Epidemiological features of traumatic spinal cord injury in Chongqing, China
Epidemiological features of traumatic spinal cord injury in Chongqing, China
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DOI：
10.1080/10790268.2015.1101982
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发表时间：
2016-01-01
影响因子：
1.7
通讯作者：
Zhou, Yue
中科院分区：
文献类型：
--
作者：
Ning, Guang-Zhi;Mu, Zhi-Ping;Zhou, Yue
目的：了解重庆市外伤性脊髓损伤的流行病学特征和趋势。研究设计：基于医院的回顾性研究。单位：重庆市新桥医院。方法：回顾2009 - 2013年新桥医院554例外伤性脊髓损伤（TSCI）患者的医疗记录。变量包括性别、年龄、婚姻状况、病因、职业、受伤时间、受伤程度、受伤严重程度、住院时间和治疗。结果：TSCI患者的平均年龄为45.6±13.8岁，男女比例为4.33:1。94.2%（522例）的TSCI患者已婚。跌伤，包括低跌伤和高跌伤（分别占10.8%和50.9%），是前往医院就诊的主要原因。其次是mvc（21.8%）。最常见的损伤部位为颈脊髓，占比近54%以上。住院时间为1 ~ 219天（平均28.3天）。完全四肢瘫、不完全四肢瘫、完全截瘫和不完全截瘫的比例分别为17.1%、37.8%、22.2%和22.9%。结论：我国TSCI患者的平均年龄高于其他国家，男性比例较高，跌倒和MVCs是前两个主要原因。TSCI风险最高的职业是农民和劳动者。这些结果提示，预防方法应根据不同类型TSCI患者的特点而定。
Objective: To describe the epidemiological characteristics and trends of traumatic spinal cord injury in Chongqing, China.Study design: Hospital-based retrospective research.Setting: Xinqiao Hospital, Chongqing.Methods: We reviewed medical records of 554 patients with traumatic spinal cord injury (TSCI) admitted to Xinqiao Hospital from 2009 to 2013. Variables included gender, age, marital status, etiology, occupation, time of injury, level of injury, and severity of injury, the length of hospital stay, and treatment.Results: The mean age of patients with TSCI was 45.6 +/- 13.8 years, and the male/female ratio was 4.33: 1. 94.2% (522 patients) of all patients with TSCI were married. Falls, comprising low falls and high falls (10.8% and 50.9%, respectively), were the leading reason for a hospital visit. And the second reason was MVCs (21.8%). The most common injury site was the cervical spinal cord, accounting for nearly more than 54%. The length of hospital stay ranged between 1 and 219 days (mean: 28.3 days). The proportions of complete tetraplegia, incomplete tetraplegia, complete paraplegia and incomplete paraplegia were 17.1%, 37.8%, 22.2%, and 22.9%, respectively.Conclusion: The result revealed that the proportion of males was higher, as well as falls and MVCs were the first two main reasons, with older mean age of patients with TSCI than other countries. The occupations with highest risk for TSCI were peasants and laborers. All of these results prompted that preventive methods should be based on the characteristics of different type of patients with TSCI.