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目的:通过分析院前救治的镇江市0~14岁儿童流行病学特点,为该群体的健康教育提供指导性建议。方法:回顾性分析2014年1~12月镇江市急救中心院前救治的低龄儿童的病历资料。结果:共救治209例,年龄[M(Qr)=3(2,11)],其中男126例,女83例,男女比例1.25:1。其中因高热引起的惊厥是主要的救治原因,共79例(37.80%),其中以4岁及以下儿童多见,共63例(79.75%);创伤占第二位,共38例(18.18%)。溺水的2例,其中1例为院前呼吸心跳停止。救治时间主要分布在10:00~22:00,总数为151例(72.25%)。意外伤害导致的儿童患者共47例(22.49%),其中男31例,女16例,男女比例为1.94:1,但差异不显著(χ~2=0.8143,P>0.05);导致意外伤害的主要原因为交通伤28例(59.57%)。结论:针对儿童的健康,镇江地区应特别关注4岁及以下低龄儿童,并特别注意预防热性惊厥、交通伤导致的意外伤害。
OBJECTIVE: To analyze the epidemiological characteristics of children aged 0 ~ 14 years in Zhenjiang City, which were treated before hospitalization, to provide guidance for the group’s health education. Methods: A retrospective analysis of January-December 2014 Zhenjiang Emergency Center premedicated treatment of young children’s medical records. Results: A total of 209 cases were treated and treated, and the age [M (Qr) = 3 (2,11)], including 126 males and 83 females, with a ratio of 1.25: 1. Among them, seizures caused by hyperthermia were the main causes of treatment. A total of 79 cases (37.80%) were found, of which 63 cases (79.75%) were common in children aged 4 years and younger. Trauma accounted for the second place with a total of 38 cases (18.18% ). 2 cases of drowning, of which 1 case of prehospital respiratory arrest stopped. The treatment time mainly distributed in 10: 00 ~ 22: 00, a total of 151 cases (72.25%). There were 47 children (22.49%) with accidental injuries, including 31 males and 16 females, the ratio of male to female was 1.94: 1, but the difference was not significant (χ ~ 2 = 0.8143, P> 0.05) The main reason is traffic injury in 28 cases (59.57%). Conclusions: In view of the health of children, special attention should be paid to young children under 4 years of age in Zhenjiang area. Particular attention should be paid to preventing accidental injuries caused by febrile seizures and traffic injuries.