中国西部与东部地区2010至2011年成人Barton骨折的流行病学特点  

Epidemic characteristics of adult Barton′s fractures between Western and Eastern of China from 2010 to 2011

作　　者：李石伦 李傲 崔鹏 张英泽[1] Li Shilun;Li Ao;Cui Peng;Zhang Yingze(Emergency Center of Trauma,Key Laboratory of Orthopedic Biomechanics of Hebei Province,Third Hospital of Hebei Medical University,Orthopedic Research Institution of Hebei Province,Shifiazhuang 050051,China)

机构地区：[1]河北医科大学第三医院河北省骨科研究所河北省骨科生物力学重点实验室,石家庄050051

出　　处：《中华医学杂志》2019年第1期62-66,共5页National Medical Journal of China

基　　金：河北省卫生和计划生育委员会青年科技课题(20180429).

摘　　要：目的 对比分析我国西部与东部地区成人Barton骨折的流行病学特征。 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西部地区和东部地区共63家医院2010年1月至2011年12月诊治的成人Barton骨折资料。西部地区28家医院定义为西部组,东部地区35家医院定义为东部组,对比分析两组患者的性别、年龄、各年龄段骨折例数等资料。计数资料采用χ^2检验,计量资料根据其正态性选择相应的统计学方法进行比较。 结果 共收集1 191例Barton骨折,占尺桡骨远端骨折的4.0%(1 191/29 825)。男女比例为1∶1.02,高发年龄段为51-60岁(21.4%)。掌侧Barton骨折736例(61.8%),背侧455例(38.2%)。西部组403例,男222例(55.1%),女181例(44.9%);东部组788例,男368例(46.7%),女420例(53.3%),两组性别比例差异有统计学意义(χ^2=7.502,P<0.05)。西部和东部组年龄中位数分别为44岁(16-94岁)和51岁(16-91岁),差异有统计学意义(Z=-5.079,P<0.05)。两组掌侧Barton骨折分别有238例和498例,背侧Barton骨折分别有165例和290例,差异无统计学意义(χ^2=1.937,P>0.05)。 结论 成人Barton骨折高发年龄为51-60岁,掌侧Barton骨折多于背侧,女性多于男性。西部地区男性多发,东部地区女性多发;西部地区患者年龄小于东部地区。Objective To compare and analyze the epidemiological features of adult patients with Barton′s fractures between Western and Eastern in China. Methods The data of adult patients with Barton′s fractures treated from January 2010 to December 2011 in 63 hospitals in Western and Eastern of China were collected through the picture archiving and communication systems (PACs) and case reports checking system. The data of 28 hospitals in Western China were classified as group Western, while data of 35 hospitals in Eastern China were classified as group Eastern, and the analytic items included gender, age and age distribution. The counting data were tested by chi-square test, and the measurement data were compared with the corresponding statistical methods according to the normality. Results A total of 1 191 cases were collected, accounted for 4.0% of all the distal radius fracture (1 191/29 825). The total male/female ratio was 1∶1.02. The adult Barton′s fractures predominated in an age range from 51 to 60 years (21.4%). There were 736 cases of volar Barton′s fractures (61.8%), and 455 cases of dorsal Barton′s fractures (38.2%). The patients were divided into group Western (403 cases) and group Eastern (788 cases) respectively. There were 222(55.1%) males and 181(44.9%) females in group Western, while 368(46.7%) males and 420(53.3%) females in group Eastern (χ^2=7.502, P<0.05). The median age of the two groups were 44(16-94) years and 51(16-91) years (Z=-5.079, P<0.05). Cases of volar and dorsal Barton′s fractures in group Western were 238 and 165 cases, while there were 498 and 290 cases in Group Eastern (χ^2=1.937, P>0.05). Conclusions The peak age of adult Barton′s fractures is from 51 to 60 years with more female patients than male. Volar Barton′s fractures outnumbers dorsal type. In Western China, the majority are male patients, which differs from Eastern. The patient age in Western China is significantly lower than it in Eastern.

关 键 词：桡骨骨折 BARTON骨折 腕损伤 流行病学 成年人 

分 类 号：R683[医药卫生—骨科学]