湖南省5市9家三级医院骨盆骨折流行病学调查

Epidemiological investigation of pelvic fracture in 9 thirdtier hospitals in 5 cities in Hunan

目的:探讨湖南省5市9家三级医院骨盆骨折的流行病学特点及救治现状,以提高骨盆骨折的救治水平,并为政府相关部门决策提供流行病学资料.方法:收集2012年10月至2013年3月湖南省9家三级医院收治的65例骨盆骨折患者的临床资料,统计分析患者性别、年龄、受伤原因、出血量及治疗结局等资料.结果:65例患者,男性44例,女性21例,男女比例为2.10∶1.00.年龄11～86岁,20～59岁占74.6％.主要受伤原因为交通伤30例(46.2％)及高处坠落伤22例(33.8％).73.8％的患者合并其它部位损伤.Tile A型患者平均输血量483.33mL,Tile B型1 026.92 mL,Tile C型1 905.56 mL.治疗结局Tile C型比Tile A型更差.结论:湖南省5市9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,结局差,在骨盆骨折的救治中应及早对患者进行评估,并送至地市级以上医院接受专业救治.需要对高危人群加强安全教育,降低骨盆骨折的发生率.

Objective: To analyze the epidemiological characteristics and treatment situation of pelvic fractures in 5 cities in Hunan, improve the treatment and provide epidemiological data for policy- makers. Methods: The clinical data of 65 patients with pelvic fractures were collected from 9 third-tier hospitals in Hunan from October 2012 to March 2013. The gender, age, cause, volume of blood transfusion, and prognosis were analyzed with SPSS 13.0. Results: h ere were 44 male and 21 female patients(2.10:1.00). h e age ranged from11 to 86 years and 74.6% of the patients were between 20 and 59. The main cause was traffic injury(30 cases, 46.2%) and fall injury(22 cases, 33.8%). About 73.8% patients suf ered associated injuries all overthe body. By Tile's classification of pelvic fractures, the average blood transfusion of type A was 483.33 mL, that of type B was 1 026.92 mL and type C was 1 905.56 mL. Compared with type A, the treatment outcome of type C patients was worse. Conclusion: Pelvic fractures are mostly caused in young and middle-aged males by high-energy. Tile C pelvic fractures need more blood transfusion and have poor prognosis. Patients had bet er be taken straight to municipal hospitals by expertise. Safety education for high-risk groups should be enhanced to reduce the incidence of pelvic fractures.