兰州某创伤中心2021-2022年老年创伤患者流行病学分析  

Epidemiological Analysis of Geriatric Trauma Patients in a Trauma Center in Lanzhou from 2021 to 2022

作　　者：粟昭隐 贵金涛 王伟涛 王翔宇 蓝聆匀 吕媛 刘亚涛[3] 赵恩涵 宋志富 郭振霞[3] Michael Nerlich Su Zhaoyin;Gui Jintao;Wang Weitao;Wang Xiangyu;Lan Lingyun;Lv Yuan;Liu Yatao;Zhao Enhan;Song Zhifu;Guo Zhenxia;Michael Nerlich(The First Clinical Medical College of Lanzhou University,Lanzhou 730000,Gansu Province,China;不详)

机构地区：[1]兰州大学第一临床医学院,甘肃省兰州市730000 [2]兰州大学第二临床医学院,甘肃省兰州市730000 [3]兰州大学第一医院,甘肃省兰州市730000 [4]兰州大学护理学院,甘肃省兰州市730000 [5]中国医学科学院北京协和医院,北京市100730 [6]德国雷根斯堡大学医院,德国雷根斯堡80333

出　　处：《中国病案》2024年第6期54-57,共4页Chinese Medical Record

基　　金：科学技术部高端外国专家项目(G2019028023,G2020028007);兰州大学学生创新创业行动计划(20230060103,20230060114);兰州大学医学教育创新发展项目(lzuyxcx-2022-99);甘肃省联合科研基金项目(23JRRA1496)。

摘　　要：目的 了解老年创伤患者的流行病学特征,为预防老年人创伤发生、提高老年人创伤救治质量提供参考。方法 采用回顾性分析,收集兰州某医院创伤中心2021年1月1日-2022年12月30日救治的老年创伤患者病案数据,运用Microsoft Office Excel 2010、Spss 27.0对创伤发生的时间、月份分布等进行统计学处理。结果 纳入879例老年患者病例,其中男性402例,女性477例,男女比例为1:1.19;创伤发生月份以8~10月为主;创伤发生时间以14~16时最多,其次为20~22时;创伤原因顺位排序依次为高坠/跌倒(60.75%)、交通事故(16.50%)、其他创伤(11.72%)、暴力袭击/性侵犯(4.20%)、锐器刺伤/枪伤/贯通伤(3.87%)、机械损伤(2.73%)、冬季运动损伤(0.23%);不同创伤部位间分布差异具有统计学意义,P<0.001。结论 老年人创伤的性别比例、发生时间、受伤原因和创伤部位与其他年龄群体相比都较为特殊,女性较男性高发,高坠/跌倒是创伤发生的主要原因。为有效减少老年人创伤的发生,应针对性的采取预防老年人创伤发生的措施。Objectives To understand the epidemiologic characteristics of geriatric trauma patients in order to provide a reference for preventing the occurrence of trauma and improving the quality of trauma care in the elderly.Methods Clinical data of elderly trauma patients treated in the trauma center of the hospital from January 1st,2021 to December 30th,2022 with complete case data were collected for retrospective analysis.spss27.0 statistical software and excel were used to make descriptive statistics on the time and month distribution of trauma.Results A total of 879 elderly patients with complete cases were collected,including 402 males and 477 females,with a male to female ratio of 1:1.19.The months of occurrence of trauma were predominantly August,September,and October.The time of occurrence of trauma was most frequent at 14:00-16:00,mainly concentrated at 10:00-22:00.The causes of trauma in order were falling from height(60.75%),traffic accident(16.50%),other trauma(11.72%),violent assault/sexual assault(4.20%),sharp instrument stab/gunshot/penetrating injury(3.87%),mechanical injury(2.73%),and winter sports injury(0.23%).There were significant differences in the distribution of trauma sites(P<0.001).Conclusions The gender ratio,time,cause and site of trauma in the elderly were special compared with other age groups.The incidence of trauma in women was higher than that in men,and fall was the main cause of trauma.Targeted measures should be taken in order to effectively reduce the incidence of geriatric trauma.

关 键 词：创伤与损伤 创伤中心 老年创伤 流行病学 疾病分析1 

分 类 号：R641[医药卫生—外科学] R181.3[医药卫生—临床医学]