Ljungberg Elinor M, Steen Carlsson Katarina, Dahlin Lars B
Department of Hand Surgery, Malmö University Hospital, Lund University, Malmö.
Scand J Plast Reconstr Surg Hand Surg. 2006;40(3):166-74. doi: 10.1080/02844310500475727.
Ninety-six children aged 0-6 years with unintentional hand injuries were referred to the Department of Hand Surgery between 2002 and 2003. Either parents, medical staff, or both, completed a questionnaire (response rate 79/96; 82%) about the circumstances of the injury. The incidence of injuries referred for treatment was 33.4/10,000 people/year. Seventy-five percent (59/79) of all injuries occurred at home, and only 8% (6/79) in a day-care centre. The risk was highest between 4 p.m. and 8 p.m. (incidence rate ratio 5.17, 95% confidence interval 2.12 to 17.7) and in 6 year old children (IRR 4.89, 95% CI 1.58 to 37.68). Adults were present when 66/79 children (84%) were injured. Most injuries occurred during play (39/79; 49%). Stuck in front doors (23/79; 29%) (closed by a child) was common. There was no increase in incidence in children with a foreign background (IRR 1.19, 95% CI 0.64 to 2.28). Advice about prevention will be distributed to parents to encourage safer environments in homes.
2002年至2003年间，96名0至6岁意外手部受伤的儿童被转诊至手外科。父母、医护人员或双方填写了一份关于受伤情况的问卷（回复率79/96；82%）。接受治疗的受伤发生率为33.4/10000人/年。所有受伤事件的75%（59/79）发生在家中，只有8%（6/79）发生在日托中心。下午4点至8点风险最高（发生率比值5.17，95%置信区间2.12至17.7），6岁儿童中风险也最高（发生率比值4.89，95%置信区间1.58至37.68）。79名儿童中有66名（84%）受伤时身边有成年人。大多数受伤发生在玩耍期间（39/79；49%）。被前门卡住（23/79；29%）（由儿童关闭）很常见。有外国背景的儿童受伤发生率没有增加（发生率比值1.19，95%置信区间0.64至2.28）。将向家长分发预防建议，以鼓励营造更安全的家庭环境。
