摘要
目的了解温州医科大学附属育英儿童医院重症医学科（ICU）意外伤害住院患儿的流行病学特征。方法对2005年1月—2014年12月1282例0—14岁因意外伤害收住ICU患儿的病案进行回顾性分析。结果1282例意外伤害患儿占同期该科室住院病例27．86％，男性多于女性，男女性别比为1．85：1，伤害病例以1～3岁年龄组为主（39．63％）；意外伤害主要发生时间14：00～19：00，下午4点钟是儿童意外事故发生的高峰时间，7～9月份为高发季节；好发地点依次为户外公共场所（53．74％）、家中（45．55％）和学校（0．7％），不同年龄组意外伤害发生地点不同；父母职业依次均为务工（主要指从事体力劳动）、私营业主、专业技术和行政管理；发生的主要原因依次是交通伤（37．13％）、坠落伤（28．94％）、中毒（9．20％）、溺水（7．64％）和摔伤跌伤（7．02％），不同年龄组意外伤害发生类型不同。该组病例治愈占35．80％，好转占50．08％，未愈占11．08％，死亡占3．04％。对比前后5年2组在住院人次、伤害发生类型、未愈和死亡、住院费用等分布差异较大。结论收住ICU意外伤害患儿，伤害的发生与性别、时间点、季节和父母职业有关，且不同年龄组意外伤害发生地点、发生类型不同。
Objective To survey the epidemiological characteristics of unintentional injuries among hospitalized children in ICU. Methods The retrospective study included 1 282 children of 0 to 14 years treated for unintentional injuries from ICU of Yuying Children＇ s Hospital between 2005 and 2014. Results Total 1 282 cases of children with unintentional in- juries accounted for 27.86% of the hospitalized cases in ICU for the same period. Boys had a higher incidence of injury than that of girls with a ratio of 1.85： 1. The injury cases were mainly in 1 - 3 age group（39.63% ）. The unintentional injuries mainly occurred from 14：00 to 19：00 that 16：00 was the peak time. The number and rate of unintentional injury were the highest in summer（from July to September）. The places in turn were in public places （53.74%）, at home （45.55%） and at school （ 0. 7% ）. The unintentional injuries of different age groups occurred in different places. Parent＇s occupation in turn were workers（ mainly engaged in manual labor）, private owners, professional technicians and administrators. The top five causes of unintentional injury were traffic accident （37.13%）, falls from height （28.94%）, poisoning（ 9.20% ）, drowning（ 7.64% ）, and falling injuries （7.02%）. The unintentional injury rates varied considerably with the age. The healed rate of this group was 35.80%, improved （50.08%） , not improved（ 11.08% ）, and death （3.04%）. Significant differences existed in the number of inpatients, types of occurrence, healed and death, hospitaliza- tion expenses between the Comparison of two groups before and after 5 years. Conclusion The unintentional injuries of hospitalized children in ICU are related with gender, time and season, occupation of parents and so on. The unintentional injury in different age groups shows the specificity in places and types of injuries.
出处
《中华全科医学》
2016年第1期84-86,89,共4页
Chinese Journal of General Practice
基金
浙江省卫生高层次创新人才经费资助项目(浙卫发[2014]108号)
关键词
重症医学科
意外伤害
儿童
流行病学特点
ICU
Unintentional injuries
Children
Epidemiological characteristics
