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目的为了更加准确的制定预防策略和更加有效地实施干预,深入了解儿童伤害的外因和后果。方法根据ICD-10编码对广东南澳县和浙江常山县2006年4月～2008年3月两年的伤害监测报告卡进行外因编码和后果编码,然后对其进行比较分析。结果广东南澳县不同性别儿童的伤害外因编码差异有统计学意义(P=0.026),而后果编码差异无统计学意义(P=0.979),学龄前与学龄期儿童的伤害外因编码和伤害后果编码分布差异有统计学意义(P=0.006,P=0.001)。浙江常山县不同性别儿童的伤害外因编码分布有统计学差异(P<0.001);后果编码分差异有统计学意义(P=0.010)。学龄前与学龄期儿童的伤害外因编码分布差异无统计学意(P=0.068),而后果编码分布差异有统计学意义(P=0.001)。结论跌倒仍是儿童伤害的重要原因,但不同地域呈现不同的特点。而容易受到伤害的部位主要是头部。因此应针对不同地域,性别,年龄制定和实施不同的伤害预防措施,更加有效地减少儿童伤害的发生。
Objectives To better understand prevention strategies and implement interventions more effectively, understand the external causes and consequences of child injury. Methods According to the ICD-10 code, the external injury code and the result code of two years’ injury monitoring report card from Nan’ao County, Guangdong Province and Changshan County, Zhejiang Province from April 2006 to March 2008 were compared and analyzed. Results There was a significant difference in the external code of injury among children of different sexes in Nan’ao County, Guangdong Province (P = 0.026), but there was no significant difference in the result codes (P = 0.979) Distribution differences were statistically significant (P = 0.006, P = 0.001). There was a statistically significant difference (P <0.001) in the distribution of injuries among children of different sexes in Changshan County, Zhejiang Province. There was a significant difference in the coding of consequences (P = 0.010). There were no statistically significant differences in the distribution of injury codes between pre-school and school-age children (P = 0.068), while the distribution of consequences codes was statistically significant (P = 0.001). Conclusion Fall is still an important cause of child injury, but different regions show different characteristics. The vulnerable parts of the main head. Therefore, different injury prevention measures should be formulated and implemented according to different regions, gender and age so as to reduce the occurrence of child injury more effectively.