目的 调查农村社区儿童犬伤现状,分析创口的临床处理,预防人兽共患疾病。方法 调查2010年1月-2012年12月,某农村社区儿童犬伤的临床特点、创面急诊处理的临床疗效,组间数据率的比较,用χ2检验。结果 470例儿童犬伤患者,夏秋季节发生338例,冬春季节132例,夏秋季节和冬春季节比较差异有统计学意义(χ2=218.0,P<0.01)。470例儿童犬伤患者创面全部愈合。随访至今,470例患者中无破伤风与狂犬病的病例发生。结论 农村社区儿童犬伤是儿童意外严重伤害的重要原因,及时处理创口,预防接种,健康教育,加强犬类管理,有利于预防人兽共患疾病。
Abstract
Objective To investigate clinical characteristic and discuss the clinical treatment of children with wound of dog biting in the rural community for improving the level of prevention of zoonosis in rural community. Methods The data of those cases of children with wound of dog biting in the Yinkeng community hygiene service centre between January 2010 and December 2012 were gathered statistics and analyzed.Clinical characteristic and efficiency of clinical emergency treatment of children with injure of dog biting were investigated.The comparison between the rates of group data was done with the chi-square test. Results A total of 470 cases of children with injure of dog biting in Yinkeng rural community were cured successfully and those children had health condition without rabies and tetanus after follow-up between January 2010 and December 2012.There were 338 cases of young patients with injure of dog biting in summer and autumn and 132 cases of young patients in winter and spring among those patients (χ2=218.0,P<0.01). Conclusions Children with injure of dog biting is one of the important reasons children seriously hurt accident.To deal with wounds of dog biting in children promptly,vaccination,health education and to strengthen the management of dogs in rural community play an important role to prevent zoonosis in rural community.
关键词
儿童犬伤 /
临床特点 /
急诊处理 /
人兽共患病 /
农村社区
Key words
children's dog bite /
clinical characteristic /
emergency treatment /
zoonosis /
rural community
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参考文献
[1] Dixon CA,Pomerantz WJ,Hart KW,et al.An evaluation of a dog bite prevention intervention in the pediatric emergency department[J].J Trauma Acute Care Surg,2013,75(S4):308-312.
[2] 中华人民共和国卫生部.狂犬病暴露预防处置工作规范(2009年版)[EB/OL].[2014-02-08].http://www.moh.gov.cn/publicfiles/business/htmlfiles/mohjbyfkzj/s3578/200912/45090.htm.
[3] Shields WC,McDonald EM,Stepnitz R,et al.Dog bites:an opportunity for parent education in the pediatric emergency department[J].Pediatr Emerg Care,2012,28(10):966-970.
[4] 张宁,支利红.儿童被动物致伤1460例分析[J].中国儿童保健杂志,2007,15(4):413-415.
[5] Zhang J,Jin Z,Sun GQ,et al.Modeling seasonal rabies epidemics in China[J].Bull Math Biol,2012,74(5):1226-1251.
[6] Daniels DM,Ritzi RB,O'Neil J,et al.Analysis of nonfatal dog bites in children[J].J Trauma,2010,66(S3):17-22.
[7] Reisner IR,Nance ML,Zeller JS,et al.Behavioural characteristics associated with dog bites to children presenting to an urban trauma centre[J].Inj Prev,2011,17(5):348-353.
[8] 李秀平.农村儿童颌面部严重犬伤的护理体会[J].中外健康文摘,2010,7(34):305-306.
[9] Paquette IM,Budke CM,Slater MR.Knowledge and perceptions of dog-associated zoonoses:Brazos County,Texas,USA[J].Prev Vet Med,2010,93(2-3):211-221.
[10] Shen J,Li S,Xiang H,et al.Dog safety in rural China:children's sources of safety information and effect on knowledge,attitudes,and practices[J].Accid Anal Prev,2013,59:164-169.