摘要
目的 了解2010-2022年浙江省宁波市鄞州区中小学生跌倒伤害特征,为中小学生跌倒伤害防控提供参考.方法 通过浙江省慢性病监测管理系统伤害子系统收集2010-2022年鄞州区6～17岁中小学生跌倒伤害首诊病例资料,描述性分析跌倒伤害发生时间、发生地点、发生时活动和临床特征等.结果 2010-2022年鄞州区共报告中小学生跌倒伤害病例7 808例,占同年龄总伤害病例的45.72％;其中男生5 413例,女生2 395例,男女性别比为2.26:1;以小学生为主,4 302例占55.10％.2012-2022年女生、初中生和高中生跌倒伤害发生比例呈上升趋势(均P<0.05).跌倒伤害发生时间主高峰为9-11月,次高峰为5-7月,共4 510例,占57.76％.跌倒伤害发生地点主要为学校、家和街道/城区,分别为2 680、2 343和2 247例,占34.32％、30.01％、和28.78％.跌倒伤害发生时活动主要为空闲时、运动和学校活动,分别3 490、2 861和1 094例,占44.70％、36.64％和14.01％.伤害性质以软组织伤为主,6 224例占79.71％;伤害部位主要为下肢、头部和上肢,分别为3 101、2 419和1 974例,占39.72％、30.98％和25.28％.伤害严重程度以轻度损伤为主,5 896例占75.51％.结论 男生和小学生是鄞州区中小学生跌倒伤害高危人群,学校是跌倒伤害高发地点,应将学校作为重点干预场所,加强跌倒伤害防护健康教育.
Abstract
Objective To investigate the characteristics of fall injuries among primary and middle school students in Yinzhou District,Ningbo City,Zhejiang Province from 2010 to 2022,so as to provide insights into prevention and con-trol of fall injuries among primary and middle school students.Methods Data of 6 to 17 year-old primary and middle school students with initial diagnosis of fall injury from 2010 to 2022 were collected through Injury Subsystem of Zheji-ang Provincial Chronic Disease Surveillance Information Management System.The time,place,activity and clinical char-acteristics of fall injury were analyzed using a descriptive method.Results Totally 7 808 fall injury cases among pri-mary and middle school students were reported in Yinzhou District from 2010 to 2022,accounting for 45.72％of the to-tal injury cases in the same age.There were 5 413 boys and 2 395 girls,with a boy/girl ratio of 2.26:1.Primary school students were the majority,accounting for 55.10％.The incidence of fall injuries among girls,junior high school students and high school students showed increasing trends from 2012 to 2022(both P<0.05).The primary peak of fall injury was from September to November,and the secondary peak was from May to July,with 4 510 cases(57.76％).The place of fall injury development mainly included schools(2 680 cases,34.32％),homes(2 343 cases,30.01％)and streets/urban areas(2 247 cases,28.78％).The activities at the time of fall injury mainly included leisure time(3 490 cases,44.70％),sports(2 861 cases,36.64％)and school activities(1 094 cases,14.01％).Soft tissue injury was the main characteristics(6 224 cases,79.71％).Lower limbs(3 101 cases,39.72％),head(2 419 cases,30.98％)and upper limbs(1 974 cases,25.28％)were the main injury sites.Mild injury was predominant(5 896 cases,75.51％).Conclu-sions Boys and primary school students are high-risk groups of fall injury in Yinzhou District,schools are high-risk places of fall injury.Schools should be regarded as key intervention places and health education on fall injury preven-tion should be strengthened.
维普
万方数据