某医院骨科2019年1859例损伤患者病例统计分析

Statistical analysis of 1859 injured patients in the department of orthopedics in 2019

目的分析骨科损伤患者的病例特点,为提高本地区骨科损伤的防治水平提供依据。方法选取某医院骨科2019年1—12月损伤患者1859例作为研究对象,对患者的性别、年龄分布及损伤原因和部位分布进行回顾性分析。结果本组1859例损伤患者男性974例(52.39%),女性885例(47.61%),年龄4个月~96岁,平均(51.4±22.1)岁,其中男性(44.6±21.2)岁,女性(58.9±20.7)岁。以60岁为分界点,不同年龄的性别分布差异有统计学意义(P<0.001)。损伤原因以同一平面跌倒居多(40.45%),其次是交通事故(28.08%),男女性的损伤原因构成比差异有统计学意义(P<0.001)。损伤部位:下肢(42.55%)、上肢(33.08%)、躯干部(15.49%)、多处或其他部位(5.86%)、头颈部(3.01%),不同部位损伤的原因构成比差异具有统计学意义(P<0.001)。结论同一平面跌倒、交通事故和接触器具或机械是骨科损伤的主要因素。人们应在社会生活的各个方面加强风险防范,医院要完善骨科院前急救体系,建设创伤骨科专业队伍,严格开展损伤患者的随访工作。

Objective To analyze the case characteristics of orthopedic injury patients,so as to provide basis for improving the prevention and treatment of orthopedic injury in this region.Methods Totally 1859 patients with injury in the department of orthopedics in a hospital from January to December 2019 were enrolled,and the characteristics of injured patients in different genders,ages,injury causes and injury sites were retrospectively analyzed.Results Among all the 1859 cases,there were 974 males(52.39%)and 885 females(47.61%),aged 4 months to 96 years old(mean 51.4±22.14).The average age of male patients was(44.59±21.16)years old,and the average age of female patients was(58.96±20.71)years old.And using age 60 as the demarcation point,the difference in gender between groups was statistically significant(P<0.001).The most common cause of injury was fall on the same plane(40.45%),followed by traffic accidents(28.08%),and the composition ratio of the injury causes between the male and female was statistically significant(P<0.001).Sites of injury:lower limbs(42.55%),upper limbs(33.08%),trunk(15.49%),multiple or other parts(5.86%),and head and neck(3.01%).The composition ratio of the injury sites between the different injury causes was statistically significant(P<0.001).Conclusion The majority of injuring causes were fall on the same plane,traffic accidents and objects/appliance mechanical accidents.Thus,people should strengthen the consciousness of risk prevention in their daily life.The hospital should improve the pre-hospital emergency system of orthopedics,build up a professional team of trauma orthopedics and carry out follow-up work for injured patients.