创伤性骨折患者合并胸部损伤危险因素的Logistic回归分析  

Logistic Regression Analysis of Risk Factors of Chest Injury Patients with Traumatic Fracture

作　　者：王骞 陈垂继 WANG Qian;CHEN Chuiji(Department of Surgery,94188 Military Hospital,Xi'an Shaanxi 710077,China)

机构地区：[1]94188部队医院外科,陕西西安710077 [2]92914部队医院外科

出　　处：《联勤军事医学》2024年第9期767-770,共4页Military Medicine of Joint Logistics

摘　　要：目的探讨创伤性骨折患者合并胸部损伤的危险因素。方法回顾性分析2019-01/2021-12月作者医院收治的3656例骨折住院患者的临床资料,根据是否合并胸部损伤分为胸部损伤组(n=623)和无胸部损伤组(n=3033)。比较骨折合并与不合并胸部损伤患者的年龄、性别、体质量指数(body mass index,BMI)、骨折部位、致伤原因等因素的差异,并通过多因素Logistic回归分析探讨骨折患者合并胸部损伤的独立影响因素。结果骨折合并与不合并胸部损伤患者在年龄、BMI和骨折季节方面比较差异均无统计学意义(P>0.05),而在性别、婚姻状况、文化程度、职业、居住地、骨折类型、骨折部位、骨折原因、骨折地点及基础疾病方面比较差异有统计学意义(P均<0.05)。多因素Logistic回归分析结果显示,小学以下文化程度、农民职业、肩部骨折和车祸伤、坠落伤是骨折患者合并胸部损伤的独立危险因素(P<0.05);而文化程度为初中/中专和大专以上,职业为工人、技术人员、办事人员,骨折部位为上肢、下肢,骨折原因为其他的骨折患者不易发生胸部损伤(P<0.05)。结论肩部骨折、车祸伤及坠落伤的骨折患者更容易合并胸部损伤,而文化程度越高、职业越是轻体力劳动者发生创伤性骨折合并胸部损伤的风险越低。Objective To explore the risk factors of chest injury of patients with traumatic fracture.Methods The clinical data of 3656 patients with fracture admitted to author′s hospital from January 2019 to December 2021 were retrospectively analyzed,the patients were divided into chest injury group(n=623)and non-chest injury group(n=3033)according to whether they were complicated with chest injury or not.The differences of age,sex,body mass index(BMI),fracture location,cause of injury and other factors of patients with or without chest injury were compared,and the independent influencing factors of fracture patients with chest injury were analyzed by multivariate Logistics regression.Results There were no significant differences in age,BMI and fracture season between patients with or without chest injury(P>0.05),while there were significant differences in gender,marital status,education level,occupation,residence,fracture type,fracture site,fracture cause,fracture location and underlying diseases(all P<0.05).Multivariate Logistic regression analysis showed that the education level below primary school,farmer,shoulder fracture,car accident injury and falling injury were independent risk factors for chest injury in patients with traumatic fracture(P<0.05);while the patients with junior high school,technical secondary school and college or above education level,workers,technicians and office staff,upper limb or lower limb fracture site and other fracture causes were less likely to have chest injury(P<0.05).Conclusion Patients with shoulder fractures,traffic accident injuries and fall injuries are more likely to have chest injuries,while the higher education level and the lighter manual workers are less likely to be complicated with chest injuries.

关 键 词：创伤性骨折 胸部损伤 危险因素 LOGISTIC回归分析 

分 类 号：R687.3[医药卫生—骨科学]