2013年至2017年南方医科大学南方医院创伤骨科首次出院的损伤患者流行病学研究  

Epidemiological survey on the inpatients with injury first discharged from Department of Orthopedic Trauma, Nanfang Hospital from 2013 to 2017

作　　者：周洪波[1] 招炽康 张明策 陈莉雅[1] 易薇[1] 许庆山 胡平玲[1] 莫晓红 Zhou Hongbo;Zhao Chikang;Zhang Mingce;Chen Liya;Yi Wei;Xu Qingshan;Hu Pingling;Mo Xiaohong(Department of Medical Quality Management,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Department of Orthopaedic Trauma,Nanfang Hospital,Southern Medical University,Guangzhou 510515,Chin)

机构地区：[1]南方医科大学南方医院医疗质量管理科,广州510515 [2]南方医科大学南方医院创伤骨科,广州510515

出　　处：《中华创伤骨科杂志》2018年第7期606-610,共5页Chinese Journal of Orthopaedic Trauma

基　　金：广东省医学科学技术研究基金（B2016105）

摘　　要：目的分析南方医科大学南方医院创伤骨科首次出院损伤患者的病因及病种构成。方法回顾性分析2013年1月至2017年12月南方医科大学南方医院首次出院的损伤患者的资料，记录患者的性别、区域来源、损伤外因分布和病种并采用IBMSPSS23．0统计学软件进行分析。结果首次出院的损伤患者6736例，男女比为2．71：1；虽然不同年份的男女比差异有统计学意义（X^2=10．755，P=0．029），但男性都占70％以上。虽然不同年份间患者区域来源分布差异有统计学意义（X^2=86．193，P〈0．001），但都以医院所在行政区以外患者为主，其中省外患者所占比例最高。以跌倒为首要损伤外因，其次为暴露于无生命机械性力量下；不同年龄段损伤外因差异有统计学意义（r=837．060，P〈0．001）。腕和手损伤、膝和小腿损伤、肩和上臂损伤是因损伤外因住院的前3类病种。腕和手损伤主要分布在20～29岁年龄段，膝和小腿损伤人数最多的患者主要分布在30-39岁年龄段。〈10岁年龄段以肩和上臂损伤多见，〉70岁年龄段以髋和大腿损伤多见。结论南方医科大学南方医院创伤骨科首次出院的损伤患者以跌倒为主要原因；损伤多见于男性；患者主要来源于医院所在行政区以外；腕和手损伤患者多见于青年人，而髋和大腿损伤患者多见于中老年人。Objective To analyze the injury causes and types in the inpatients first discharged from the Department of Orthopedic Trauma, Nanfang Hospital after treatment of injury from 2013 to 2017. Methods An epidemiological survey was conducted on the inpatients first discharged from the Department of Orthopedic Trauma, Nanfang Hospital after injury treatment from January 2013 to December 2017. Their data were ex- tracted by information system IBM SPSS 23.0 for analyses of their gender, regional origin, distribution of injury causes and types. Results From 2013 to 2017, a total of 6, 736 inpatients were first discharged after treatment of injury. The total ratio of male to female was 2.71： 1. Although the male to female ratios were significantly different between different years （X2 = 10. 755, P = 0. 029）, the proportions of males were all over 70%. Although the distribution of regional origins of the patients was significantly different between different years （X^2 = 86. 193, P 〈 0. 001 ）, the patients mostly came from the regions outside the adminis- trative district where Nanfang Hospital was located, especially those from the provinces other than Guangdong. The major external cause of injury was falling, followed by exposure to inanimate mechanical violence. There were differences in external cause of injury between different age groups. Wrist and hand injury, knee and lower leg injury, shoulder and upper arm injury were the top three sorts of injury for hospitalization. Wrist and hand injury was mainly found in the age group from 20 to 29 years old, knee and lower leg injury mostly in the age group from 30 to 39 years old, and shoulder and upper arm injury mainly in the age group younger than 10 years old, hip and thigh injury mostly in the age group older than 70 years old. Conclusions Falling was the major external cause of injury; injury predominated in males; the majority of the patients came from the regions outside the administrative district where Nanfang Hospital was located; wrist and hand injury

关 键 词：创伤和损伤 年龄分布 流行病学 外因 

分 类 号：R68[医药卫生—骨科学] R181.3[医药卫生—外科学]