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目的了解广州市越秀区中小学生伤害流行规律,为中小学生伤害干预提供科学依据。方法采用基于网络直报的中小学生伤害监测信息系统,于2012—2014学年对越秀区16所监测点校(小学9所,初中3所,高中3所,职高1所)开展伤害监测,采用描述性统计和χ2检验对伤害结果进行分析。结果 2012—2014学年累计伤害发生率为0.55%,男生高于女生,小学生伤害发生率最高。伤害高发年龄,男生为13岁,女生为10岁。伤害高发月份为3月,占16.53%,高发时间段为10:00~12:00,占32.43%,高发地点为学校,占70.29%。伤害原因以跌倒/坠落伤最多,占41.21%,伤害意图以无意自伤最多,占61.51%,伤害最多发生于体育活动时,占36.19%,伤害部位则以头部最多,占23.43%,伤害性质中以骨折最多,占26.78%。平均每次伤害发生医疗费用1 307.00元,住院0.24 d,缺课3.14 d,父母误工1.05 d。结论学校是预防伤害的主要场所,小学生骨折应作为重点干预的类型。
Objective To understand the prevalence patterns of injury among primary and secondary students in Yuexiu District of Guangzhou City and to provide a scientific basis for primary and secondary students’ injury intervention. Methods The monitoring information system for primary and secondary school students based on direct online reporting was used to monitor the injury in 16 monitored schools (9 primary schools, 3 middle schools, 3 middle schools and 1 senior high school) in Yuexiu District during the academic year 2012-2014. Sex statistics and χ2 test were used to analyze the injury results. Results The cumulative incidence of injuries in the academic year 2012-2014 was 0.55%, boys were higher than girls, and pupils had the highest incidence of injuries. High injury age, boys 13 years old, girls 10 years old. The month with high incidence of injuries was March, accounting for 16.53%. The high incidence period was 10: 00-12: 00, accounting for 32.43%. The high incidence sites were for schools, accounting for 70.29%. The reason for injury was the most, accounting for 41.21% of the total, accounting for 61.21% of the total, accounting for 61.51% of the total, accounting for 36.19% of the total number of injuries. Most injuries occurred in the head, accounting for 23.43% of the total injuries Fractures in the nature of the most, accounting for 26.78%. An average of 1,307.00 yuan of medical expenses incurred per injury, hospitalization 0.24 d, absence of 3.14 d, parental malpractice 1.05 d. Conclusion The school is the main place to prevent injuries, primary fracture should be used as the type of key intervention.