2010-2019年玉林市青少年骨筋膜室综合征的临床流行病学研究  

A Clinical Epidemiological Study of Osteofascial Compartment Syndrome in Adolescents in Yulin City from 2010 to 2019

作　　者：陆兰兰 谢志春[1] LU Lan-lan;XIE Zhi-chun(School of Public Health,Guangxi Medical University,Nanning 530021,Guangxi,China)

机构地区：[1]广西医科大学公共卫生学院,广西南宁530021

出　　处：《医学信息》2023年第17期55-59,共5页Journal of Medical Information

摘　　要：目的了解广西玉林市青少年急性骨筋膜室综合征临床特点及流行病学特征。方法收集2010-2019年玉林地区7家医院的信息管理系统中的青少年骨筋膜室综合征患者的临床资料,采用描述性流行病学方法对患者的外伤种类、症状体征、手术效果、截肢情况及康复结局等临床特征进行分析,使用单因素和多因素分析该病后遗症的主要影响因素。结果共收集29例青少年骨筋膜室综合征患者,玉林市原管辖的10个县(市、区)均有病例报告,各地发病率不均衡;该病发病的年龄主要分布在16~18岁,其次为13~15岁,发病男女比例为4.8∶1。所有患者均合并骨折,最常见骨折为胫腓骨和尺桡骨,合并动脉损伤者4例,出现神经损伤者3例,直接缝合者11例,均未进行骨筋膜室内测压;单因素分析显示,有后遗症和无后遗症患者的年龄、性别、血沉、失血量比较,差异无统计学意义(P>0.05);有后遗症和无后遗症患者骨折至医院所花时间、是否急诊手术、是否合并动脉损伤、是否输血比较,差异有统计学意义(P<0.05);多因素回归分析显示,骨折至医院所花时间是骨筋膜室综合征的独立危险因素。结论玉林市青少年急性骨筋膜室综合征呈低发态势,较大年龄的病例数有所增加,骨折至医院所花时间是青少年急性骨筋膜室综合征的重要影响因素。Objective To understand the clinical and epidemiological characteristics of acute osteofascial compartment syndrome in adolescents in Yulin,Guangxi.Methods The clinical data of adolescent patients with osteofascial compartment syndrome in the information management system of 7 hospitals in Yulin area from 2010 to 2019 were collected.Descriptive epidemiological methods were used to analyze the clinical characteristics of patients'trauma types,symptoms and signs,surgical effects,amputations and rehabilitation outcomes.Univariate and multivariate analysis were used to analyze the main influencing factors of the sequelae of the disease.Results A total of 29 adolescent patients with osteofascial compartment syndrome were collected,which were reported in 10 counties(cities,districts)under the jurisdiction of Yulin City,and the incidence was uneven.The age of onset of the disease was mainly distributed in 16-18 years old,followed by 13-15 years old,and the ratio of male to female was 4.8∶1.All patients had fractures,the most common fractures were tibia and fibula,ulna and radius.There were 4 patients with arterial injury,3 patients with nerve injury,and 11 patients with direct suture.All patients did not undergo intrafascial pressure measurement.Univariate analysis showed that there was no significant difference in age,gender,erythrocyte sedimentation rate and blood loss between patients with sequelae and those without sequelae(P>0.05).There were significant differences in the time from fracture to hospital,emergency operation,arterial injury and blood transfusion between patients with and without sequelae(P<0.05).Multivariate regression analysis showed that the time from fracture to hospital was an independent risk factor for osteofascial compartment syndrome.Conclusion The incidence of acute osteofascial compartment syndrome in adolescents in Yulin City is low,and the number of cases in older age has increased.The time from fracture to hospitalization is an important influencing factor of acute osteofascial compartm

关 键 词：青少年 骨筋膜室综合征 流行病学 

分 类 号：R197[医药卫生—卫生事业管理]