首页|儿童意外伤害住院病因与损伤类型系统分析:1561例实证研究

儿童意外伤害住院病因与损伤类型系统分析:1561例实证研究

Inpatient etiology and injury type system analysis of pediatric accidental injuries:an empirical study of 1 561 cases

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目的 了解广东省某三级综合医院意外伤害住院患儿的损害类型和特点,为减少儿童意外伤害提供重要数据参考.方法 对2019-2021年某三级综合医院因意外伤害住院的患儿进行分析,采用x2检验分析时间、患儿来源、年龄段等因素间意外伤害类型的差异.结果 2019-2021年中1 561例患儿因意外伤害住院,居前三位的原因为跌倒、交通事故和外力损伤.各年龄段意外伤害类型存在显著差异(x2=186.606,P<0.001),损害类型间手术率存在显著差异(x2=45.017,P<0.001).损伤后做手术的患儿以跌倒为最多,占比72.3%.居家发生的意外伤害占比88.8%,以上肢损伤为主(67.8%).结论 儿童住院意外伤害以跌倒、交通事故和外力损伤为主,需根据不同年龄段伤害类型进行有针对性的预防,尤其是跌倒,不论从发生比例以及手术率来说都是危害最大的伤害类型,应着重加以防控.
Objective To explore the injury types and characteristics of children hospitalization with accidental injuries in a tertiary general hospital in Guangdong Province,and to provide important data evidences for reducing accidental injuries in children.Methods Children hospitalization of accidence in 2019-2021 from a tertiary general hospital were analyzed.The X2 test analysis was used for comparing different years,sources of patients and age difference between accident types.Results 1 561 children were hospitalized due to accidental injuries.The top three reasons were falling,traffic accidents and external inju-ries.There are significant differences among age groups and types of accident harm(x2=186.606,P<0.001),and significant differences among different damage rate of surgery(x2=45.017,P<0.001).The children who underwent surgery after injury were most likely to fall(72.3%).The accidental injuries occurred at home accounted for 88.8%,and therein the upper limb injuries were the main injuries(67.8%).Conclusion Accidental injuries in children's hospitalization are mainly caused by falls,traffic accidents,and external injuries.Targeted prevention should be carried out according to the types of injuries in differ-ent age groups,especially falls,which are the most harmful types of injuries in terms of incidence rate and surgical rate.There-fore,prevention and control should be emphasized.

ChildrenAccidentDamageTumble

张云平、关小倩、宋晓玉、韩栋

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南方医科大学第三附属医院 广东广州 510000

儿童 意外 伤害 跌倒

国家自然科学基金广东省医学科学技术研究基金

81903405A2019304

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(6)