摘要
目的分析10年期间河北医科大学第三医院胫骨平台骨折的流行病学特征及其变化趋势。方法收集2009年1月1日到2018年12月31日河北医科大学第三医院符合纳入和排除标准的胫骨平台骨折住院患者的一般资料、疾病相关信息及影像学资料,按照入院年份划分为前、后5年2组: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,比较两组患者的性别、年龄、职业、致伤原因、骨折Schatzker分型,总结出10年期间胫骨平台骨折的流行病学特征及变化趋势。结果本研究共纳入胫骨平台患者1 936例,男1 352例,女584例;男女比为2.32∶1。高发年龄段为50~59岁,其中男性为40~49岁,女性为50~59岁。A组793例,男女比为1.89∶1;B组1 143例,男女比为2.69∶1。A、B两组性别构成比差异有统计学意义(P<0.05)。A组高发年龄段40~49岁(25.09%,199/793),B组高发年龄段为50~59岁(23.27%,266/1 143)。A、B两组≥50岁年龄段性别构成比差异均有统计学意义(P<0.05)。A组和B组中均为体力劳动者占比最高,分别为57.12%(453/793)、52.58%(601/1 143)。A、B两组间职业占比差异有统计学意义(P<0.05)。仅有1 837例患者明确致伤原因,所有患者中跌落和室内活动损伤占比最高(41.92%,770/1 837)。A组交通事故伤占比最高(33.25%,248/769),B组跌倒和室内活动损伤占比最高(48.88%,522/1 068)。两组致伤原因差异有统计学意义(P<0.05)。共调取了1 658例胫骨平台患者的X线片,其中高发骨折类型为Ⅱ型和Ⅵ型。A组Ⅵ型骨折占比最高(25.70%,157/611),B组Ⅱ型骨折占比最高(34.19%,358/1 047)。A、B两组的各骨折分型差异有统计学意义(P<0.05)。结论胫骨平台骨折流行病学特点为男性多于女性,体力劳动者为高发职业,跌倒和室内活动为最常见致伤原因,好发骨折类型为SchatzkerⅡ、Ⅵ型。前、后5年对比结果显示胫骨平台骨折有老龄化趋势。
Objective To analyze the epidemiological characteristics of all the patients with tibial plateau fracture admitted to the Third Hospital of Hebei Medical University in the past 10 years.Methods The picture achieving and communication system was used to collect the general information and disease-related information from the hospitalized patients with tibial plateau fracture who met the inclusion and exclusion criteria from January 1,2009 to December 31,2018.The patients from January 1,2009 to December 31,2013 were assigned into group A while those from January 1,2014 to December 31,2018 into group B.The 2 groups were compared to find out the epidemiological characteristics and trends of tibial plateau fractures in the past 10 years in gender,age,occupation,injury cause and Schatzker classification.Results A total of 1,936 patients with tibial plateau fracture were included in the study,including 1,352 males and 584 females with a male to female ratio of 2.32∶1.The peak age ranged from 50 to 59 years,with 40 to 49 years for males and 50 to 59 for females.There were 793 cases in group A(a male to female ratio of 1.89∶1)and 1,143 ones in group B(2.69∶1),showing a significant difference between the 2 groups in the male to female ratio(P<0.05).The peak age ranged from 40 to 49 years(25.09%,199/793)in group A and from 50 to 59 years(23.27%,266/1,143)in group B.There were significant differences between the 2 groups in the constituent ratios of age groups from≥50 years(P<0.05).Physical workers accounted for the highest proportion in group A(57.12%,453/793)and group B(52.58%,601/1,143).There were significant differences between the 2 groups in the constituent ratios of occupations(P<0.05).In all the 1,837 patients with a definite injury cause,the fall and indoor activity accounted for the highest proportion(41.92%,770/1,837),the traffic accident(33.25%,248/769)in group A did and the fall and indoor activity(48.88%,522/1,068)in group B did too.There were significant differences between the 2 groups in the injury c
作者
宇文培之
李栋正
吕红芝
闫晓丽
杨娜
张英泽
Yuwen Peizhi;Li Dongzheng;Lyu Hongzhi;Yan Xiaoli;Yang Na;Zhang Yingze(Department of Orthopaedics,Laboratory of Orthopaedic Biomechanics of Hebei Provice,The Third Affiliated Hospital to Hebei Medical University,Orthopaedic Research Institution of Hebei Province,Shijiazhuang 050051,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2019年第8期693-698,共6页
Chinese Journal of Orthopaedic Trauma
关键词
膝关节
流行病学
年龄分布
性别分布
胫骨平台骨折
Knee joint
Epidemiology
Age distribution
Gender distribution
Tibial plateau fracture
