[目的]探索有效降低学龄前儿童意外伤害的临床案例的院外干预措施。[方法]选择2009年至2012年期间临安市60所幼儿园儿童，共计8600例。对照分析干预前后不同性别儿童意外伤害发生情况、意外伤害的发生率、不同监护人儿童意外伤害发生情况、监护人认知行为和急救技能评分。[结果]干预前后意外伤害发生率差异性显著(P<0.05)。干预前后男童意外伤害发生率差异性显著(P<0.05)。干预前后监护人为父母或幼托老师者意外伤害发生率差异性显著(P<0.05)。干预后监护人防范认知、防范态度、防范行为及急救技能评分显著高于干预前(P<0.05)。[结论]院外意外伤害干预措施能有效的降低院内临床儿童意外伤害的发生。院外防御教育干预措施是有效、可行的，儿童意外伤害的发生是可控的。儿童保健医者应重视院外儿童意外伤害干预措施，降低儿童意外伤害的发生率。%Objective]To explore the effective interventions to reduce preschoolers' accidental injury in the region.[Methods] A total of 8600 children of 60 kindergartens in Lin'an City were enrol ed from 2009 to 2012. This study investigated the incidence of accidental injury, the gender difference of acciden-tal injury, the guardian difference of accidental injury, guardian cognitive behavior and first aid skil score before and after the intervention. [Results] There was significant difference in the incidence of accidental injury before and after the intervention. The incidence of boy accidental injury was significantly higher than that of girl injury between pre-intervention and post-intervention. There was significant difference in the accidental injury incidence of the preschoolers with guardian parents or preschool teachers before and after the intervention. Prevention awareness, attitude, behavior, and first aid skil score of guardian with intervention were significantly higher than pre-intervention. [Conclusion] Health education interventions to reduce the occurrence of ac-cidental injury in children are effective and feasible. Children accidental injuries are control able. In different regions, child-care workers should take the corresponding health education interventions to reduce the incidence of children accidental injury according to the regional situation.
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