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目的了解浙江省某农村地区中小学生各类伤害发生情况及其变化趋势,为开展学校伤害干预研究提供参考。方法在浙江省鄞州区的6所农村中小学中开展伤害监测,建立以班级为单位的学生伤害情况登记制度,由当地疾病预防控制中心汇总上报,研究伤害发生率近几年的变化趋势。结果 2001-2006学年共登记伤害12 245例,男、女生之比为2∶1;排名前3位的伤害为跌伤、锐器伤和钝器伤;伤害年发生率呈上升趋势(2χ=63.69,P<0.01),特别是交通伤发生率呈上升趋势(2χ=40.33,P<0.01)。预测2007-2010学年的伤害年发生率分别为24.06%,25.29%,26.58%和27.93%。结论中小学生伤害的发生率呈逐年上升趋势,伤害的预防控制工作有待加强。
Objective To understand the occurrence and trends of various injuries among primary and secondary school students in a rural area in Zhejiang Province, and to provide reference for carrying out research on school injuries intervention. Methods Injury monitoring was carried out in 6 rural primary and secondary schools in Yinzhou District, Zhejiang Province. A registration system for student injury cases was established in each class. The system was reported by the local CDC and the trend of injury incidence in recent years was studied. Results A total of 12 245 injuries were registered in the academic year 2001-2006. The ratio of boys to girls was 2: 1. The top three injuries were fall injuries, sharp injuries and blunt injuries. The incidence of injuries was on the rise (2χ = 63.69, P <0.01). In particular, the incidence of traffic injuries showed an upward trend (2χ = 40.33, P <0.01). The annual incidence of injury in the 2007-2010 school year is predicted to be 24.06%, 25.29%, 26.58% and 27.93% respectively. Conclusions The incidence of primary and secondary school students’ injuries has been increasing year by year, and the prevention and control of injuries need to be strengthened.