Abstract: Objective To analyze the status of injury and to provide references for developing measures of reducing the incidence of injury in children from 0 to 6 years old in Pudong district of Shanghai. Methods The injured patients from the community health center in 2011-2012 were surveyed with the descriptive analysis.The characteristics of age, gender, injury types and causes of the injured patients were analyzed. Results The reported numbers of injured children was 1 336.Their average age was (3.83±1.61) years and the ratio of boy to girl was 1.73∶1.The top three types of injuries were superficial wound, open wound, and sprain.The top three causes of injuries were fall, cut/stab and blunt injury.The main occurred places of injuries were homes (64.82%).The high-risk sites were upper limb and 74.93% of the injuries occurred in leisure activities. Conclusions The most frequent types of children injuries, especially superficial wound, are happened at home in leisure activities.The intervention for fall-related injuries at home should be a top priority.

Key words: injury, surveillance, children

摘要： 目的 分析2011-2012年上海市浦东新区0~6岁婴幼儿伤害情况, 为制定相应的伤害预防措施提供科学依据。方法 采用描述性研究方法, 以2011-2012 年上海市浦东新区0~6岁婴幼儿伤害患者为研究对象, 分析患者年龄、性别和伤害类型、原因、发生地点和伤害发生时的活动的关系。结果 共报告1 336 例0~6岁婴幼儿伤害病例, 平均年龄为(3.83±1.61)岁, 男女童比为1.73∶1;婴幼儿伤害患者前3 位的伤害类型依次为挫伤或擦伤(46.48%)、锐器伤或咬伤或开放伤(32.49%)、扭伤/拉伤(10.25%), 主要发生原因依次为跌倒或坠落(54.49%)、刀或锐器伤(19.16%)和钝器伤(12.20%);有64.82%的伤害发生在家中, 36.08%的患者伤害部位是头部, 多在休闲活动时发生伤害(74.93%)。结论 浦东新区婴幼儿伤害主要是在家中休闲活动时跌落受到的伤害(尤其挫伤或擦伤), 因此, 婴幼儿伤害预防的优先领域是家庭内跌落伤预防。

关键词: 伤害, 监测, 婴幼儿