儿童鼻骨骨折临床特点分析  

Analysis of the clinical characteristics in children′s nasal bone fracture

作　　者：张璞[1] 王欣[1] 高海涛[1] 张勋[1] 穆俊晌[1] 

机构地区：[1]河北医科大学第三医院耳鼻咽喉科,河北石家庄050000

出　　处：《河北医科大学学报》2017年第3期301-305,共5页Journal of Hebei Medical University

摘　　要：目的观察儿童鼻骨骨折的临床特点,为更好预防和治疗儿童鼻骨骨折提供临床依据。方法回顾性分析鼻骨骨折患者287例,其中儿童(年龄≤18岁)58例,成年人229例(年龄>18岁)。记录儿童组及成年人组性别、年龄、受伤原因、受伤时期、是否伴有鼻中隔偏曲等情况,并将儿童组细分为学龄前组(年龄≤7岁)、小学组(年龄8~14岁)、中学组(年龄15~18岁)进行分析。结果儿童鼻骨骨折的发病人数要明显少于成年人,儿童组中发病人数最多的是中学组;与成年人组相同,各个年龄段儿童的发病人数均为男性多于女性;中学组鼻骨骨折与成年人组一样,暴力打伤是其主要发病原因,而学龄前组和小学组无此特点;夏季是成年人组和中学组儿童鼻骨骨折发生的高发时期,而学龄前组和小学组缺乏明确的时间分布;成年人组发生鼻骨骨折后伴发鼻中隔偏曲的比例明显高于儿童组。结论儿童发生鼻骨骨折相比于成年人有其自身的特点,小学以下的儿童鼻骨骨折无明显的时间分布,中学组与成年人鼻骨骨折高峰多在6月、9月和12月,不同年龄阶段儿童鼻骨骨折特点也不相同,认识上述特点对于更好预防和治疗儿童鼻骨骨折有重要意义。Objective To analyze the characteristics of nasal bone fracture in the pediatric population and to provide clinical basis for better prevention and treatment. Methods We conducted a retrospective review on a series of 287 patients, 58（aged≤18 years） and 229（aged〉 18 years）, with nasal bone fracture who had been treated at our hospital. The following parameters were evaluated, sex, age, cause, monthly distribution and deviation of nasal septum. The children group were subdivided into preschool group（aged≤7 years）, elementary school group（aged 8-14 years） and middle school group（aged 15-18 years）. Results Compared to adults, nasal bone fracture was infrequent in pediatric population, and childrenrs nasal bone fractures were most occurred in middle school group. The numbers of man in each age group were higher than that of women as well as adults. Unlike the preschool group and elementary school group, the incidence of nasal bone fracture caused by violence was higher in middle school group and adult group. Nasal bone fractures in middle school group and Adult group were most commonly occurred in summer, and the other groups were lack of clear time distribution. Unlike the adult group, the deviation of nasal septum was less likely occurred in children. Conclusion Compared to adults, children＇s nasal bone fracture has its own characteristics. Nasal bone fracture in the preschool group and elementary group chidren were lack of clear time distribution, but that in middle school group and ault group were most commonly occurred in june, september and december, and different ages have different characteristics. This study may be helpful in prevention and treatment.

关 键 词：骨折 鼻骨 儿童 

分 类 号：R765.8[医药卫生—耳鼻咽喉科]