(13.6%)。伤害严重程度以轻度为主(68.9%)。伤害结局以处理后离院为主(75.6%)。结论 0~6岁儿童伤害病例以男童居多，以跌倒/坠落为主要伤害原因，伤害多发生在家中，头部是儿童伤害的主要受伤部位。应根据0~6岁儿童伤害发生特点，采取针对性干预措施。
- 儿童 /
- 伤害 /
- 流行病学特征
Abstract: Objective To explore epidemiological characteristics of injury among children aged 0-6 years in Gansu Province, so as to provide scientific basis for the prevention and control of child injury. Methods Epidemiological analysis was applied by using the children's injury data collected from injury surveillance hospitals through 2016 to 2018. Results A total of 7 054 effective cases of injured children aged 0-6 years were collected, and the male-female ratio was 1.5∶1. The top three causes of injury were falls (42.2%), burns (31.5%) and blunt injury (7.2%). The top location injury occurred was home(78.7%). The most common injured positions were head(41.9%), upper limbs(24.6%), lower limbers(13.6%).68.9% of children injuries were minor, and 75.6% went home after the treatment. Conclusions More injuries occured in boys than in girls aged 0-6 years, and the top cause of injury was falling. The injury occurred mainly at home, and the top injured position was head. The preventive measures should be taken according to the characteristics of injury among children aged 0-6 years.
- Children /
- Injury /
- Epidemiological characteristics

HTML全文

表 1 2016-2018年甘肃省伤害监测0~6岁儿童伤害发生原因分布[n(%)]

Table 1. Distribution of the causes of injury in children aged 0-6 years from Gansu Province injury surveillance in 2016-2018 [n(%)]

统计指标	人数(n)	跌倒/坠落	烧烫伤	钝器伤	交通伤	刀/锐器伤	其他/不清楚
年份(年)
2016	1 627	649(39.9)	558(34.3)	92(5.7)	132(8.1)	51(3.1)	145(8.9)
2017	2 503	998(39.9)	854(34.1)	161(6.4)	137(5.5)	100(4.0)	253(10.1)
2018	2 924	1 330(45.5)	811(27.7)	253(8.7)	162(5.5)	132(4.5)	236(8.1)
性别
男	4 286	1 861(43.4)	1 314(30.7)	321(7.5)	250(5.8)	180(4.2)	360(8.4)
女	2 768	1 116(40.3)	909(32.8)	185(6.7)	181(6.5)	103(3.7)	274(9.9)
年龄(岁)
< 3	2 978	1 009(33.9)	1 369(46.0)	149(5.0)	76(2.6)	91(3.1)	284(9.5)
3~6	4 076	1 968(48.3)	854(21.0)	357(8.8)	355(8.7)	192(4.7)	350(8.6)
合计	7 054	2 977(42.2)	2 223(31.5)	506(7.2)	431(6.1)	283(4.0)	634(9.0)

下载: 导出CSV

表 2 2016-2018年甘肃省伤害监测0~6岁儿童伤害部位分布[n(%)]

Table 2. Distribution of the positions of injury in children aged 0-6 years from Gansu Province injury surveillance in 2016-2018[n(%)]

统计指标	人数(n)	头部	上肢	下肢	多部位	躯干	其他/不清楚
年份(年)
2016	1 627	637(39.2)	386(23.7)	274(16.8)	145(8.9)	138(8.5)	47(2.9)
2017	2 503	1 051(42.0)	622(24.9)	309(12.3)	288(11.5)	149(6.0)	84(3.4)
2018	2 924	1 270(43.4)	728(24.9)	375(12.8)	299(10.2)	199(6.8)	53(1.8)
性别
男	4 286	1 846(43.1)	1 023(23.9)	565(13.2)	442(10.3)	301(7.0)	109(2.5)
女	2 768	1 112(40.2)	713(25.8)	393(14.2)	287(10.4)	182(6.6)	81(2.9)
年龄(岁)
< 3	2 978	1 011(33.9)	851(28.6)	371(12.5)	440(14.8)	209(7.0)	96(3.2)
3~6	4 076	1 947(47.8)	885(21.7)	587(14.4)	289(7.1)	274(6.7)	94(2.3)
合计	7 054	2 958(41.9)	1 736(24.6)	958(13.6)	729(10.3)	483(6.8)	190(2.7)

下载: 导出CSV

表 3 2016-2018年甘肃省伤害监测0~6岁儿童伤害严重程度分布[n(%)]

Table 3. Distribution of the severity of injury in children aged 0-6 years from Gansu Province injury surveillance in 2016-2018 [n(%)]

