2016年至2018年河北医科大学第三医院骨盆骨折住院患者的特征分析

Epidemiological surgery of in-patients with pevic fracture in the Third Hopital of Hebei Medical University from 2016 to 2018

目的探讨2016年至2018年间河北医科大学第三医院骨盆骨折住院患者的流行病学特征。方法利用医学影像计算机存档与传输系统及病案查询系统,收集2016年1月至2018年12月期间诊治的所有骨盆骨折患者资料,分析患者的人口统计学、基本社会学资料、外伤因素、手术因素等情况。结果共收集357例骨盆骨折住院患者,2016年至2018年骨盆骨折住院患者逐年递增。男234例,女123例,男女比为1.90:l。男性、女性患者骨折高发年龄段为41~50岁(39.7%)。农民(166例,46.5%)、农村(290例,81.2%)及春季患者(104例,29.1%)所占比例较高。交通伤(169例,47.3%)及高能量损伤(284例,79.6%)患者所占比例最高。骨盆骨折行手术治疗患者居多(287例,80.4%),其中行内固定手术(266例,74.5%)、钢板固定(190例,71.4%)及切开复位患者居多(209例,72.8%),麻醉方式多采用局麻(176例,49.3%)或全麻(155例,43.4%)。结论本研究提示骨盆骨折多见于农民,春季多发,41~50岁患者居多,交通伤等高能量损伤为主要的致伤原因,切开复位内固定为临床主要手术方式;近3年来我院骨盆骨折患者呈上升趋势。

Objective To investigate the epidemiological characteristics of pelvic fracture inpatients in the Third Hospital of Hebei Medical University from 2016 to 2018.Methods Data of all pelvic fractures treated from Jan.2016 to Dec.2018 were collected by medical image computer archiving and transmission system and medical record inquiry system.The demographic data,basic sociological data,traumatic factors and surgical factors were analyzed.Results All 357 patients with pelvic fracture were collected.From 2016 to 2018,the number of pelvic fractures increased year by year.There were 234 males and 123 females,and the ratio of males to females was 1.90:l.The high incidence of fracture in male and female patients ranged from 41 to 50 years old(39.7%).Farmers(166 cases,46.5%),rural areas(290 cases,81.2%)and spring patients(104 cases,29.1%)accounted for a higher proportion.Traffic injuries(169 cases,47.3%)and high energy injuries(284 cases,79.6%)accounted for the highest proportion.Most patients(287 cases,80.4%)underwent surgical treatment for pelvic fractures,including internal fixation(266 cases,74.5%),plate fixation(190 cases,71.4%)and open reduction(209 cases,72.8%).Local anesthesia(176 cases,49.3%)or general anesthesia(155 cases,43.4%)were mostly used.Conclusion This study suggests that pelvic fractures are common in farmers,spring,41-50 years old patients are the majority,traffic injuries and other high-energy injuries are the main causes of injury,open reduction and internal fixation and plate internal fixation are the main clinical surgical methods;pelvic fracture patients in our hospital have shown an upward trend in the past three years.