385例脊柱骨折病例的临床特点分析

The analysis of characteristics of sociology and injury of 385 cases suffered from spinal fracture

目的了解脊柱骨折患者的临床特点。方法对1999年1月-2008年6月8年间我科治疗的脊柱骨折385例病例通过病历查询及电话随访的方式获取资料，记录患者的性别、年龄、生活习惯、慢性病史、骨折部位、住院时间以及治疗等，用SPSS软件进行统计学分析。结果385例脊柱骨折患者中男性197例；平均年龄47岁，女性188名，平均年龄61岁；不同性别及年龄患者之间受伤特点存在显著性差异。患者的年龄对住院时间明显影响。不同性别、年龄组的患者治疗方式有显著性差异。结论脊柱骨折多发于胸腰段，中老年患者居多；交通伤是脊柱骨折的主要原因；男性患者工伤的构成比明显高于女性。脊柱骨折有其自身临床特点，应根据不同特点进行防治。

Objective To study clinical characteristics of patients who suffered from spinal fracture. Methods from Jan. 1999 to Jun .2008, 385cases suffering from spinal fracture are reviewed, information of which get through case evaluation and telephone follow-up, including sex, age, habit, history of chronic disease, condition of fracture, length of stay and treatment. The epidemiology is analyzed in SPSS. Results In the entire 385 patient, 197 are male, average age 47 and 188 are female, average age 61. Cases of different sex and age groups have significant distinction in the characteristics of injury. The length of stay is influenced by the age of patients. Treatments of different sex and age have significant distinction. Conclusion The most frequent site of spinal fracture is thoracolumbar section and most cases are mid-aged or senile. Traffic trauma is main cause of spinal fracture. The male group has more occupational injury than the female group. The knowledge on clinical characteristics of spinal fracture is beneficial to prevention and treatment.