Hu Nan, Chen Ji-Gang, Liu Jing, Wang Yan-Ni, Wang Yi-Ning, Yu Jing, Qi Hong-Yan
Department of Burns and Plastic Surgery, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China.
Department of Burns and Plastic Surgery, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China.
Injury. 2024 Jun;55(6):111482. doi: 10.1016/j.injury.2024.111482. Epub 2024 Feb 28.
This study aimed to assess the clinical epidemiological characteristics of children with electrical injuries and discuss the countermeasures for the prevention of electrical injuries in children.
The children with electrical injuries were grouped according to whether or not they were admitted to the hospital for treatment into inpatient and outpatient groups. Clinical data such as gender, causes of injury and injury-causing voltage distribution in different age groups were analyzed. The factors affecting hospitalization were subjected to χ2 test, Kruskal-Wallis H test, and logistic regression analysis.
A total of 321 children were included with 37 divided into inpatient group and 284 divided into outpatient group. The incidence of electrical injuries was highest in children ≤6 years old and in the summer. There were significantly different in gender, place of occurrence, cause of injury and injury-causing voltage between the two groups (p < 0.05). Injury-causing voltage is an independent risk factor affecting hospitalization of children with electrical injuries (OR = 0.116, 95 %CI = 0.040-0.334, p = 0.000). In children ≤6 years old, boys suffered electrical injuries more frequently than girls; battery powered vehicle (47.53 %) was primarily the cause of injury; most of the patients (64.64 %) were exposed to low voltage below 100 Vs, mainly in the case of adolescent children.
Male preschoolers accounted for the majority of electrical injury cases, and these accidents mostly happened in household electrical appliances and household battery cars. Overall, it is necessary to improve family electrical safety education and reinforce protective measures against electric injury to children.
本研究旨在评估儿童电击伤的临床流行病学特征,并探讨儿童电击伤的预防对策。
将电击伤儿童按是否住院治疗分为住院组和门诊组。分析不同年龄组的性别、受伤原因及致伤电压分布等临床资料。对影响住院的因素进行χ2检验、Kruskal-Wallis H检验和Logistic回归分析。
共纳入321例儿童,其中37例为住院组,284例为门诊组。电击伤发生率在≤6岁儿童及夏季最高。两组在性别、发生地点、受伤原因及致伤电压方面存在显著差异(p<0.05)。致伤电压是影响儿童电击伤住院的独立危险因素(OR=0.116,95%CI=0.040-0.334,p=0.000)。在≤6岁儿童中,男孩电击伤发生率高于女孩;电动玩具车(47.53%)是主要致伤原因;大多数患者(64.64%)暴露于100V以下低电压,主要发生在青少年儿童中。
男性学龄前儿童电击伤病例占多数,这些事故大多发生在家用电器和家用电池车上。总体而言,有必要加强家庭用电安全教育,强化对儿童电击伤的防护措施。