中国西北与东北地区2010—2011年成人尺、桡骨远端骨折的流行病学对比

doi:10.3760/cma.j.issn.2095-7041.2015.02.002

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摘要目的对比分析中国西北地区与东北地区成人尺、桡骨远端骨折的流行病学特征。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2010年1月—2011年12月西北地区与东北地区14家医院诊治的成人尺、桡骨远端骨折资料。将西北地区10家医院资料定为西北组,东北地区4家医院病例资料定为东北组,对比、分析两组患者的性别、年龄、各年龄段骨折例数及骨折AO分型等。结果共收集病例5 197例,其中西北组3 278例,男1 675例(51.1%),女1 603例(48.9%);东北组1 919例,男771(40.2%),女1 148例(59.8%);两组性别构成比差异有统计学意义(χ²=57.945,P＜0.01)。西北组和东北组患者年龄中位数分别为45.0岁(16~96岁)和55.0岁(16~97岁),差异有统计学意义(Z=-14.926,P＜0.01);两组均以51~60岁年龄段患者为最多,构成比分别为19.3%(632/3 278)和27.4%(525/1 919);西北组青壮年(16~60岁)和老年(>60岁)患者分别为2 607例(79.5%)和671例(20.5%),东北组为1 273例(66.3%)和646例(33.7%),两组比较差异有统计学意义(χ²=111.364,P＜0.01)。两组左侧骨折均多于右侧,且高发类型均为23-A型,其中西北组A型骨折占48.0%(1 574/3 278),东北组为61.8% (1 185/1 919),两组骨折类型构成比差异有统计学意义(χ²=91.976, P＜0.01)。结论西北地区成人尺、桡骨骨折中男性多于女性,东北地区是女性多于男性,两地区均以51~60岁年龄段构成比最高,以23-A型为高发类型,且左侧均多于右侧。

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关键词 ：桡骨骨折, 尺骨骨折, 流行病学研究, 性别分布, 发病年龄, 西北地区, 东北地区

Abstract：Objective To compare and analyse the epidemiological features of adult patients with distal ulna and radius fractures between Northwest and Northeast.Methods The data of adult patients with distal ulna and radius fractures treated from January 2010 to December 2011 in 14 hospitals in Northwest and Northeast were collected through the PACS system and case reports checking system. The data of 10 hospitals in Northwest were classified as Northwest group, while data of 4 hospitals in Northeast were classified as Northeast group and the analytic items included gender, age, age distribution and type of AO classification.Results A total of 5 197 cases were divided into Northwest group(3 278 cases) and Northeast group(1 919 cases), respectively. There were 1 675(51.1%) males and 1 603(48.9%) females in Northwest group, while 771(40.2%) males and 1 148(59.8%) females in Northeast group (χ²=57.945, P＜0.01). The median age of the two groups were 45.0(16-96) and 55.0(16-97)(Z=-14.926, P＜0.01). The age distribution showed that the peak range was 51-60 years old in both groups, with the proportion 19.3%(632/3 278) and 27.4%(525/1 919). The proportion of young-adult in the two groups were 79.5%(2 607/3 278) and 66.3%(1 273/1 919), and the proportion of old people were 20.5%(671/3 278) and 33.7%(646/1 919)(χ²=111.364, P＜0.01). In both groups, there were more fractures in left side than right side, while the high-risk type of fracture was 23-A type with the proportion 48.0%(1 574/3 278) in Northwest group and 61.8%(1 185/1 919) in Northeast group(χ²=91.976, P<0.01).Conlusions The proportion of adult distal ulna and radius fractures in male is more than female in Northwest, while female is more than male in Northeast. In both groups the peak age is 51-60 years old, the high risk fracture type is 23-A and left side fracture is more than right side.

Key words： Radius fracture Ulna fracture Epidemiologic studies Sex distribution Age of onset Northwest Northeast

收稿日期: 2014-11-25

通讯作者: 张英泽 E-mail: yzling_liu@163.com

引用本文:

殷兵, 李福安, 郝宏毅, 张建路, 高忠礼, 毕郑刚, 周晟, 赵德伟, 迟晓飞李富青, 王坤正, 郝定均, 王国选, 王锦华, 王自立, 张英泽. 中国西北与东北地区2010—2011年成人尺、桡骨远端骨折的流行病学对比[J]. 中华解剖与临床杂志, 2015, 20(2): 90-93.
Yin Bing, Li Fuan, Hao Hongyi, Zhang Jianlu, Gao Zhongli, Bi Zhenggang, Zhou Sheng, Zhao Dewei, Chi Xiaofei, Li Fuqing, Wang Kunzheng, Hao Dingjun, Wang Guoxuan, Wang Jinhua, Wang Zili, Zhang Yingze.. Epidemiological comparison of adult distal ulna and radius fractures between northwest and northeast areas of China from 2010 to 2011. Chinese Journal of Anatomy and Clinics, 2015, 20(2): 90-93.

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