胫骨干骨折流行病学特征的地区差异分析  

The epidemiology comparative analysis of tibial shaft fracture in different hospitals of region

作　　者：赵海涛[1,2,3] 殷兵[1,2,3] 李彦森[1,2,3] 孙然[1,2,3] 孙涛[1,2,3] 陈伟[1,2,3] 王娟[1,2,3] 蔡贤华[4] 黄仲奎[5] 郭晓山[6] 郝宏毅[7] 王海立[1,2,3] 刘磊[1,2,3] 张如云[1,2,3] 程家祥[1,2,3] 朱燕宾 刘松[1,2,3] 孙家元[1,2,3] 杨宗酉[1,2,3] 张英泽[1,2,3] 

机构地区：[1]河北医科大学第三医院创伤急救中心 [2]河北医科大学第三医院生物力学重点实验室 [3]河北省骨科研究所,河北石家庄050051 [4]广州军区武汉总医院,湖北武汉430000 [5]广西医科大学第一附属医院,广西南宁530000 [6]温州医学院附属第二医院,浙江温州325000 [7]宁夏自治区人民医院,宁夏银川750000

出　　处：《中国临床医生杂志》2015年第2期42-45,共4页Chinese Journal For Clinicians

摘　　要：目的对四所不同省份医院胫骨干骨折进行回顾性调查,并对其流行病学特征进行对比分析。方法选择四所不同省份综合性三级甲等医院,分别为广西医科大学第一附属医院、广州军区武汉总医院、温州医学院附属第二医院、宁夏自治区人民医院,选取2010年1月至2011年12月间所有成人胫骨干骨折的病例,采集所有病例性别、骨折时年龄,按AO/OTA骨折综合性分型方法进行分型,对四所医院患者平均年龄、性别、骨折构成比等进行对比分析。结果四所医院胫骨干成人骨折患者平均年龄差异有显著性(χ2=33.250,P<0.001),广州军区武汉总医院平均年龄均高于其他三所医院,其他三所医院间差异均无显著性;四所医院患者性别构成比差异无显著性(χ2=0.707,P=0.871),均为男性多于女性;儿童和成人构成比差异有显著性(χ2=64.485,P<0.001),广州军区武汉总医院儿童骨折所占比例低于其他三所医院,其他三所医院间差异均无显著性;四所医院成人胫骨干骨折类型构成比差异有显著性(χ2=12.975,P=0.005),广西医科大学第一附属医院复杂骨折比例高于宁夏自治区人民医院,其他医院间差异均无显著性。结论胫骨干骨折流行病学特征具有一定的地区差异。Objective The tibial shaft fractures were investigated retrospectively in four hospitals of different provinces and its epidemiological characteristics were analyzed comparatively. Method The X-ray films from four hospitals which were The 1st affiliated hospital of Guangxi medical university,Wuhan general hospital of Guangzhou military,The 2nd affiliated hospital of Wenzhou medical university,Ningxia people’s hospital radiology department from January 1,2010 to December,2011 were reviewed access to screening. All the tibial shaft fractures were selected and the age and sex were collected. The adult fractures were classified according to AO / OTA fracture comprehensive classification method. We summed up the average age,gender ratio,and ratio of adult fractures constitution of four hospitals and analyzed them. Result There were significant difference（ χ2= 33. 250,P 〈 0. 001） on the average age in the four hospitals and the average age in Wuhan general hospital of Guangzhou military was bigger than the three hospitals. There were no significant difference in the three hospitals. There were no significant difference（ χ2= 0. 707,P = 0. 871） on the ratio of sex in four hospitals and the male were more than the female. There were significant difference（ χ2= 64. 485,P 〈 0. 001） on the ratio of age in the four hospitals and the ratio of pediatric fracture in Wuhan general hospital of Guangzhou military was more than the three hospitals. There were no significant difference in the three hospitals. There were significant difference（ χ2= 12. 975,P = 0. 005） on the ratio of fracture type in the four hospitals. the ratio of comminution fracture in Wuhan general hospital of Guangzhou military was more than in the Ningxia people’s hospital and There were no significant difference in the three hospitals. Conclusion Epidemiological characteristics of tibial shaft fractures have some regional differences.

关 键 词：胫骨 骨折 分类 流行病学 

分 类 号：R684[医药卫生—骨科学]