CAJ | 학술논문

目的分析10年期间河北医科大学第三医院成人肱骨干骨折的流行病学特征及其变化趋势. 方法对2003年1月至2012年12月河北医科大学第三医院收治的成人肱骨干骨折患者资料进行回顾性分析,记录患者的性别、年龄及骨折AO分型等数据.将2003年1月至2007年12月的患者资料定为A组,2008年1月至2012年12月的患者资料定为B组,比较两组患者的一般资料,总结出10年期间成人肱骨干骨折的流行病学特征及变化趋势. 结果共收集1 741例成人肱骨干骨折患者,男1 185例,女556例,男女比为2.13∶1;骨折高发年龄段为21 ～ 30岁(24.30％);12-A型骨折1 136例(65.25％),12-B型骨折469例(26.94％),12-C型骨折136例(7.81％).A组1 205例,男女比为2.24∶1;B组536例,男女比为1.91∶1;两组患者性别构成比比较差异无统计学意义(x2=2.040,P=0.153).A组患者平均年龄[(37.5±16.0)岁]低于B组[(42.0±17.0)岁],差异有统计学意义(Z=-5.359,P=0.000).两组患者年龄段构成比和AO分型构成比比较差异均有统计学意义(P＜0.05). 结论成人肱骨干骨折高发年龄段为21 ～30岁,平均年龄呈增长趋势;男性多于女性;骨折高发类型为12-A型,12-B型骨折有增多趋势.
목적 분석10년기간하북의과대학제삼의원성인굉골간골절적류행병학특정급기변화추세. 방법 대2003년1월지2012년12월하북의과대학제삼의원수치적성인굉골간골절환자자료진행회고성분석,기록환자적성별、년령급골절AO분형등수거.장2003년1월지2007년12월적환자자료정위A조,2008년1월지2012년12월적환자자료정위B조,비교량조환자적일반자료,총결출10년기간성인굉골간골절적류행병학특정급변화추세. 결과 공수집1 741례성인굉골간골절환자,남1 185례,녀556례,남녀비위2.13∶1;골절고발년령단위21 ～ 30세(24.30％);12-A형골절1 136례(65.25％),12-B형골절469례(26.94％),12-C형골절136례(7.81％).A조1 205례,남녀비위2.24∶1;B조536례,남녀비위1.91∶1;량조환자성별구성비비교차이무통계학의의(x2=2.040,P=0.153).A조환자평균년령[(37.5±16.0)세]저우B조[(42.0±17.0)세],차이유통계학의의(Z=-5.359,P=0.000).량조환자년령단구성비화AO분형구성비비교차이균유통계학의의(P＜0.05). 결론 성인굉골간골절고발년령단위21 ～30세,평균년령정증장추세;남성다우녀성;골절고발류형위12-A형,12-B형골절유증다추세.
Objective To analyze the epidemiological features and trends of adult humeral shaft fractures from 2003 through 2012 in our hospital.Methods The clinical data were collected of the adult patients with humeral shaft fracture who had been treated between January 2003 and December 2012 in our hospital.The patients' gender,age and fracture type of AO classification were documented.The data from January 2003 to December 2007 were assigned into group A and those from January 2008 to December 2012 into group B.The 2 groups were compared to find out the general epidemiological characteristics and trends in the recent 10 years.Results A total of 1,741 adults with humeral shaft fracture were collected,including 1 185 males and 556 females.The total male/female ratio was 2.13∶ 1.The adult humeral shaft fractures predominated in an age range of 21 to 30 years (24.30％).There were 1,136 cases (65.25％) of type 12-A,469 ones (26.94％) of type 12-B and 136 ones (7.81％) of type 12-C.The male/female ratio was 2.24∶1 in group A of 1,205 patients and 1.91∶1 in group B of 536 patients,showing no significant difference between groups (x2 =2.040,P =0.153).The mean age of group A (37.5 ± 16.0 years) was significantly younger than that of group B (42.0 ± 17.0 years) (Z =-5.359,P =0.000).The differences in age distribution and AO fracture type distribution were statistically significant between the 2 groups (P ＜ 0.05).Conclusions The peak age of adult humeral shaft fractures was from 21 to 30 years.There were more male patients than female ones.There was an increasing trend in the mean age.The high-risk type was 12-A while type 12-B showed an increasing trend.