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3688例骨与关节损伤病人的流行病学调查

The Epidemiological Investigation on Bone and Joint Injury for 3688 Cases

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【作者】 陈文昌吴淑贝张旭鸣郑英柯铁施能木

【Author】 CHEN Wen chang, WU Shu bei, ZHANG Xu ming, et al(Fujian Provincial Hospital, Fuzhou 350001, China.)

【机构】 福建省立医院!福州350001福建省急救中心!福州350001

【摘要】 [目的 ]对骨与关节损伤病人进行流行病学调查 ,提出防治措施。 [方法 ]对福建省立医院 1997年 10月~2 0 0 0年 10月 3 6 88例骨与关节损伤病人的致伤原因、骨折部位与年龄的关系、治疗方案进行统计分析。 [结果 ]在 3 6 88例中 :腕部、尺挠骨、胫腓骨和挠骨远端骨折最多见。骨折原因主要是机动车与行人相撞 (4 5 .0 % ) ,跌伤 (2 9.5 % ) ,从建筑物上跌落 (7.1% )。髋部骨折 (股骨颈骨折和粗隆间骨折 )多见于老年妇女。 [结论 ]减少骨折 ,要从小进行交通法规教育 ;驾驶及建筑行业要持证上岗 ,减少事故发生 ;还应开展体育活动 ,增加含钙食品摄入量 ,延缓骨质疏松。骨折后 ,要积极治疗 ,减少并发症。

【Abstract】 Objective] To investigate the traumatic cause and the relationship between the fracture region and the patient age and put forward the prevention and treatment measures. [Methods] The patient age, traumatic cause, fracture region and type, and treatment method were analyzed statistically for 3 688 cases of bone and joint injury patients in Fujian Provincial Hospital in 1997-2000. [Results] Of the patients, 609 were wrist and hand fractures, 427 were radius and ulnar fractures, 343 were tibia and fibula fractures. The most common fractures were at wrist and hand. Hip (femur neck and intertrochanteric) fractures mostly occurred in old woman, 77 1% were over 61 years old. Traffic accidents (450%) were the most common causes, the second were the fall injuries (29.5%) and the third were drop down (7 1%). [Conclusions] Great care should be taken to prevent the traffic accidents and construction injuries. Doing exercising and eating food in rich calcium are recommended to aged people for increasing bone mass and decreasing fracture.

【关键词】 骨折致伤原因年龄流行病学
【Key words】 fractureageepidemiologytreatment
  • 【文献出处】 海峡预防医学杂志 ,Strail Journal of Preventive Medicine , 编辑部邮箱 ,2001年01期
  • 【分类号】R181.3
  • 【被引频次】24
  • 【下载频次】148
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