胫骨干骨折患者流行病学特征及新冠疫情对其影响的研究  

Epidemiological Characteristics of Patients with Tibial Shaft Fractures and the Effect of COVID-19

作　　者：陈垂继 王安辉 王海鹏 董转丽 李郁涵 王育才 Chen Chuiji;Wang Anhui;Wang Haipeng;Dong Zhuanli;Li Yuhan;Wang Yucai(Department of Orthopaedics,the Second Affiliated of Air Force Military Medical University,Xi'an 710038,China;Department of Epidemiology,Air Force Military Medical University,Xi′an 710032,China;Department of Quality Control,Gan Su Gem Flower Healthcare,Lanzhou 730060,China)

机构地区：[1]空军军医大学第二附属医院骨科,陕西西安710038 [2]空军军医大学流行病学教研室,陕西西安710032 [3]甘肃宝石花医院质量管理部,甘肃兰州730060

出　　处：《实用骨科杂志》2023年第3期198-201,223,共5页Journal of Practical Orthopaedics

基　　金：陕西省创新能力支撑计划(2021TD-45)。

摘　　要：目的探讨胫骨干骨折患者流行病学特征及分析新冠疫情对其影响。方法回顾性分析空军军医大学第二附属医院2012年1月至2021年12月收治的共1037例胫骨干骨折患者资料,约占同期胫腓骨骨折的28.44%(1037/3646),其中男性765例(73.77%),女性272例(26.23%),男女比例为2.81︰1;平均年龄(40.91±18.99)岁。将2018年1月至2019年12月收治的患者资料设定为疫情流行前组,2020年1月至2021年12月的患者资料设定为疫情流行后组。分析患者的性别、年龄、居住地、致伤原因、骨折分型等流行病学特征,统计分析并比较新冠疫情流行前、后两组间的流行病学特征差异。结果男性胫骨干骨折主要发生在41~50岁年龄段人群,女性主要发病年龄段为31~60岁人群(P<0.05)。胫骨干骨折主要原因是交通事故伤573例(55.26%)和跌倒伤248例(23.92%)。胫骨干骨折AO分型以42-A型构成比最高(48.99%),42-B型(26.71%)次之,42-C型(24.30%)最少。新冠疫情流行后,胫骨干骨折数量减少,但平均年龄高于疫情流行前,差异无统计学意义(P>0.05)。性别、居住地、季节、致伤原因、年龄段在新冠疫情流行前、后组间分布差异无统计学意义(P>0.05)。两组间入院方式、入院时病情、AO分型比较,差异有统计学意义(P<0.05)。结论胫骨干骨折占胫腓骨骨折28.44%(1037/3646),男性患者居多。胫骨干骨折主要原因是交通事故伤和跌倒伤,AO分型以42-A分型最为常见。新冠疫情流行后,胫骨干骨折数量减少,以急诊方式入院为主,入院时病情属于急症、危重症患者减少,42-A型简单骨折更为常见。Objective To investigate the epidemiological characteristics of tibial shaft fractures and analyze the effect of COVID-19 on it.Methods We retrospectively analyzed the clinical data of 1037 patients with tibial shaft fractures treated in the Second Affiliated Hospital of Air Force military Medical University from January 2012 to December 2021,which accounting for 28.44%(1037/3646)of tibiofibular fractures in the same period.That including 765 males(73.77%)and 272 females(26.23%),with a male-to-female ratio of 2.81︰1,The average age was(40.91±18.99).The patients from January 2018 to December 2019 were assigned into pre-epidemic group,and those from January 2020 to December 2021 into post-epidemic group.The epidemiological characteristics of the patients were analyzed,such as sex,age,residence,cause of injury,fracture classification and so on.The differences of epidemiological characteristics between the two groups were analyzed and compared.Results Tibial shaft fracture mainly occurred in the age group of 41-50 years old in males and 31-60 years old in females(P<0.05).The main causes of tibial shaft fractures were traffic accident injuries(55.26%)and fall injuries(23.92%).According to the AO classification of tibial shaft fractures,the constituent ratio of 42-A was the highest(48.99%),followed by 42-B(26.71%),and 42-C(24.30%)was the least.After the epidemic of COVID-19,the number of tibial shaft fractures decreased,but the average age was higher than that before the epidemic,and there was no significant difference(P>0.05).There was no difference in the distribution of sex,residence,season,cause of injury and age between pre-epidemic group and post-epidemic group(P>0.05).There were significant differences in the mode of admission,the condition at the time of admission and AO classification between the two groups(P<0.05).Conclusion Tibial shaft fractures accounted for 28.44%of tibiofibular fractures(1037/3646),and most of them were male.The main causes of tibial shaft fractures were traffic accident injury and fa

关 键 词：胫骨干骨折 新冠疫情 流行病学 致伤原因 

分 类 号：R683.42[医药卫生—骨科学]