玉树地震骨折伤员的伤情分析  

An epidemiological survey of orthopedic injury in 2010＇s Yushu earthquake

作　　者：李庭[1] 蒋协远[1] 陈辉[1] 杨征[1] 汪晓泊[1] 王满宜[1] 

机构地区：[1]北京大学医学部第四临床医学院,北京积水潭医院创伤骨科,100035

出　　处：《中华创伤骨科杂志》2013年第6期486-489,共4页Chinese Journal of Orthopaedic Trauma

基　　金：北京市科技新星计划（2009B13）

摘　　要：目的分析玉树地震所致骨折伤员的伤情特点，为合理调配、使用医疗资源，更好实施地震灾区的医疗救援提供参考。方法对2010年4月14至21日收治的582例玉树地震骨折伤员的临床资料进行整理，分析性别、年龄、民族构成，伤情分布，以及骨折特点（骨折部位、骨折类型、合并伤）与性别和年龄的关系。结果582例骨折伤员中男性占48．3％（28l／582），女性占51．7％（301／582）。不同年龄段所占比率大小依次为成人（81．6％，475／582）、老年（12．4％、72／582）、儿童（5．8％，34／582）、婴儿（0．1％，7／582）。骨折伤员中85．1％（495／582）为藏族、汉族其次（12．0％，70／582）。最常见的是下肢骨折（26．3％，153／582），其次是骨盆、髋臼骨折（21．6％，126／582），最少见的是手外伤（5．0％，29／582）。骨盆、髋臼骨折伤员中女性例数多于男性，差异有统汁学意义（P=0．001）；而其他骨折部位、骨折类型、合并伤的男女例数差异均无统计学意义（P〉0．05）。骨折部位、骨折类型、合并伤在小同年龄段分布差异均尤统计学意义（P〉0．05）。结论玉树地震骨折伤员中成年人占绝对多数，男女比率相当；骨折特点与伤员的年龄和性别无关系；地区特殊的房屋结构决定r开放骨折和合并挤压综合征的伤员比率相对低。Objective To analyze the epidemiological characteristics of the fractures that occurred in 2010＇s Yushu earthquake, Qinghai, China for better utilization and allocation of medical resources in the medical rescue in this earthquake-stricken area. Methods We conducted an epidemiological survey of the 582 orthopedic patients who had been injured in the 2010＇ s Yushu earthquake and transferred to hospitals in Xining city. Their clinical data were collected and analyzed to determine any association among gender, age, ethnic identity and fracture features （including location, type and complications） of these patients. Results Of the 582 fracture victims, males accounted for 48.3% （281/582） and females 51.7% （301/582）. The proportions of different age groups in all these fracture patients were as follows： adults accounted for the largest （81.6%, 475/582）, next by the aged （12.4%, 72/582）, followed by children （5.8%, 34/582） and last by infiants （0. 1%, 7/582） . Tibetan patients accounted for 85. 1% （495/582） and Han patients for 12.0% （70/582）. The greatest majority of fraetures were lower limb ones （26.3%, 153/582）, next by pelvic and acetabular ones （21.6%, 126/582）, and least by the hand injury （5.0%, 29/582） . There were significantly more female patients with a pelvic or acetabular fracture than male ones （ P =0. 001 ）, but there wel~ no significant gender differences among patients with other fracture locations, types and complications （ P 〉 0, 05） . There were no significant differences regarding fracture lueation, type and complication among different age groups （ P 〉 0. 05） . Conclusions The fractured patients in the Yushu earthquake were mostly aduhs and mainly Tibetans. There was no proportional difference between males and females. There were no associations of fi＇acture features with age or gender. The ratios of patients with open fracture and crush syndrome were relatively low because of the special housing stnlctures in this area.

关 键 词：地震 创伤和损伤 骨折 玉树 

分 类 号：R683[医药卫生—骨科学]