Mo Qing-Yi, Huang Dong-Ming, Xie Guang-Qing, Liang Gui-Ming, Ma Li-Zhong, Fu Si-Mao
Department of Pediatrics, Zhongshan Boai Hospital Affiliated to Southern Medical University, Zhongshan，Guangdong 528403, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2013 Jul;15(7):559-62.
To investigate the causes of unintentional injuries in children and to provide reference for reducing the incidence of unintentional injuries in children.
A retrospective analysis was performed on the clinical data of 924 children with unintentional injuries who were hospitalized in Zhongshan Boai Hospital from January 2008 to December 2010.
Of the 924 cases, 26.4% suffered falls, which was the most common cause of injuries, 15.7% suffered burns and scalds, 14.0% were injured by foreign bodies, and 13.1% were injured in traffic accidents. Unintentional injuries occurred mainly among children aged 0-3 years (67%). The proportion of cases in summer (July to September) was significantly higher than in any other season (P < 0.05), and burns were the common causes of injuries in summer. Home was the most common place where unintentional injuries occurred (36.9%). The incidence of traffic accidents was significantly higher in non-local children than in local children (P < 0.001). As for the parents' educational levels, the children whose parents had an education level below junior middle school accounted for the highest proportion of all cases of unintentional injury (45.5%). Injuried cases in rural areas accounted for a significantly higher percentage than in urban areas (P < 0.05).
Falls are the principal cause of unintentional injuries in children. Young children (0-3 years) are most vulnerable to unintentional injuries. Unintentional injuries mostly occur at home. The incidence of traffic accidents is higher in non-local children than in local children. Parents' education levels are associated with the incidence of unintentional injuries. In order to reduce the incidence of unintentional injuries in children, preventive measures must be carried out, and safety education should be enhanced in consideration of children's age, sex and family background.
探讨儿童意外伤害的原因，为降低儿童意外伤害发生率提供参考。
对2008年1月至2010年12月在中山市博爱医院住院的924例儿童意外伤害临床资料进行回顾性分析。
924例中，26.4%为跌倒伤，是最常见的致伤原因；15.7%为烧伤和烫伤；14.0%为异物致伤；13.1%为交通事故伤。意外伤害主要发生在0 - 3岁儿童（67%）。夏季（7 - 9月）病例比例显著高于其他任何季节（P < 0.05），夏季烧伤是常见致伤原因。家庭是意外伤害最常见发生地点（36.9%）。非本地儿童交通事故发生率显著高于本地儿童（P < 0.001）。父母文化程度方面，父母文化程度初中以下的儿童占所有意外伤害病例比例最高（45.5%）。农村地区受伤病例占比显著高于城市地区（P < 0.05）。
跌倒是儿童意外伤害的主要原因。幼儿（0 - 3岁）最易发生意外伤害。意外伤害大多发生在家中。非本地儿童交通事故发生率高于本地儿童。父母文化程度与意外伤害发生率有关。为降低儿童意外伤害发生率，必须采取预防措施，并根据儿童年龄、性别和家庭背景加强安全教育。
