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目的分析青岛市儿童伤害状况及相关特征,为制定有效的干预措施提供科学依据。方法通过青岛市伤害监测系统,收集于2007年1月1日至2010年12月31日首次在青岛市二级以上(或镇卫生院)医院就诊被诊断为伤害的0~17岁病例资料进行分析。结果 4年间共报告儿童伤害46 483例,男性多于女性,男女性别比为2.28∶1,男女性别伤害原因构成的差异有统计学意义(χ2=302.804,P<0.05)。前3位伤害病例的原因依次为跌倒或坠落(39.73%)、动物伤害(14.00%)、道路交通事故(13.86%);烧烫伤是0~4岁年龄组的首位伤害原因;溺水、窒息或悬吊和中毒造成的伤害程度较重;伤害部位以上肢、头部为主,伤害发生时间多集中于6-9月;自残或自杀造成的伤害病例占49.67%,需观察、住院或转院。结论 2007-2010年青岛市儿童伤害以跌倒或坠落、动物伤害和道路交通事故为主,要根据具体情况选择优先干预的方向。
Objective To analyze the injury status and related characteristics of children in Qingdao and provide a scientific basis for making effective interventions. Methods The data from 0 to 17 years old who were diagnosed as having been injured at the second or higher level (or town hospitals) hospitals in Qingdao City from January 1, 2007 to December 31, 2010 were collected through the Qingdao City Injury Monitoring System. analysis. Results A total of 46 483 cases of childhood injuries were reported in 4 years. There were more males than females, with a sex ratio of 2.28:1. There were significant differences in the causes of sex injuries between males and females (χ2 = 302.804, P <0.05). The first three injuries were followed by fall or fall (39.73%), animal injury (14.00%) and road traffic accident (13.86%). Burns and burns were the first cause of injuries in the 0-4 age group. Drowning, suffocation or The degree of injury caused by the suspension and poisoning was heavier. The injuries were mainly upper limbs and head. The injury occurred mostly in June-September. 49.67% of the injuries were caused by self-mutilation or suicide, which should be observed, hospitalized or transferred to hospital. Conclusion 2007-2010 Qingdao child injury to fall or fall, animal injuries and road traffic accidents, according to the specific situation to choose the direction of priority intervention.