2010年至2011年中国东部和西部地区成人距骨骨折的流行病学对比分析  

Epidemiological comparison of adult talus fractures between East China and West China from 2010 to 2011

作　　者：董天华[1] 张飞[1] 刘勃[1] 田野[1] 陈霄[1] 杨光[1] 刘松[1] 杨延江[1] .张英泽[1] Dong Tianhua;Zhang Fei;Liu Bo;Tian Ye;Chen Xiao;Yang Guang;Liu Song;Yang Yanjiang;Zhang Yingze(Emergency Center of Trauma,Key Laboratory of Orthopaedic Biomechanics of Hebei Province,The Third Affiliated Hospital to Hebei Medical University,Orthopaedic Research Institution of Hebei Province,Shijiazhuang 050051,China)

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8期712-716,共5页Chinese Journal of Orthopaedic Trauma

基　　金：河北省医学科学研究课题（20180462）

摘　　要：目的 对比分析我国东部地区和西部地区成人距骨骨折的流行病学特征.方法 回顾性研究2010年1月至2011年12月我国东部地区和西部地区63所医院诊治的成人距骨骨折患者资料,记录患者的性别、年龄及骨折分型.将东部地区35所医院的患者资料定义为A组,西部地区28所医院的患者资料定义为B组,分析对比两组患者的性别、年龄、骨折AO分型等.结果 共收集成人距骨骨折患者1 014例,其中A组825例,男624例（75.64％）,女201例（24.36％）;B组189例,男130（68.78％）,女59例（31.22％）,两组性别比比较差异无统计学意义（r=3.788,P=0.052）.A、B组患者年龄中位数为36（26,47）岁和35（24,48）岁,差异无统计学意义（Z=-8.244,P＜0.001）.两组各年龄段构成比比较,差异有统计学意义（P＜0.05）.A组21～30岁年龄段最多（27.76％,229/825）,B组31 ～40岁年龄段最多（24.34％,46/189）.在骨折类型分布中,A、B组骨折的高发类型均为为81-A型.结论 东部地区与西部地区成人距骨骨折皆为男性多于女性,东部地区21～30岁年龄段最多,西部地区31 ～40岁年龄段最多.东部地区与西部地区患者均以81-A型居多.Objective To compare and analyze the epidemiological features of adult talus fractures between East China and West China from 2010 to 2011.Methods The data of adult talus fractures from January 2010 to December 2011 in 63 hospitals in East China and West China were collected through the PACS system and medical records systems.The data of 35 hospitals in East China were assigned into group A while the data of 28 hospitals in West China into group B.The analytic items included gender,age,and type of AO classification.Results A total of 1,014 cases were collected.In group A of 825 cases,there were 624 （75.64%） males and 201 （24.36%） females;in group B of 189 cases,there were 130 （68.78%）males and 59 （31.22%） females.There was no significant difference between groups A and B in male to female ratio （x2 =3.788,P=0.052）.The mean age was 36 years old （26,47） in group A and 35 （24,48） years old in group B,showing no significant difference between the 2 groups （Z =-8.244,P 〈 0.001）.There was a significant difference between the 2 groups in the constituent ratio of age ranges （P 〈 0.05）.The peak age range was from 21 to 30 years old in group A （27.76%,229/825）,and from 31 to 40 years old in group B （24.34%,46/189）.The high-risk type of fracture was AO type 81-A in both groups.Conclusions There were more male talus fractures than female ones in both East China and West China.Most talus fractures happened in patients aged from 21 to 30 years in East China and in patients aged from 31 to 40 years in West China.AO Type 81-A was the most common in both West and East China.

关 键 词：距骨 骨折 流行病学 成年人 

分 类 号：R683[医药卫生—骨科学]