广州市五所医院臂丛神经损伤流行病学回顾性研究

Epidemiological study of brachial plexus injuries at five hospitals in Guangzhou: a retrospective study

目的 通过对广州市五所医院臂丛神经损伤患者的流行病学调查 ,了解臂丛损伤的构成及其发病学特点。方法 回顾性调查广州市五所医院近十年收治的 45 2例臂丛损伤的病例。根据性别、年龄、损伤部位等 ,分析该群体的流行病学特征。结果 2 0～ 3 9岁年龄组占 64 .6% ,男女性别比为 6∶1。工人、农民工占 62 .4% ,无业人员占 11.7%。摩托车伤占 45 .1% ,机动车辆伤占 2 0 .4%。损伤类型 :全臂丛损伤占 3 3 .6% ,上中干损伤占 17.3 % ,上干损伤占 12 .6%。臂丛损伤合并多发伤的占 74.6% ,其中头部外伤占多发伤的 5 7.0 %。结论 臂丛损伤主要发生在青壮年男性 ,摩托车和机动车辆伤是臂丛损伤的主要原因 ;加强臂丛交通伤的预防医学 ,有助于减少臂丛损伤的发生率。

Objective To identify the composition and characteristics of brachial plexus injuries through epidemiological study at five hospitals in Guangzhou. Methods From January 1992 to December 2001, 452 cases with brachial plexus injuries within 10-years period were reviewed retrospectively from 5 general hospitals in Guangzhou. The epidemiological features of the population were analyzed concerning the gender and age of the patients, and injury location. Results The patient ranged from 20 to 39 years old (64.6% ). The male to female ratio was 6:1. Most of patients (62.4%) were workers and peasants, and 11.7% had no occupation. Motorcycle accidents accounted for 45.1% and motor vehicle accidents 20.4%. There were 33.6% with whole brachial plexus nerve injury, 17.3% in upper and middle injury, 12.6% in upper root injury. Brachial plexus injury combined with multiple injury was 74.6%, among which 57% of multiple injury had head injuries. Conclusion Most brachial plexus injuries occur in young male people as a result of motorcycle and motor vehicle traffic accidents. Strengthening the prevention of traffic injuries of brachial plexus may help to decrease the incidence.