2003年至2012年河北医科大学第三医院成人胫骨干骨折的流行病学研究

发布时间：2018-08-21 12:16

【摘要】：目的:调查2003年至2012年河北医科大学第三医院成人胫干骨折的流行病学特征并分析其变化趋势,为预防此类骨折的发生并指导此类骨折的诊断和治疗。方法:通过河北医科大学第三医院医学影像计算机存档与传输和病案查询等系统,将2003年1月至2012年12月10年间收治的所有骨折病例信息汇总分析,筛查出成人胫骨干骨折进行回顾分析。将2003年1月至2007年12月的患者资料定义为A组,2008年1月至2012年12月患者资料定义为B组,统计患者性别、年龄等数据,并对两组性别构成及年龄段分布、骨折类型等个指标进行对比。结果:10年间我院共诊治成人胫骨干骨折患者5502例,占胫腓骨骨折的29.9%,占全身骨折的5.1%。男性患者为4428例,女性患者为1074例,男性和女性比例高达4.12:1。42-A型骨折2729例(49.6%),42-B型骨折1426例(25.9%);42-C型骨折1347例(24.5%)。A组3766例,男女比为4.40:1。B组1736例,男女比为3.60:1,A组与B组男女比,差异显著(χ2=7.788,P=0.005)。A组患者年龄16~95岁,平均(36.7±13.8)岁;B组中患者年龄16~97岁,平均(39.8±15.4)岁,A组与B组相比,平均年龄差异明显,并有统计学意义(P0.05)。B组患者中42-B、42-C型骨折的所占全部骨折的比例较A组显著增高,达到56.3%(P0.05)。结论:本研究提示了2003年至2012年十年间成人胫骨干骨折的流行病学特征及变化趋势,B组男性病例较A组降低;42-B型和42-C型骨折及老年患者所占构成比显著增加,为预防此类骨折的发生并指导此类骨折的诊断和治疗提供参考和指导。
[Abstract]:Objective: to investigate the epidemiological characteristics of adult tibial shaft fracture in the third Hospital of Hebei Medical University from 2003 to 2012 and analyze its changing trend in order to prevent the occurrence of the fracture and guide the diagnosis and treatment of the fracture. Methods: the data of all fracture cases admitted from January 2003 to December 2012 were collected and analyzed by computer archiving and transmission of medical images and medical records query system in the third Hospital of Hebei Medical University. The tibial shaft fractures in adults were screened for retrospective analysis. The patient data from January 2003 to December 2007 were defined as group A, and the patient data from January 2008 to December 2012 were defined as group B. Fracture types and other indicators were compared. Results 5502 cases of adult tibial shaft fractures were diagnosed and treated in our hospital during the past 10 years, accounting for 29.9% of tibia and fibula fractures and 5.1% of systemic fractures. There were 4428 male patients and 1074 female patients. The ratio of male to female was as high as 4.12: 1.42-A fracture, 2729 cases (49.6%), 1426 cases (25.9%) of 42-B fracture, 1347 cases (24.5%) of 42-C fracture, 3766 cases of group A, 1736 cases of group 4.40 to 1.B, the ratio of male to female was 3.601U A group and B group. There was a significant difference in age between group A and group B (蠂 2 = 7.788P0. 005). The mean age of patients in group B was (36.7 卤13.8) years old. The mean age of group A was (39.8 卤15.4) years, and that of group A was significantly different from that of group B (36.7 卤13.8 years), and the mean age of group A was significantly higher than that of group B (36.7 卤13.8). The proportion of 42-BX 42-C fracture in group B was significantly higher than that in group A, reaching 56.3% (P0.05). Conclusion: this study suggests that the epidemiological characteristics and trends of adult tibial shaft fractures in the ten years from 2003 to 2012 were significantly lower in group B than in group A, and the proportion of male patients with type 42-B and type 42-C fractures and elderly patients was significantly higher than that in group A. To prevent the occurrence of such fractures and guide the diagnosis and treatment of such fractures to provide reference and guidance.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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