湖南省五市九家三级医院骨盆骨折流行病学调查初步研究

发布时间：2018-01-09 04:15

本文关键词：湖南省五市九家三级医院骨盆骨折流行病学调查初步研究　出处：《中南大学》2013年博士论文　论文类型：学位论文

【摘要】：目的：探讨湖南省五市九家三级医院骨盆骨折的流行病学特点及救治现状,为政府相关决策的制定提供初步研究资料,以提高骨盆骨折的防治水平和救治质量,减少死亡率和伤残率。方法：收集2012年10月～2013年3月湖南省五市九家三级医院收治的65例骨盆骨折患者的临床资料,统计分析患者流行病学相关信息,院前急救及院内救治等情况。运用统计学软件SPSS13.0进行统计学分析。结果：65例患者中,男44例,女21例,男女比例为2.10：1.00。年龄为11-86岁,20～59岁占74.6%。交通伤30例(46.2%),高处坠落伤22例(33.8%)。73.8%的患者合并其它部位损伤。平均输血量Tile C型(1905.56m1)大于Tile A型(483.33m1),有统计学差异(P0.05),大于Tile B型(1026.92m1),有统计学差异(P0.05),Tile A型与Tile B型无统计学差异。出院时预后情况Tile C型比Tile A型更差,有统计学意义(P0.05)。17例手术患者全部选择了内固定治疗。创伤重度评分(Injury Severity Score, ISS)与患者的总费用正相关,与患者的预后负相关。结论：湖南省五市九家三级医院骨盆骨折患者以中青年男性为主；高能量损伤是导致骨盆骨折的主要原因；Tile C型骨盆骨折输血量大,预后差;ISS评分能较好的反应患者的伤情和预测患者的预后。
[Abstract]:Objective : To study the epidemiological characteristics of pelvic fractures in nine tertiary hospitals in five cities of Hunan Province and to provide preliminary research data for the development of government - related decision - making to improve the prevention and cure of pelvic fractures and to reduce the mortality and disability rate . Methods : The clinical data of 65 patients with pelvic fractures were collected from Oct . 2012 to Mar . 2013 , and the data were analyzed by SPSS 13.0 . Results : Among 65 patients , male 44 , female 21 , male and female ratio 2.10 : 1.00 . The age was 11 - 86 years , 20 - 59 years old , 74.6 % . There were 30 cases ( 46.2 % ) , 22 cases ( 33.8 % ) in height falling injury , and 73.8 % of patients had statistical difference ( P0.05 ) . Conclusion : The pelvic fracture of nine tertiary hospitals in five cities in Hunan is dominated by middle - aged and young men ; high energy damage is the main cause of pelvic fracture . Tile C pelvic fracture has a high blood transfusion volume and poor prognosis ; ISS can better reflect the patients ' injury and predict the prognosis of patients .

【学位授予单位】：中南大学
【学位级别】：博士
【学位授予年份】：2013
【分类号】：R181.3;R683.3

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