背景:一些研究缺乏对城乡儿童损伤机制的差异和特征的详细分析。
目的:我们的目标是了解这些特征,趋势,中国中部城市和农村地区儿童伤害机制的死亡率。
结果:在一项涉及15807名儿童创伤患者的研究中,据观察,男孩占大多数(65.4%),年龄≤3岁的男孩最普遍(28.62%)。下跌(39.8%),烧伤(23.2%),交通事故(21.1%)被确定为前三名的伤害机制。发现头部(29.0%)和四肢(35.7%)最容易受伤。此外,与其他年龄组相比,1~3岁儿童出现烧伤的可能性更高.烧伤的主要原因为热液烧伤(90.3%),火焰烧伤(4.9%),化学烧伤(3.5%),和电子烧伤(1.3%)。在城市地区,主要损伤机制是跌倒(40.9%),交通意外(22.4%),烧伤(20.9%),和毒药(7.1%),然而,在农村地区,下跌(39.5%),烧伤(23.8%),交通意外(20.8%),和渗透率(7.0%)。在过去的十年里,儿科创伤的总发病率一直在下降.在过去的一年里,7月份受伤儿童人数最高,创伤导致的总死亡率为0.8%.
结论:我们的研究结果表明,在不同年龄段,城乡的伤害机制不同。烧伤是儿童创伤的第二大原因。在过去的10年中,儿科创伤的减少表明有针对性的措施和预防性干预可以有效地预防儿科创伤。
BACKGROUND: Some studies lack detailed analyses of the differences and characteristics of pediatric injury mechanisms between urban and rural areas.
OBJECTIVE: We aim to understand the characteristics, trends, and mortality rates of injury mechanisms in children in urban and rural areas in central China.
RESULTS: In a study involving 15,807 pediatric trauma patients, it was observed that boys constituted the majority (65.4%) and those aged ≤ 3 years were the most prevalent (28.62%). Falls (39.8%), burns (23.2%), and traffic accidents (21.1%) were identified as the top three injury mechanisms. The head (29.0%) and limbs (35.7%) were found to be the most susceptible to injury. Additionally, children between the ages of 1-3 years exhibited a higher likelihood of sustaining burn injuries compared to other age groups. The main causes of burn injury were hydrothermal burns (90.3%), flame burns (4.9%), chemical burns (3.5%), and electronic burns (1.3%). In urban areas, the major injury mechanisms were falls (40.9%), traffic accidents (22.4%), burns (20.9%), and poison (7.1%), whereas, in rural areas, they were falls (39.5%), burns (23.8%), traffic accidents (20.8%), and penetration (7.0%). Over the past decade, the overall incidences of pediatric trauma have been decreasing. In the past year, the number of injured children was the highest in July, and the overall mortality rate due to trauma was 0.8%.
CONCLUSIONS: Our findings revealed that in different age groups, the injury mechanisms are different in urban and rural areas. Burns are the second leading cause of trauma in children. A decrease in pediatric trauma over the past 10 years indicates targeted measures and preventive intervention may effectively prevent pediatric trauma.