宁夏银川市骨盆骨折流行病学研究

The epidemiological characteristics research of pelvic fracture in Ningxia yinchuan region

目的初步探讨宁夏银川市骨盆骨折的流行病学特征及临床的特点。方法回顾收集和分析宁夏地区518例骨盆骨折患者病历资料,观察性别、年龄、院前时间、术前天数、致伤原因、收缩压、舒张压、呼吸、心率,计算创伤指数、创伤积分、改良创伤积分(GRAMS)、院前指数等指标的特点。结果盆骨骨折男性366例,女性152例,男女比例为2.4∶1。男女性发生率间比较差异有统计学意义(P<0.05),各性别组间、年龄间比较差异无统计学意义(P>0.05)。交通致伤367例(71%),高空坠落伤44例(8%),重物砸伤48例(9%),挤压伤14例(3%),摔伤43例(8%),其他伤2例。致伤原因差异有统计学意义,其中以交通伤为主要,远高于其他致伤因素。男女性别组中创伤计分、GRAMS、院前指数(PHI)组间差异无统计学意义(P>0.05)。其中TS都达到了14分以上,所有患者未见死亡病例。结论宁夏银川骨盆骨折以男性为主,多为交通致伤和高空坠落份,SBP、TI、CRAMS、PHI为评估病情的可靠指标。

Objective To investigate the basic epidemiological characteristics of pelvic fracture and clinical features of patients in Ningxia region.Methods 518 medical records of pelvic fracture patients were collected and analyzed,and the gender,age,pre-hospital time,pre-hospital time,wound agent,preoperative days,systolic blood pressure,diastolic blood pressure,respiration,heart rate,external and internal fixed costs and costs amount were observed,and calculated the trauma index,trauma integral,GRAMS and pre-hospital index.Results There were 366 men and 152 women in this group,and the ration was 2.4∶1.The rate is significant between male and females（P0.05）,but there was not the significant of age.There were traffic injury in 367 cases（71%）,high-altitude fall injury in 44 cases（8%）,heavy injured in 48 cases（9%）,crush injury in 14 cases（3%）,a fall injure in 43 cases（8%）and other injury in 2 cases.There were significant between every injury factor,and the main injury was traffic injury,and it is much higher than the other injury factors.There were not significant of trauma scoring,CRAMS,PHI of Gender group.Conclusion The pelvic fracture mainly is male,and the main factor is traffic and fall injury.The SBP,TI,GRAMS and PHI are reliable indicators to access the cases condition.