摘要
目的探讨2009年至2018年10年期间河北医科大学第三医院股骨髁上骨折住院患者的流行病学特征。方法利用医学影像计算机存档与传输系统及病案查询系统收集2009年1月至2018年12月期间诊治的所有股骨髁上骨折住院患者资料,描述患者的性别、年龄、基本社会学资料、致伤原因等流行病学特征,将2009年1月至2013年12月的患者资料定为A组,2014年1月至2018年12月的患者资料定为B组,比较两组患者的一般资料,总结出10年期间股骨髁上骨折住院患者的流行病学特征及变化趋势。结果收集了508例股骨髁上骨折住院患者,其中男279例(54.9%),女229例(45.1%);年龄为1~94岁,平均44.3岁。其中41~50岁年龄段患者最多(104例,23.9%)。男性患者中41~50岁居多,占33.3%(80/279);女性患者中51~60岁居多,占30.3%(59/229)。50岁以下患者中女性占比(37.1%)显著低于50岁以上患者(62.9%),差异有统计学意义(P<0.05)。骨折根据AO分型:A1型193例(38%),A2型117例(23%),A3型198例(39%);根据职业划分:农民270例(53.1%),工人164例(32.4%),学生74例(14.5%)。致伤原因中高能量损伤居多(56.5%)。低能量损伤患者的年龄(50.5±20.7)岁显著高于高能量损伤者(39.5±19.6)岁,差异有统计学意义(P<0.05)。与A组患者城市人口(30.0%)、低能量损伤(37.9%)、A1型骨折(23.9%)相比,B组患者各项指标(43.3%、46.9%、32.3%)均较高;与A组患者年龄(41.9±21.8)岁相比,B组患者[(45.9±19.9)岁]明显增加;而B组的A3型骨折患者占比(36.3%)显著低于A组(46.5%),以上项目两组间比较差异均有统计学意义(P<0.05)。结论本研究结果提示股骨髁上骨折多见于农民,A3型骨折居多,男性多见于41~50岁,女性多见于51~60岁,中青年人男性多于女性,中老年女性多于男性,复杂骨折中青年居多,简单骨折老年人居多,低能量损伤中高龄患者居多。近10年股骨髁上骨折患者逐年递增,近5年较前5年的股骨髁上骨折老龄化趋势�
Objective To investigate the epidemiological characteristics of the in-patients with femoral supracondylar fracture in the Third Hospital of Hebei Medical University from 2009 through 2018.Methods The medical imaging computer archiving and transmission system and the medical record inquiry system were used to collect the data of all the in-patients with femoral supracondylar fracture who had been treated from January 2009 through December 2018 in The Third Hospital of Hebei Medical University.Their gender and age distribution,basic sociological data and cause of injury were characterized.The in-patients from January 2009 to December 2013 were assigned into group A while those from January 2004 to December 2018 into group B.The 2 groups were compared to find out the epidemiological characteristics and trends of the in-patients with femoral supracondylar fracture in the 10 years.Results Of the 508 in-patients with femoral supracondylar fracture,279(54.9%)were male and 229(45.1%)female.Their age ranged from 1 to 94 years,averaging 44.3 years.The age group from 41 to 50 years accounted for the largest proportion(104 cases,23.9%).In males,the age group from 41 to 50 years accounted for the largest proportion(33.3%,80/279);in females,the age group from 51 to 60 years the largest proportion(30.3%,59/229).The proportion of females in the in-patients under 50 years of age(37.1%)was significantly lower than that(62.9%)in the in-patients over 50 years of age(P<0.05).According to the AO classification,there were 193 cases(38%)of type 33-A1,117 ones(23%)of type 33-A2 and 198 ones(39%)of type 33-A3.There were 270 farmers(53.1%),164 workers(32.4%)and 74 students(14.5%).Most injuries were caused by high energy(56.5%).The age of in-patients with low-energy injury(50.5±20.7 years)was significantly higher than that of in-patients with high-energy injury(39.5±19.6 years)(P<0.05).The proportions of urban residents(30.0%),patients with low energy injury(37.9%)and type 33-A1 fractures(23.9%)in group A were significantly lower than in
作者
吕红芝
王娟
陈伟
宇文培之
李栋正
张英泽
Lyu Hongzhi;Wang Juan;Chen Wei;Yuwen Peizhi;Li Dongzheng;Zhang Yingze(Emergency Center of Trauma,Key Laboratory of Orthopaedic Biomechanics of Hebei Province,Orthopaedic Research Institution of Hebei Province,The Third Hospital of Hebei Medical University,Shijiazhuang 050051,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2019年第5期392-397,共6页
Chinese Journal of Orthopaedic Trauma
基金
国家自然科学基金青年科学基金(81501934).
