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目的了解大学生伤害就医情况,为干预和及时治疗伤害提供科学依据。方法整群抽取广州某高校2006级全体学生4 573名为研究对象,以入学4 a因伤害在校医院就医门急诊记录和住院病历为依据,进行伤害调查和特征分析。结果大学4 a间共发生伤害2 913人次,伤害累计发生率为63.70%,不同性别伤害发生率差异有统计学意义(χ2=87.084,P<0.01)。伤害原因前3位的是跌伤、碰撞伤和锐器伤。伤害类型以扭伤最多,其次是擦皮伤和皮下组织伤。不同性别伤害类型比较差异有统计学意义(P<0.01)。不同年级大学生伤害发生率不同,差异有统计学意义(P<0.01)。伤害地点前2位是:体育运动区域(49.33%)和学生宿舍(18.39%)。在2 913人次伤害中,33人(1.13%)入院治疗,其中男25人,女8人。结论大学生伤害发生率较高,男生是伤害重点保护人群。鉴于新型伤害不断涌现,预防医学专业人员应加强防范。
Objective To understand the medical treatment of college students and provide a scientific basis for intervention and timely treatment of injuries. Methods A total of 4 573 whole-school students from a university in Guangzhou were enrolled in this study. Based on the four-year admission record of school-based emergency medical records and in-patient medical records, 4-year-old students were investigated for injuries and their characteristics were analyzed. Results A total of 2 913 injuries occurred during the first 4 days of college. The cumulative incidence of injuries was 63.70%. There was significant difference in the incidence of injuries between different genders (χ2 = 87.084, P <0.01). The first three injuries were falls, bumps and sharp injuries. Injuries to the most type of sprain, followed by rub skin and subcutaneous tissue injury. There were significant differences in the types of injuries between different genders (P <0.01). The incidence of injuries among college students in different grades was different, the difference was statistically significant (P <0.01). The first two places were: sports area (49.33%) and dormitory (18.39%). Among the 2 913 injuries, 33 (1.13%) were hospitalized, including 25 males and 8 females. Conclusions The incidence of injuries among college students is high, and boys are the key protective groups for injuries. As new types of injuries continue to emerge, preventive medicine professionals should step up precautions.