统计指标	人数(n)	轻度	中度	重度
年份(年)
2016	1 627	1 116(68.6)	455(28.0)	56(3.4)
2017	2 503	1 730(69.1)	646(25.8)	127(5.1)
2018	2 924	2 013(68.8)	747(25.5)	164(5.6)
性别
男	4 286	2 939(68.6)	1 142(26.6)	205(4.8)
女	2 768	1 920(69.4)	706(25.5)	142(5.1)
年龄(岁)
< 3	2 978	1 895(63.6)	906(30.4)	177(5.9)
3~6	4 076	2 964(72.7)	942(23.1)	170(4.2)
合计	7 054	4 859(68.9)	1 848(26.2)	347(4.9)

下载: 导出CSV

参考文献(16)

[1]	World Health Organization. World report on child injury prevention[R]. Geneva, 2008.
[2]	国家卫生计生委统计信息中心, 中国疾病预防控制中心慢性非传染性疾病预防控制中心. 中国死因监测数据集(2018)[M]. 北京: 中国科学技术出版社, 2019: 22-23. Statistical Information Center of National Health Commission of the People's Republic of China, National Center for Chronic and Noncommunicable Diseases Control and Prevention, Chinese Center for Disease Control and Prevention. Death cause surveillance data set in China (2018)[M]. Beijing: China Science and Technology Press, 2019: 22-23.
[3]	汪媛, 段蕾蕾. 2006-2014年我国门急诊儿童伤害病例分析[J]. 伤害医学(电子版), 2016, 5(3): 22-28. DOI: 10.3868/j.issn.2095-1566.2016.03.005. Wang Y, Duan LL. China injuries from outpatient and emergency department in China, 2006 to 2014[J]. Injury Medicine (Electronic Edition), 2016, 5(3): 22-28. DOI: 10.3868/j.issn.2095-1566.2016.03.005.
[4]	王小莉, 周金意, 杨婕, 等. 江苏省儿童青少年伤害流行病学特征分析[J]. 预防医学, 2017, 29(12): 1223-1226. DOI: 10.19485/j.cnki.issn1007-0931.2017.12.008. Wang XL, Zhou JY, Yang J, et al. An analysis on children injuries with different age groups from Jiangsu injury surveillance system[J]. Prev Med, 2017, 29(12): 1223-1226. DOI: 10.19485/j.cnki.issn1007-0931.2017.12.008.
[5]	雷林, 黄志辉, 周海滨, 等. 深圳市2015-2016年0~14岁儿童伤害病例特征分析[J]. 中国热带医学, 2017, 17(11): 1115-1117, 1133. DOI: 10.13604/j.cnki.46-1064/r.2017.11.13. Lei L, Huang ZH, Zhou HB, et al. Epidemiological characteristics of injuried children aged 0-14 years in Shenzhen[J]. China Tropical Medicine, 2017, 17(11): 1115-1117, 1133. DOI: 10.13604/j.cnki.46-1064/r.2017.11.13.
[6]	汪利霞, 杨轶男, 亓磊, 等. 甘肃省32262例0~6岁门诊伤害患儿的流行病学分析[J]. 伤害医学(电子版), 2019, 8(2): 23-28. DOI: 10.3868/j.issn.2095-1566.2016.02.006. Wang LX, Yang YN, Qi L, et al. Epidemiological analysis of 32262 children aged 0-6 years old with outpatient injuries in Gansu province[J]. Injury Medicine (Electronic Edition), 2019, 8(2): 23-28. DOI: 10.3868/j.issn.2095-1566.2016.02.006.
[7]	曾芳玲, 林穗芳, 刘慧燕, 等. 广州市7岁以下儿童意外伤害流行病学分布特征[J]. 中国儿童保健杂志, 2010, 18(3): 246-248. DOI: 10.3969/j.issn.1001-568X.2007.10.032. Zeng FL, Lin SF, Liu HY, et al. Epidemiological features of unintentional injuries among children under the age of 7 in Guangzhou[J]. Chin J Child Health Care, 2010, 18(3): 246-248. DOI: 10.3969/j.issn.1001-568X.2007.10.032.
[8]	汪媛, 叶鹏鹏, 段蕾蕾. 2006-2014年我国门急诊儿童非故意和故意伤害病例分析[J]. 中华疾病控制杂志, 2016, 20(7): 670-674, 743. DOI: 10.16462/j.cnki.zhjbkz.2016.07.007. Wang Y, Ye PP, Duan LL. Characteristics of unintentional injuries among children from emergency and outpatient rooms in China, 2006-2014[J]. Chin J Dis Control Prev, 2016, 20(7): 670-674, 743. DOI: 10.16462/j.cnki.zhjbkz.2016.07.007.
