0～14岁儿童交通事故伤2678例回顾性分析
|
摘要
目的:探讨造成儿童交通事故伤害住院的临床特征和导致儿童交通事故伤发生的危险因素。方法:对交通事故伤害的0～14岁儿童病例资料进行回顾性分析。结果:伤害的不同类型对预后的影响差异有统计学意义(P=0.000),住院天数、治疗方式、家庭地址、伤害类型是儿童交通事故伤预后效果的影响因素(P<0.05)。对于残疾(失能)而言,住在农村相对于住在城市而言,其导致残疾(失能)的风险要大(P=0.001)。手术治疗方式相对于非手术治疗方式而言,其导致残疾(失能)的风险要小(P=0.000)。骨折、开放性伤口、脏器及颅内损伤、复合伤均为导致死亡的危险因素(P=0.000)。结论:儿童交通事故伤住院男童高于女童,高发年龄段在1～4岁和5～9岁,行人与机动车相撞事故为主要交通事故类型,农村患儿交通事故伤导致残疾(失能)风险高,伤害的类型是儿童交通事故伤死亡最重要的危险因素。交通安全意识的健康教育是预防儿童交通事故伤害的重要环节。
Objective:To explore the clinical characteristics of children with traffic accident injuries and the risk factors for traffic accidents in children.Methods:The data of 0～14 year old children who were injured by traffic accidents were analyzed retrospectively.Results:The effects of different types of injuries on the prognosis were statistically different(P=0.000).The days of hospitalization,treatment,family address and injury type were the factors affecting the prognosis of children's traffic accidents(P<0.05).For disability(inability),the risk of disability(inability) in rural areas is greater than in urban areas(P=0.001).The risk of disability(inability) is less than that of non-surgical treatment(P=0.000).Fractures,open wounds,visceral and intracranial injuries and combined injuries were risk factors for death(P=0.000).Conclusion:Children's traffic accident injuries in boys are higher than in girls.The age of high incidence is 1～4 and 5～9 years old.Pedestrian and motor collision accidents are the main types of traffic accidents.The risk of disability(inability) caused by traffic accidents in rural children is high,and the type of injury is the most important risk factor for the death of children.Health education for traffic safety awareness is an important link to prevent children from traffic accidents.
Objective:To explore the clinical characteristics of children with traffic accident injuries and the risk factors for traffic accidents in children.Methods:The data of 0～14 year old children who were injured by traffic accidents were analyzed retrospectively.Results:The effects of different types of injuries on the prognosis were statistically different(P=0.000).The days of hospitalization,treatment,family address and injury type were the factors affecting the prognosis of children's traffic accidents(P<0.05).For disability(inability),the risk of disability(inability) in rural areas is greater than in urban areas(P=0.001).The risk of disability(inability) is less than that of non-surgical treatment(P=0.000).Fractures,open wounds,visceral and intracranial injuries and combined injuries were risk factors for death(P=0.000).Conclusion:Children's traffic accident injuries in boys are higher than in girls.The age of high incidence is 1～4 and 5～9 years old.Pedestrian and motor collision accidents are the main types of traffic accidents.The risk of disability(inability) caused by traffic accidents in rural children is high,and the type of injury is the most important risk factor for the death of children.Health education for traffic safety awareness is an important link to prevent children from traffic accidents.
引文
[1] Dow d MD,Keenan HT,Brat t on S L.Epidemiology and prevention of childhood injuries[J].Crit Care Med,2002,30(11):385-392.
[2]中央政府门户网站.道路交通伤害已成为我国儿童意外伤害第二大死因[EB/OL].[2007-04].http://www.gov.en/jrzg/2007-04/26/conten-597991.htm
[3]韩晓军,朱静,蒋庭魁,等.浙江省1995-1998年1~14岁儿童意外死亡分析[J].疾病监测,1999,14(11):428-429.
[4] Crossman DC.The history of injury control and the epidemiology of child and adolescent injuries[J].Future,2000,10(1):23-52.
[5]周蓉,熊鸿燕.儿童意外伤害的临床流行病学特征分析[J].中华创伤杂志,2011,27(5):466-471.
[6]张绍强,张玲.1~14岁儿童交通事故伤住院患者特征[J].实用预防医学,2004,11(6):1128-1130.
[7]陈荣华,张佩斌,邓静云.江苏省0~14岁儿童车祸损伤死亡流行病学调查[J].中华儿科杂志,1999,37(11):661-663.
[8]谭宗奎,刘曦明,徐峰,等.儿童交通事故致伤特点分析[J].伤残医学杂志,2004,12(4):38-39.
[9]孙奕,严春香,李双喜,等,用X-11模型对儿童伤害住院季节变化规律的研究[J].现代预防医学,2006,33(10):1850-1853.
[10]马文军,徐浩锋,巢建新,等.广州市14岁以下儿童步行者道路交通事故伤害流行特征分析[J].中华流行病学杂志,2007,28(6):576-579.
[2]中央政府门户网站.道路交通伤害已成为我国儿童意外伤害第二大死因[EB/OL].[2007-04].http://www.gov.en/jrzg/2007-04/26/conten-597991.htm
[3]韩晓军,朱静,蒋庭魁,等.浙江省1995-1998年1~14岁儿童意外死亡分析[J].疾病监测,1999,14(11):428-429.
[4] Crossman DC.The history of injury control and the epidemiology of child and adolescent injuries[J].Future,2000,10(1):23-52.
[5]周蓉,熊鸿燕.儿童意外伤害的临床流行病学特征分析[J].中华创伤杂志,2011,27(5):466-471.
[6]张绍强,张玲.1~14岁儿童交通事故伤住院患者特征[J].实用预防医学,2004,11(6):1128-1130.
[7]陈荣华,张佩斌,邓静云.江苏省0~14岁儿童车祸损伤死亡流行病学调查[J].中华儿科杂志,1999,37(11):661-663.
[8]谭宗奎,刘曦明,徐峰,等.儿童交通事故致伤特点分析[J].伤残医学杂志,2004,12(4):38-39.
[9]孙奕,严春香,李双喜,等,用X-11模型对儿童伤害住院季节变化规律的研究[J].现代预防医学,2006,33(10):1850-1853.
[10]马文军,徐浩锋,巢建新,等.广州市14岁以下儿童步行者道路交通事故伤害流行特征分析[J].中华流行病学杂志,2007,28(6):576-579.