儿科急诊创伤的流行病学特点

Abstract
Figure/Table
References (19)
Related Citation (15)

Download: PDF (501 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the pediatric emergency trauma in Children′s Hospital of Jiangxi Province and understand its epidemiological characteristics.Methods The clinical data of 739 trauma children who admitted to the Department of Emergency at Children′s Hospital of Jiangxi Province from August 2020 to July 2021 were analyzed retrospectively.The analysis was carried on children′s gender,age,month,trauma,location of trauma,cause,prehospital disposal,and outcome of trauma.The intuitive statistical figure was made from these relevant data and the data were analysized between the groups according to the pediatric trauma score (PTS) which were divided into the group of PTS≥8 and the group of PTS＜8.Results There are 739 children with trauma in total,including 441 males and 298 females.The ratio of the males and females is 1.5∶1.Trauma children aged 2-4 years were the most.The most common months of trauma were February and July to August.Trauma occurs mainly in family and road,falls and traffic accidents were the main reason of injury and the injuries of brain were most.Among the included children,there were 671 cases in the group of PTS≥8 points and 68 cases in the group of PTS＜8 points.There were no significant differences in sex,age,location or month between the two groups (P＞0.05).The severe trauma were mainly the fall injuries from heights(47.1%) and the injuries of traffic accident (36.8%),the majority were brain injuries (38.2%) and multiple injuries(54.4%).In the cause of trauma,the percentage of the fall injuries from heights in the group of PTS＜8 points were obviously more than that in the group of PTS ≥8 points,the difference between the two groups was statistically significant (P＜0.001).In the location of trauma,the percentage of the multiple injuries in the group of PTS＜8 points were obviously more than that in the group of PTS≥8 points,the difference between the two groups was statistically significant (P＜0.001).78.1% of trauma children were transported for more than 1 hour,and 80.0% of children with severe trauma lacked adequate prehospital treatment and there were many sequelae among them.Conclusion Understanding the characteristics of pediatric emergency trauma is helpful to develop scientific and reasonable prevention and control measures.

Key words： Paediatric Emergency Trauma Epidemiological Characteristics

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XU Lingjun
	CHI Keqiang
	LI Qing
	YUAN Lingfeng
	XU Nanping

Cite this article:

XU Lingjun,CHI Keqiang,LI Qing, et al. Epidemiological characteristics of paediatric emergency trauma[J]. 中国当代医药, 2022, 29(7): 134-138.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I7/134

[1]	赵婧梅，陈茂松，安涛，等.海口市儿童创伤流行病学调查研究[J].海南医学，2015，26（21）：3256-3259.
[2]	卢仁福，邱俊，孔令文，等.8003 例住院创伤患者流行病学分析[J].创伤外科杂志，2020，22（6）：442-446.
[3]	明美秀，陆国平.小儿创伤评分[J].中国小儿急救医学，2019，26（2）：86-89.
[4]	Lozano R，Naghavi M，Foreman K，et al.Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010：A systematic analysis for the Global Burden of Disease Study 2010[J].Lancet，2012，380（9859）：2095-2128.
[5]	龚甜，王菁，邵琰，等.苏州市0～14 岁儿童意外伤害流行病学调查[J].中国社会医学杂志，2020，37（2）：206-209.
[6]	van Meijel EPMV，Gigengack MR，Verlinden E，et al.Short and Long-Term Parental Posttraumatic Stress After a Child′s Accident：Prevalence and Associated Factors[J].Child Psychiatry Hum Dev，2020，51（2）：200-208.
[7]	沈洁，胡熙，李达，等.昆明地区1538 例儿童急诊创伤患者流行病学分析[J].创伤外科杂志，2021，23（7）：535-538.
[8]	Andersen IK，Lauritsen J.Social inequalities in unintentional childhood injury incidence suggest subgroup identification and different-iation in the municipal planning of preventive efforts[J].Scand J Public Health，2020，48（2）：200-206.
[9]	刘红林，徐鸣浩，侯瑶.昆明地区儿童意外伤害3086 例调查分析[J].昆明医科大学学报，2019，40（9）：41-45.
[10]	王超，刘丽，张静.三甲医院儿童健康教育实践与困境[J].中国健康教育，2019，35（3）：282-284.
[11]	张盖，金晓胜，周波，等.温州市49692 例院前急救创伤患者特征[J].中国现代医生，2021，59（3）：159-162，193.
[12]	Pant PR，Budhatho ki B，Ellis M，et al.The feasibility of community mobilisation for child injury prevention in rural Nepal：a programme for female community health volunteers[J].BMC Public Health，2015，15（1）：430.
[13]	段闪闪，廖灯彬，王科，等.儿童颅脑外伤致伤因素及入住ICU 的危险因素分析[J].实用医院临床杂志，2021，18（3）：170-175.
[14]	吴玉洁，吴利平，林光燕，等.17268 例非住院儿童创伤发病特点的流行病学调查[J].重庆医科大学学报，2020，45（8）：1213-1217.
[15]	Keightley ML，Sinopoli KJ，Davis KD，et al.Is there evidence for neurodegenerative change following traumatic brain injury in children and youth? A scoping review[J].Front Hum Neurosci，2014，8（1）：139.
[16]	Ramenofsky ML，Ramenofsky MB，Jurkovich GJ，et al.The predictive validity of the Pediatric Trauma Score[J].J Trauma，1988，28（7）：1038-1042.
[17]	张霞，罗芳群.急诊科儿童严重创伤发生率与危险因素分析[J].国际护理学杂志，2019，38（21）：3512-3515.
[18]	陈媛媛，朱友荣.PICU 儿童创伤性脑损伤的临床特点和预后的影响因素[J].江西医药，2021，56（5）：672-676.
[19]	吴琼，祝益民.重视儿童创伤急救工作[J].中国小儿急救医学，2019，26（2）：81-85.