[9]	崔亚, 杨轶男, 赵美韬, 等. 2017年甘肃省0~6岁儿童伤害住院患者直接经济负担分析[J]. 伤害医学(电子版), 2019, 8(2): 12-16. DOI: 10.3868/j.issn.2095-1566.2019.02.004. Cui Y, Yang YN, Zhao MT, et al. Analysis on the direct economic burden of inpatients due to injuries among children aged 0-6 years in 2017[J]. Injury Medicine (Electronic Edition), 2019, 8(2): 12-16. DOI: 10.3868/j.issn.2095-1566.2019.02.004.
[10]	周晓红, 李勤, 曾凤兰, 等. 2014-2016年广州市某医院儿童烧烫伤急诊伤害监测结果分析[J]. 应用预防医学, 2017, 23(4): 321-323, 325. DOI: 10.3969/j.issn.1673-758X.2017.04.016. Zhou XH, Li Q, Zeng FL, et al. Analysis of inury surveillance results of children with burn and scald from emergency in a hospital in Guangzhou, 2014 to 2016[J]. J Applied Prev Med, 2017, 23(4): 321-323, 325. DOI: 10.3969/j.issn.1673-758X.2017.04.016.
[11]	倪伟, 李运. 蚌埠地区512例儿童烧伤流行病学分析[J]. 淮海医学, 2015, 33(4): 369-370. DOI: 10.14126/j.cnki.1008-7044.2015.04.029. Ni W, Li Y. Epidemiological analysis of 512 children with burn in Bengbu[J]. J Huaihai Med, 2015, 33(4): 369-370. DOI: 10.14126/j.cnki.1008-7044.2015.04.029.
[12]	戴宁彬, 王菁, 龚甜, 等. 苏州市0~14岁儿童伤害流行病学特征分析[J]. 中华疾病控制杂志, 2019, 23(3): 299-303. DOI: 10.16462/j.cnki.zhjbkz.2019.03.011. Dai NB, Wang J, Gong T, et al. Analysis of injury epidemiological characteristics in children aged 0-14 years in Suzhou[J]. Chin J Dis Control Prev, 2019, 23(3): 299-303. DOI: 10.16462/j.cnki.zhjbkz.2019.03.011.
[13]	姜玉, 孙源樵, 周鹏, 等. 学龄前儿童居家环境安全防护用品使用现况及影响因素分析[J]. 中国儿童保健杂志, 2018, 26(10): 1151-1154. DOI: 10.11852/zgetbjzz2018-26-10-29. Jiang Y, Sun YQ, Zhou P, et al. Analysis of the current status and influencing factors of safety protection products use in preschool children[J]. Chin J Child Health Care, 2018, 26(10): 1151-1154. DOI: 10.11852/zgetbjzz2018-26-10-29.
[14]	纪翠蓉, 段蕾蕾, 王临虹, 等. 2013年全国伤害监测系统中头外伤就诊病例分布特征分析[J]. 中华流行病学杂志, 2015, 36(4): 360-363. DOI: 10.3760/cma.j.issn.0254-6450.2015.04.014. Ji CR, Duan LL, Wang LH, et al. Study on head injuries through data from the National Injury Surveillance System of China, 2013[J]. Chin J Epidemiol, 2015, 36(4): 360-363. DOI: 10.3760/cma.j.issn.0254-6450.2015.04.014.
[15]	杨婕, 杜文聪, 周金意, 等. 2006-2014年江苏省哨点医院伤害监测儿童就诊病例特征分析[J]. 南京医科大学学报(自然科学版), 2017, 37(12): 1707-1710. DOI: 10.7655/NYDXBNS20171249. Yang J, Du WC, Zhou JY, et al. Analysis of the characteristics of children from injury surveillance in sentinel hospital of Jiangsu province, 2006 to 2014[J]. Acta Univ Med Nanjing (Natural Science), 2017, 37(12): 1707-1710. DOI: 10.7655/NYDXBNS20171249.
[16]	何春燕, 周晓军, 周文正, 等. 重庆市3~6岁儿童伤害现状及影响因素分析[J]. 中国儿童保健杂志, 2017, 25(5): 530-533. DOI: 10.11852/zgetbjzz2017-25-05-30. He CY, Zhou XJ, Zhou WZ, et al. Analysis of current situation and influencing factors of injury in 3-6 years old children of Chongqing city[J]. Chin J Child Health Care, 2017, 25(5): 530-533. DOI: 10.11852/zgetbjzz2017-25-05-30.