اپیدمیولوژی حوادث در شیرخواران و نو پایان -24 6 ماهه

نویسندگان

1 استادیار بیماری های عفونی کودکان ، دانشگاه علوم پزشکی مشهد، مشهد، ایران

2 پزشک عمومی ، دانشگاه علوم پزشکی مشهد ، مشهد، ایران

3 مربی دانشکده پیراپزشکی و بهداشت دانشگاه علوم پزشکی مشهد ، مشهد، ایران

4 دا شیار گروه پزشکی اجتماعی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

مقدمه
حوادث عامل شایع ناخوشی و از شایعترین علل مرگ ومیر در کودکان (از سایر جهات سالم )می باش . دن اطلاعات موجود در مورد علت شناسی و بوم شناسی حوادث در دو سال اول زندگی (به خصوص در ایرا ) ن ناچیز است . پژوهش حاضر به بررسی میزان و نحوه توزیع سوانح در شیر خواران زیر یکسال شهر مشهد پرداخته است .
روش کار
این تحقیق، مطالعه ای توصیفی مقطعی بر یک گروه 1000 نفره شیرخوار -24 )6 ماهه) از تمامی مراکز بهداشتی درمانی شهر مشهد است، که در نیمۀ دوم سال 1384 با استفاده از پرسشنامه، از نظ ر سابقۀ حوادث (رخ داده از بدو تولد) مورد بررسی قرارگرفتند . اطلاعات با استفاده ار نرم افزار SPSS مورد تجزیه و تحلیل قرار گرفت .
نتایج
سن متوسط گروه مورد مطالعه 13 8/ ± 8/7 ماه بود .در این مدت /55 7% از افراد گروه یکی از انـواع آسـیبها را تجربـه کرد .ند حوادث تجربه شده به ترتیب شیوع عبارتند از: سـقوط /13 )4%)، حالـت خفگـی ناشـی از آسپیراسـیون مـواد غـرق ،(% )5/1 نقلیـه وسـایل بـا تصـادف ،(% )9/3 مسـمومیت ،( %10 )9/ سوختگی ( %11 )9/ بریدگی ،(%12 )8/ جامد شدگی 7/0( % ) و برق گرفتگی 6/0( % ). مراجعه سرپایی به پزشک به دلیل حاد ثـه در 50 مـورد 5( %) انجـام شـد کـه شایعترین علت آن سوختگی ( 16 مورد معادل ) %6/1 بود. در این گروه 80 مورد بستری در بیمارسـتان گـزارش شـد که فقط 7 مورد ناشی ازحادثه بود و مسمومیت با 3 مورد شایعترین حادثه منجر به بستری بود .
نتیجه گیری
شیوع دورهای آسیبها در جمعیت مورد مطالعه /55 7% مـی باشـد . سـقوط، آسپیراسـیون اجسـام خـارجی، بریـدگی و سوختگی به ترتیب شایعترین آسیبهای رخ داده در شیرخواران مشهدی بودند

کلیدواژه‌ها

عنوان مقاله [English]

Epidemiology of Injuries in Toddlers and Infants (6-24 Months)

نویسندگان [English]

  • Mohammad Saeed Sasan 1
  • Ehsan Beykzadeh 2
  • Shahin Saeedinejat 3
  • Kolsoum Deldar 3
  • Mohammad Khajedaluee 4
1 Assistant professor of Pediatrics, Mashhad University of Medical Sciences, Mashhad, Iran
2 General Practitioner,Mashhad University of Medical Sciences, Mashhad, Iran
3 Master of Science in Nursing, Nursing and Midwifery School of Mashhad University Of Medical Sciences, Mashhad, Iran
4 -Associate professor of Biostatics,Mashhad University of Medical Sciences, Mashhad, Iran
چکیده [English]

Introduction
Injury is a leading cause for morbidity and mortality in otherwise healthy children. There are few data (especially in Iran)about epidemiology and incidence of injury in the first two years of life.
Materials and Methods
This research was a cross sectional descriptive study on a group of 1000 infants (6-24 months old), from all the health care centers in Mashhad, who were evaluated about the history of any kind of injury since birth. The study was performed in autumn of 2004.
Results
The mean age of the study group was 13.8±7.8 months. During this time 55.7% of the infants had experienced some kind of injury.The occurred injuries in order of frequency were Falls (13.4%), Chocking due to foreign body aspiration (12.8%), Cuts and lacerations (11.9%), Burning (10.9%), Poisoning (3.9%) Traffic accidents (1.5%) Drowning (0.7%) and electrical injuries (0.6%). Overall Fifty infants (5%) in our group were visited (for accident) in an office by a doctor, which burning (with 16 outpatient visits) was the most common injury in this group. There was history of 80 hospital admission in the study group but only seven of them were due to accidents, and poisoning in three cases was the most common cause of injury related admission.
Conclusion
The periodic prevalence of injuries in our study group was 55.7%. Falls, Chocking (due to foreign body aspiration), Cuts and burns were (in order of frequency) the most common types of the injuries in infants of Mashhad. Injury was not a significant cause for hospital admission in this age group.

کلیدواژه‌ها [English]

  • Accident
  • Burning
  • Falls
  • Injury
  • Infants
  • Injury revention

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 54، شماره 4 - شماره پیاپی 4
آذر و دی 1390
صفحه 201-206

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