2006～2012学年度珠海市集体儿童意外伤害态势及干预的探讨.docVIP

2006～2012学年度珠海市集体儿童意外伤害态势及干预的探讨 　　[摘要] 目的 掌握珠海市集体儿童意外伤害的分布态势，探讨干预措施。方法 分析本市托幼机构2006～2012学年度儿童意外伤害发生率、伤害类型和产生原因。结果 全市集体儿童意外伤害总发生率有下降趋势。男生多发于女生，户外多发于户内，5岁组4岁组3岁组，P均0.01。碰撞/跌落（缝合）、骨折位居意外伤害前两位。结论预防碰撞/跌落是集体儿童伤害干预的首要任务。骨折、眼耳损伤/异物、脱臼是伤害控制的主要类型，烫伤、走失及食物中毒不容忽视。集体儿童中4岁以上的男童是重点干预人群。 　　[关键词] 集体儿童；意外伤害；干预 　　[中图分类号] R726.5 [文献标识码] B [文章编号] 1673-9701（2013）25-0014-03 　　A discuss on distribution situation of accidental injuries collective children and intervention countermeasures in Zhuhai city during the academic years from 2006 to 2012 　　ZHANG Xiaojiao ZHANG Lu ZENG Shuping SHI Hongying QI Xiaobing 　　Child Healthcare Department，Zhuhai Municipal Maternal and Child Healthcare Hospital in Guangdong Province，Zhuhai 519000，China 　　[Abstract] Objective To grasp distribution situation of collective child injury in Zhuhai city，to explore intervention measures. Methods Analyzed the city nurseries from 2006 to 2012 academic year childhood unintentional injury incidence，type of injury and the cause. Results Collective childrens unintentional injuries in Zhuhai， there was a decrease trend in the total incidence boys more often in girls.Age of 543-year-old group. Multiple outdoors indoors. P all 0.01.Struck/Fall（suture）fractures among the first two digits of the the nurseries collective childrens accidental injury.Conclusion Prevention of Struck/Fall（suture）damage to the child should be the primary task of intervention. Fractures，eye or ear damage from foreign body tamping，dislocation damage control，are the main risk types. Burns，loss，and food poisoning damage must not be allowed or ignored. The collective children greater than 4-year-old boy is focused interventions in the crowd. 　　[Key words] Collective children； Accidental injury； Intervention 　　意外伤害（accidental injury）指突然发生的事件对人体所造成的肉体和精神上的伤害。国际疾病分类（ICD-10）将其列为单独一类疾病。为掌握珠海市托幼机构集体儿童意外伤害的分布态势，现对本市托幼机构2006～2012学年每学期集体儿童意外伤害网络报表资料进行分析，找出托幼机构卫生保健安全防范管理中存在的问题和薄弱环节，制定有效的干预措施，切实提高珠海市托幼机构集体儿童意外伤害防范水平，最大可能稳步降低意外伤害发生率，尤其防范重大意外伤害的发生，促进儿童健康快乐成