【摘要】 目的通过分析成都市某三甲医院5年期间儿童意外伤害致骨折的流行病学特征及变化趋势,探讨儿童意外伤害致骨折的特点,为制订相关预防措施提供依据。方法对2016年7月30日-2020年7月1日期间成都市某三甲医院收治的2801例因意外伤害所致儿童骨折的临床资料进行回顾性分析,记录患儿的性别、年龄、骨折部位等数据。同时计算不同年龄患者各部位意外伤害致骨折的构成比和分析随年龄变化意外伤害致骨折部位的变化趋势。结果 2801例儿童意外伤害致骨折患者中,男性1745例,女性1056例,男女比为1.65:1。以学龄期骨折例数最多,951例占34.0%;婴儿期最少为368例占13.1%。男性以学龄期骨折例数最多为633例,女性以学龄前期骨折例数最多为328例。骨折部位以四肢骨折最多见,占91.8%,其中上肢以肱骨骨折为主(1088例),下肢以股骨骨折为主(411例)。最常见的致伤原因是跌倒伤、低处跌落伤和车祸伤。结论家庭、学校、社区、医院及相关行政部门应根据不同年龄分区、不同性别、不同季节,制定科学可行的儿童意外伤害干预措施,减少因意外伤害导致儿童骨折的发生率。更多还原

【Abstract】 Objective By analyzing the epidemiological characteristics and changing trends of fractures caused by accidental injuries in children in a tertiary hospital in Chengdu during the five-year period, the characteristics of fractures caused by accidental injuries in children were discussed, and the basis for formulating relevant preventive measures was provided. Methods From July 30, 2016 to July 1, 2020, a retrospective analysis of the clinical data of 2,801 children with fractures due to accidental injuries admitted to a third-class hospital in Chengdu, and record the gender, age, and fractures of the children Location and other data.At the same time, calculate the composition ratio of accidental injuries in different parts of patients in different age groups and analyze the trend of changes in accidental fractures with age. Results A total of 2801 children with fracture caused by accidental injury were collected, including 1745 males and 1056 females. The male to female ratio was 1.65:1.The number of fractures in school age was the largest(951 cases, 34.0%), and the number of fractures in infants was the smallest(368 cases, 13.1%).Males had the largest number of school age fractures(633 cases), and females had the largest number of preschool age fractures(328 cases).The fracture sites were more common in the limbs(91.8%), among which the upper limbs were mainly humeral fractures(1088 cases), and the lower limbs were mainly femoral fractures(411 cases).The most common causes of injuries are fall injuries, low fall injuries and car accident injuries. Conclusion Families, schools, communities, hospitals and related administrative departments should formulate scientifically feasible interventions for children’s accidental injuries according to different ages, genders, and seasons to reduce the incidence of children’s fractures due to accidental injuries.更多还原