Abstract: Objective To explore epidemiologic features and the related factors among children in part of Shanghai. Method A total of 1 189 children aged from 0～18 years old were investigated with self-made measurement. Results Among 1 189 cases of children's unintentional injury, the incidence rate of boy was 65.3% and girl was 34.7%.Fall took the leading type of incidence, account for 51.98%;the second type was collision injury (14.97%) and the third was transport-related injury (11.27%).Most of unintentional injury were occurred in home.Difference in gender, age, time, caregivers, environment and activities were significant statistically (P<0.05). Conclusions The incidence rate of children's unintentional injury are associated with children's age, gender, time, caregivers, environment and activities.Children's safety education and environment should be strengthened to reduce the incidence rate of children's unintentional injury.

Key words: unintentional injury, clinical investigation, children

摘要： 目的 了解上海部分地区儿童意外伤害的流行病学特征, 探讨儿童意外伤害的相关危险因素。方法 采用自制的《儿童意外伤害登记表》对1 189名因意外伤害就诊于复旦大学附属儿科医院急诊的0～18岁儿童进行调查。结果 1 189例意外伤害儿童中, 男童776例(65.3%), 女童413例(34.7%)。意外伤害类型以跌落(51.98%)、碰击伤(14.97%)和交通事故(11.27%)为主。意外伤害发生的场所主要发生在家中。儿童性别、年龄段、时间段、看护者、所处环境及当时活动的差异有统计学意义。结论 儿童性别、年龄、时间、地点、当时的活动及当时的看护者都是儿童意外伤害发生的相关因素。必须加大儿童意外伤害的安全教育力度, 提高安全意识与儿童所处环境的安全性, 减少儿童意外伤害的发生。

关键词: 意外伤害, 临床调查, 儿童