【摘要】 目的　探讨香港地区意外伤害儿童事故发生后的就诊时间、受伤后紧急救护情况以及影响因素。方法　４１６ 例意外伤害儿童的家长接受了问卷调查。结果　意外伤害儿童中就诊时间最短者为５ 分钟，最长近２４ 小时，近５０％ 的意外伤害儿童能在２ 小时内到医院就诊。意外伤害儿童的就诊时间与意外伤害类型为烧烫伤、开放性外伤、父亲的文化程度呈显著负相关，与发生时间是夜晚１１ 点至清晨６ 点、父母关系亲密呈显著正相关。４３．０％ 的意外伤害儿童接受过紧急救护处理，绝大多数由母亲完成。同其它类型意外伤害相比，烧烫伤、开放性外伤接受紧急救护措施可能性较大，ＯＲ分别为７．５３和２．１１。与＜ １ 岁组意外伤害儿童相比，１～、２～、４～、６～、＞ ８岁组接受紧急救护的比例较高，ＯＲ依次为２．７３、２．６９、２．４９、８．８２ 和２．４５。结论　对父母及看护人进行有关儿童意外伤害方面知识的健康教育是有必要的。更多还原

【Abstract】 Objecitve To survey time of visiting hospital and utilization of first aid among unintentionally injured children, and their influence factors. Methods The parents of 416 children injured unintentionally were inquired with a questionnaire. Results The shortest time of visiting hospital among the injured children was 5 minutes, and the longest was near 24 hours. Almost 50% of them reached hospital for treatment in 2 hours after accident. The results showed that of visiting hospital among the injured children negative significantly associated with burn/scald, open wound, education level of father, and positive significantly with accidents happened in the period from 23 PM to 6 AM and the father mother relationship being harmonious. First aid was conducted among 43.0% of the injured children, most of which were done by their mothers. The children with burn/scalds or open wounds were more probably treated with first aid before visiting hospital than ones with other injuries were done, and OR was 7.53, 2.11 respectively. Compared with babies aged under 1 year old, the possibility of receiving first aid was significant higher among the injured children aged 1～,2～,4～,6～ and above 8 years old, and OR was 2.73, 2.69, 2.49, 8 82, 2.45. Conclusion It is necessary to make health education on accident and injury of children among parents and childminders.更多还原