目的 了解婴幼儿股骨干骨折住院患儿的流行病学特征,并探讨预防对策.方法 对2015年1月—2019年12月本科收治的195例股骨干骨折婴幼儿信息进行回顾性流行病学分析.结果 婴幼儿股骨干骨折患儿平均年龄为(22.3±8.5)月;男女性别比为1.83:1;受伤季节以春夏季为主;每天的12时～18时为事故高发时段;受伤原因以摔伤为主,占57.4％;受伤地点以家中为主,占69.2％;治疗方式主要采取垂直悬吊皮肤牵引后髋人字石膏固定,占68.2％;平均住院时间为(16.9±6.38)d.结论 本研究结果显示了苏州地区婴幼儿股骨干骨折住院患儿的流行病学特征及变化趋势,为降低婴幼儿股骨干骨折的发生率,本研究从年龄、性别、季节、骨折好发地点等方面采取针对性及重点性的预防干预,着重加强监护人安全教育,并借助社区力量,为婴幼儿健康成长创造良好的环境.

Objective:To explore the reports on the pain intensity and the use of pain relief strategies of parents in postoperative pain management of orthopedic children, and analyze related influencing factors.Methods:From January to August 2020, purpose sampling was used to select 200 parents of children who underwent elective surgery in the Department of Orthopedics of a Class Ⅲ Grade A children hospital in Suzhou City. The survey was conducted using the General Information Questionnaire, Wong-Baker FACES Pain Rating Scale, and Parents' Use of Pain Relief Strategies (PUPRS) Questionnaire. A total of 200 questionnaires were distributed, and 197 were effectively returned, with an effective rate of 98.5%.Results:The 197 orthopedic children's parents reported a score of (6.75±2.19) on the pain intensity of the children, 36.5% and 53.3% of them were moderate and severe respectively. The PUPRS score was 52.0 (9.00) , 70.6% and 28.4% were at medium and high levels, respectively. Multivariate analysis showed that parents' gender and education level were the influencing factors of PUPRS ( P<0.05) . Conclusions:Parents of most orthopedic children report severe postoperative pain intensity, and their use of pain relief strategies is at a medium to a high level, and is affected by gender and education level. However, the use of painkillers and certain pain relief strategies is lacking. In the future, clinical medical and nursing staff should formulate reasonable health education programs to further promote and improve parents' pain management practices.