广州城乡结合部急性脊髓损伤的特点分析

Analysis of the characteristics of acute spinal cord injury in the urban-rural fringe of Guangzhou

目的分析广州城乡结合部急性脊髓损伤的特点。方法回顾性分析2013年9月~2018年9月广州市萝岗区红十字会医院及合作医院收治的广州城乡结合部62例急性脊髓损伤患者的临床资料。包括性别、年龄、病因、职业、受伤程度等。结果用SPSS 13.0进行统计分析。结果患者年龄为(36.01±4.36)岁,男女比例为2.68∶1。受伤原因高处坠落占51.61%,其次是车祸(35.48%)。最常见的损伤部位为颈椎,占45.00%以上。患者职业最多的是外来务工人员,占50.00%。结论广州城乡结合部急性脊髓损伤中男性比例较高,高处坠落和车祸外伤是最主要的两种致病原因,与我国其他地区的脊髓损伤流行病学调查数据相比,脊髓损伤患者的平均年龄偏小。最高的职业比例是进城务工人员和当地农民。城乡结合部急性脊髓损伤具有独特的流行病学特点和问题,这与中心城区不同。在制定脊髓损伤急救策略及政策时应考虑到这一点,以便改进脊髓损伤的治疗方案及预防办法。

Objective To analyze the characteristics of acute spinal cord injury in the urban-rural fringe of Guangzhou.Methods The clinical data of 62 patients with acute spinal cord injury in the urban-rural fringe of Guangzhou admitted to the Luogang Red Cross Hospital of Guangzhou and cooperative hospitals from September 2013 to September 2018 were retrospectively analyzed,which included gender,age,etiology,occupation,degree of injury,etc.The results were obtained from statistical analysis SPSS 13.0.Results The age of the patients was(36.01±4.36)years old,and the male to female ratio was 2.68∶1,and 51.61%of the injuries were caused by falling from high altitudes,followed by traffic accidents accounting for 35.48%.The most common injury site was the cervical spine,accounting for more than 45.00%.Migrant workers accounted for 50%of the patients.Conclusion The proportion of males with acute spinal cord injury in the urban-rural fringe of Guangzhou is relatively high and high-altitude falling and traffic accident injuries are the two main causes.Compared with the epidemiological survey data of spinal cord injury in other regions of our country,the average age of spinal cord injury patients is relatively low.Occupants with the highest number of spinal cord injury are migrant workers and local farmers.Acute spinal cord injury in the urban-rural fringe has unique epidemiological characteristics and problems,which differs from the central urban area.In order to improve treatment and prevention of spinal cord injury,this should be taken into consideration when making emergency strategies and policies.