2010年至2011年中国东部与西部地区成人肩胛骨骨折的流行病学对比分析  

Epidemiological comparison of adult scapular fractures between eastern and western areas in China from 2010 to 2011

作　　者：邵佳申 刘磊[1] 李佳[1] 于沂阳 郭家良[1] 田野[1] 张飞[1] 刘勃[1] 朱燕宾 刘松[1] 陈伟[1] 张英泽[1] 

机构地区：[1]河北医科大学第三医院骨科、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：《中华创伤骨科杂志》2018年第1期57-61,共5页Chinese Journal of Orthopaedic Trauma

基　　金：河北省医学科学重点研究课题（20170660）

摘　　要：目的对比分析我国东部地区与西部地区成人肩胛骨骨折的流行病学特征。方法回顾性分析2010年1月至2011年12月期间我国东部地区与西部地区63家医院诊治的成人肩胛骨骨折患者资料。将我国东部地区35家医院患者资料定为A组，西部地区28家医院患者资料定为B组，对比分析两组患者的性别、年龄、骨折AO分型等数据。结果共收集2063例患者，其中A组1376例，中位年龄为44岁，四分位数间距为33～56岁，男女比为3．50：1，骨折高发年龄段为41．50岁（24．49％）；B组687例，中位年龄为41岁，四分位数间距为31．51岁，男女比为3．09：1，骨折高发年龄段为41～50岁（26．64％）。两组患者中位年龄比较差异有统计学意义（Z=-3．798，P=0．000）；而男女比、骨折高发年龄段构成比比较差异均无统计学意义（P〉0．05）。A组16-20岁、31-40岁年龄段患者构成比低于B组，差异均有统计学意义（P〈0．05）。A组中年患者构成比较B组高，而青年患者构成比较B组低；AO分型14．A型骨折构成比（66．49％）显著高于B组（55．60％），而14-C型骨折构成比（21．37％）显著低于B组（29．55％），差异均有统计学意义（P〈0．05）。结论成人肩胛骨骨折男性多于女性。东部地区青年患者比例低于西部地区，中年患者比例高于西部地区；东部地区14-A型骨折构成比显著高于西部地区，而14-C型骨折构成比显著低于西部地区。Objective To compare and analyze the epidemiological features of adult patients with scapular fracture between eastern and western areas in China from 2010 to 2011. Methods The data of adult patients with scapular fracture who had been treated from January 2010 to December 2011 in 63 hospitals in the eastern and western areas in China were collected through the PACS system and case reports checking system. The data from the eastern 35 hospitals were classified as group A and those from the 28 western hospitals as group B. The analytic items included gender, age and AO classification. Results A total of 2, 063 cases were collected. The median age was 44 years （interquartile range, from 33 to 56 years） and gender ratio 3.50：1 in Group A of 1,376 cases; the median age was 41 years （interquartile range, from 31 to 51 years） and gender ratio 3.09：1 in Group B of 687 cases. There was a significant difference between the 2 groups in median age （Z = -3. 798, P = 0. 000）. There was no significant difference between the 2 groups in gender ratio or constituent ratio of fracture peak age （ P 〉 0. 05 ）. The proportions of patients from 16 to 20 and from 31 to 40 years old in group A were significantly lower than in group B （ P 〈 0. 05）. The proportion of middle-aged patients was significantly higher and that of young patients significantly lower in group A than in group B. The proportion of AO type 14-A fractures in group A （66.49%） was significantly higher than in group B （55.60%） while the proportion of AO type 14-C fractures was significantly lower （21.37%） in group A than in group B （29.55%） . Conclusions Most scapular fractures occurred in male patients. The proportion of young patients in the eastern area was lower than in the western area, but the proportion of middle-aged patients was higher in the eastern area than in the western area. The proportion of AO type 14-A fraetures in the eastern area was significantly higher than in the western area while the proportion of AO ty

关 键 词：肩胛骨 骨折 流行病学 病例对照研究 成年人 

分 类 号：R181.3[医药卫生—流行病学] R683[医药卫生—公共卫生与预防医学]