华南地区国人肋骨骨折的流行病学调查  

Epidemiological investigation of patients with rib fracture in South China

作　　者：何哲[1] 乔贵宾[2] 查露露[2] 

机构地区：[1]南方医科大学研究生学院,广东广州510515 [2]广州军区广州总医院胸外科,广东广州510010

出　　处：《海南医学》2015年第7期1072-1074,共3页Hainan Medical Journal

摘　　要：目的分析我国华南地区肋骨骨折患者的流行病学特征及临床特点,为进一步提高肋骨骨折,尤其是重度肋骨骨折的救治水平提供客观依据。方法回顾性收集广州军区广州总医院胸外科、急诊科、ICU及创伤骨科2009年1月至2014年3月间收治的353例肋骨骨折患者的临床资料,就其年龄分布、受伤原因、受伤类型等进行统计分析。结果我国华南地区肋骨骨折患者以男性为主,年龄分布主要集中于41~60岁。患者受伤季节多在冬季,时间以晚夜间为主。受伤原因以交通事故最常见,占53.5%。单侧骨折的发生率高于双侧骨折,骨折部位则以解剖结构薄弱的侧区为高发。结论本研究揭示了我国肋骨骨折患者的流行病学特点,为肋骨骨折治疗的手段选择及发展方向提供了依据。Objective To analyze the epidemiological features and clinical characteristics of patients with rib fracture in South China, in order to provide objective bias for the further improvement of treatment level about rib fracture, especially severe rib fracture. Methods Clinical data of 353 patients diagnosed with rib fracture were retro-spectively extracted from Department of Thoracic Surgery, Emergency Department, Intensive Care Unit and Depart-ment of Trauma Orthopedics in General Hospital of Guangzhou Military Command from January 2009 to March 2014. The age distribution, causes and type of fracture, and other conditions of these patients were statistically ana-lyzed. Results Patients with rib fracture in South China were mainly male, and the age distribution focused in the range of 41~60 years old. Patients were mostly injured in winter, and most of them injured at night. Of all the 353 patients, traffic accident was the most common cause of rib fracture, accounting for 53.5%. The incidence of uni-lateral fracture was higher than those of bilateral fracture. Lateral segment fracture of rib has the highest inci-dence, for its weakness in anatomical structure. Conclusion This research reveals the epidemiological character-istics of patients with rib fracture for the purpose of providing bias of the choice and improvement direction of treatment about rib fracture.

关 键 词：肋骨骨折 流行病学 外科治疗 

分 类 号：R195[医药卫生—卫生统计学]