摘要
目的分析脊髓损伤住院患者的特点。方法对423例脊髓损伤住院患者进行回顾性分析。结果患者男女比为15.3∶1,平均年龄(40±11)岁。煤矿相关工作人员最多(61.7%),致伤因素为煤块砸伤(53.26%)。主要损伤部位为颈椎135例(31.91%)、腰椎187例(44.21%),损伤程度ASIAA级192例(45.39%)。并发症前3位是泌尿系感染、压疮、肺部感染,并发症发生危险因素主要为损伤严重程度(ASIA评分)、受伤入院时间、手术治疗(P<0.05)。医疗支付方式主要为自费(73%)。结论需加强煤矿工作人员的职业防护,提高医疗保险覆盖范围,提高院前急救水平。
Objective To investigate the epidemiology of spinal cord injuries （SCI） in hospital. Methods 423 patients with SCI were re- viewed. Results The ratio of male to female was 15.3 ： 1, aged （40±11） years. The coal mine-related staff was the most （61.7%）, mainly caused from coal blocks dropping （53.26%）. 135 cases （31.91%） injured in cervical vertebra, and 187 cases （44.21%） in lumbar. There were 192 （45.39%） cases were complete injury. The most frequent complication of SCI were urinary tract infection, pressure sore and pulmonary infection. The factors correlated with the complication were the degree of ASIA Impairment Scale, the period of admitted to hospital after in- jury, and the surgery （P〈0.05）. The expenditure of hospitalization was mainly provided by oneself （73%）. Conclusion It is important to im- prove the occupation prevention, enlarge the coverage of medical insurance, and promote pre-hospital care to prevent SCI.
出处
《中国康复理论与实践》
CSCD
北大核心
2012年第7期665-668,共4页
Chinese Journal of Rehabilitation Theory and Practice
