交通事故中颌面损伤住院患者的流行病学

Epidemiologic characteristics of maxillofacial trauma in traffic accidents

目的 分析 2 6 5例颌面交通事故伤住院病例的流行病学特点 .方法 用流行病学和 AIS- ISS损伤严重程度评分法 ,对颌面交通事故伤病例进行事故发生和伤情的调查 .结果 颌面交通事故伤好发于男性、青壮年、工人、农民和驾驶员 ;事故发生无明显的季节差异 ,一日中出现了 3个受伤高峰期 ;不同碰撞方式中以摩托车自身、汽车撞行人和自行车自身事故率最高 ;颌面骨折中以下颌骨最多 ,颌面损伤 AIS分级最高为 级 ,多发伤以头部最常见 .结论 颌面交通伤的流行病学特点 。

AIM To investigate the occurrence and epidemiologic characteristics of maxillofacial injury in traffic accidents. METHODS By epidemiology and AIS ISS technique, 265 cases of maxillofacial injury were studied to determine its general condition, occurring time, impact mode and state of facial traffic trauma. RESULTS The majority of patients were young male, mainly workers, peasants and drivers.The occurrence had no season distinction. There were three peaks in one day. The injury rate was higher in traffic impact including the collisions between motorbikes themselves, between motor vehicles and pedestrians, and between bicycles themselves. Mandible was the most frequent fractures. The commonest area of associated injury was the head. CONCLUSION The study of epidemiological characteristics of facial traffic accidents is of significance in the prevention and treatment of such injuries.