2010年至2011年中国东部地区与西部地区成人单发楔骨骨折的流行病学对比分析  

Epidemiological investigation of adult single fractures of cuneiform in the east and west areas in China from 2010 through 2011

作　　者：金霖[1] 郭家良[1] 常恒瑞 邢恩增 鞠林林 田野[1] 陈伟[1] 孙家元[1] 刘涛[1] 刘磊[1] 朱燕宾 刘松[1] 张英泽[1] 

机构地区：[1]河北医科大学第三医院创伤急救中心,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2期152-156,共5页Chinese Journal of Orthopaedic Trauma

摘　　要：目的对比分析我国尔部地区和西部地区成人单发楔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和西部地区63所医院诊治的成人楔骨骨折患者资料，将东部地区35所医院诊治的患者资料定为A组，西部地区28所医院诊治的患者资料定为B组，对比分析两组患者的年龄、性别和骨折分型。结果共收集457例成人楔骨骨折患者，其中A组384例，B组73例，占同期跗骨骨折的比例分别为4．38％（384／8772）和3．53％（73／2068），差异无统计学意义（P〉0．05）；占同期足部骨折的比例分别为1．71％（384／22455）和1．15％（73／6354），占同期成人全身骨折的0．20％（384／192991）和0．09％（73／81143），差异均有统计学意义（P〈0．05）。A组患者的中位数年龄39（29，50）岁大于B组36（25，45）岁，差异有统计学意义（P〈0．05）；A、B组患者的男女比分别为1．61：1（237／147）、1．52：1（44／29）；A、B组男性骨折高发年龄段均为21～30岁，构成比分别为28．69％（68／237）和38．64％（17／44）；A、B组女性骨折高发年龄段均为41～50岁，构成比分别为26．53％（39／147）和27．59％（8／29）；以上比较差异均无统计学意义（P〉0．05）。A组≥61岁年龄段构成比较高于B组，差异有统计学意义（P〈0．05）。两组高发骨折类型均为85-A1型，构成比分别为61．98％（238／384）和52．05％（38／73），B组85-B1型构成比高于A组，差异有统计学意义（P〈0．05）。结论成人单发楔骨骨折以男性多见。两地区高发人群均为青壮年，东部地区老年人群（≥61岁）单发楔骨骨折明显多于西部地区。两地区高发骨折类型均为简单骨折（85-A型），且均为内侧楔骨骨折高发，西部地区内侧楔骨粉碎性骨折（85-B1型）明显高于东部地区。Objective To compare the epidemiological characteristics of adult single fractures of the cuneiform between the east and west areas in China from 2010 through 2011. Methods Thirty-five hospitals in the east coast area （group A） and 28 hospitals in the west inland area （group B） were selected for this investigation. The data of adult single fracture of the cuneiform treated between January 2010 and De- cember 2011 at the 63 hospitals were collected through the PACS system and medical records inquiry system. The epidemiological characteristics concerning age, gender and fracture classification were compared between the 2 groups. Results A total of 457 adult single fractures of the cuneiform were collected, involving 384 cases in group A and 73 cases in group B. They aecounted respectively for 4.38% （384/8,772） and 3.53% （73/2, 068） of the adult tarsal bone fractures in the same period, showing no signifieant difference （ P 〉 0.05）, aecounted respectively for 1.71% （384/22, 455） and 1.15% （73/6, 354） of the adult foot frac- tures, showing a significant difference （ P 〈 0.05）, and accounted respeetively for 0.20% （384/192,991） and 0. 09% （73/81, 143） of all the adult fraetures, showing a significant difference （ P 〈 0. 05） . The median age was 39 years in group A （29, 50） and 36 years in group B （25, 45）, showing a signifieant difference （ P 〈 0.05）. The male to female ratio was 1.61：1 （237/147） for group A and 1.52：1 （44/29） for group B. The peak age range of the fi＇acture for males was from 21 to 30 years old in both groups, and its proportion was 28.69% （68/237） in group A and 38.64% （17/44） in group B. The peak age range of the fracture for females was from 41 to 50 years old in both groups, and its proportion was 26. 53% （39/147） in group A and 27.59% （8/29） in group B. All the above comparisons were statistically insignificant （ P 〉 0. 05）. The proportion of the age group of i〉61 years was significantly larger

关 键 词：骨折 流行病学 成年人 楔骨 

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]