中小学生人群2种伤害流行病学界定标准比较分析.docVIP

中小学生人群2种伤害流行病学界定标准比较分析 　　【摘要】 目的 比较伤害流行病学界定标准(参考)、伤害流行病学界定标准(修改意见)在广州市中小学生人群中的应用结果,为完善界定标准提供科学依据。方法 采用广州市中小学生伤害流行病学调查资料,以2种伤害流行病学界定标准诊断伤害,比较伤害的发生率、不同组份的构成及其影响。结果 根据伤害流行病学界定标准(参考),中小学生伤害人数发生率为21.63%,伤害次数发生率为35.30%;根据伤害流行病学界定标准(修改意见),中小学生伤害人数发生率为14.49%,伤害次数发生率为20.80%。符合仅“由家人、教师或同伴作紧急处置或看护”组份的学生伤害人数发生率为6.16%,伤害次数发生率为13.16%;符合因受伤仅请假(0.5～1 d)的学生伤害人数发生率为0.59%,伤害次数发生率为0.72%。结论 建议伤害流行病学诊断标准修订,可取消“由家人、教师或同伴作紧急处置或看护”及受伤请假(0.5～1 d)组份影响。采用伤害流行病学界定标准(修改意见)作为伤害流行病学界定标准较为合适。 　　【关键词】 创伤和损伤;流行病学;参考标准;对比研究;学生 　　【中图分类号】 R 181.3 【文献标识码】 A 【文章编号】 1000-9817(2010)05-0589-03 　　 　　Comparison of Two Operational Definition of Injury Among Students of Primary and Secondary School in Guangzhou/LIU Wei-jia, ZHANG Wei-wei, LIU Wei, et al. Guangzhou Center for Disease Prevention and Control, Guangzhou(510080) , China 　　【Abstract】 ObjectiveTo compare the significance of the application in Guangzhou primary and secondary school students using the two operational definition of injury proposed in 1996 and 2004. MethodsBased on the population in Guangzhou city from a survey of injury among primary and secondary school students in 2008, the study was conducted including 24 168 subjects. The incidence of injury, different component and its influence were compared according to the operational definition of injury (reference, 1996) and the operational definition of injury (revised version, 2004). ResultsAccording to the operational definition of injury (reference, 1996), the incidence of injury was 21.63%, the incidence of person-time injury was 35.30%. As for the operational definition of injury (revised version, 2004), the incidence of injury was 14.49%, the incidence of person-time injury was 20.80%. In accordance to the component that injuries were only cared or treated by their parents, teachers or companions, the incidence of injury was 6.16%, the incidence of person-time injury was 13.16%. The component that students suffered from injuries only needed rest more than half day but less than one