摘要
目的分析儿童骨折的流行病学特征,为儿童骨折防治提供参考。方法收集北京市某三甲医院2013年1月1日-2022年12月31日,年龄<14岁的儿童骨折患者的信息,包括性别、年龄、年份和月份的分布规律、骨折类型、骨折的原因以及其入院和出院的情况,进行统计分析。结果共纳入5085人,男性占比为70.71%。年龄组构成在性别间差异有统计学意义(χ^(2)=238.589,P<0.001),男性和女性最多的分别是少年组(41.02%)和学龄组(44.65%)。骨折人数随着月份在男性和女性中均呈现双峰型变动趋势,最高峰均为5月份,第二峰分别在10月和9月份。男性和女性儿童骨折最多的部位均是肩部和上臂,分别占比34.71%和44.35%;主要原因均为跌落,分别占比64.95%和70.59%,骨折类型(χ^(2)=93.616,P<0.001)和骨折原因(χ^(2)=53.506,P<0.001)在性别间差异有统计学意义。骨折患者通过门诊和急诊入院的比例分别为57.66%和39.67%,平均住院天数为6.40天,99.88%的人通过医嘱离院。结论儿童骨折患者在性别、年龄、月份、骨折类型以及原因具有明显的流行病学特征,对不同个体采用有针对性的预防措施,以减少儿童骨折的发生。
Objectives To explore the epidemiological characteristics of pediatric fracture in Children,thus to provide evidence for relevant prevention and treatment Methods We selected the information on fracture patient aged≤14 years admitted in a Three A and Tertiary Hospital in Beijing from January 1st,2013 to December 31st,2022.The composition of gender and age groups,the distributions of admission year and month,types and causes of fracture,and admission and discharge information were described and analyzed.Results A total of 5085 patients were included and 70.71%of children were men.Junior group was the most in men and school age group was the most in women,with statistical differences observed(χ^(2)=238.589,P<0.001).The number of cases showed a bimodal trend with month in both men and women;the highest peak was May and the second peak were October and September for men and women,respectively.Fracture mainly occurred at shoulders and upper arms in both men and women,with the proportion of 34.71%and 44.35%;falls was the leading cause for fracture and the proportions were 64.95%and 70.59%for men and women,respectively.Statistical differences were found in the types(χ^(2)=93.616,P<0.001)and causes(χ^(2)=53.506,P<0.001)of fracture between men and women.57.66%and 39.67%of patients were admitted through outpatient and emergency departments,and 99.88%of patients were discharge by medical order,with the mean hospitalization days of 6.40 days.Conclusions Pediatric fractures had obvious epidemiological characteristics in gender,age,month,fracture type and cause,and we should adopt targeted preventive measures for different individuals to reduce the incidence of pediatric fractures in children.
作者
吴旭东
刘雪娇
鲁新玉
袁蕊
Wu Xudong;Liu Xuejiao;Lu Xinyu;Yuan Rui(不详;Department of Medical Records Management and Statistics,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)
出处
《中国病案》
2024年第8期29-32,共4页
Chinese Medical Record
关键词
儿童
骨折
流行病学
Children
Fracture
Epidemiology
