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[对某前区级医院外科两年期间非联谊性体育事故的分析]

[Analysis of non-confraternity sports accidents in the surgical department of a former district hospital during the period of 2 years].

作者信息

Raschka Ch, Raschka S, Peikert T

机构信息

Chirurgischen Abteilung der Helios St.Elisabeth-Klinik, Hünfeld.

出版信息

Versicherungsmedizin. 2009 Dec 1;61(4):173-6.

Abstract

This epidemiological study analyses all n = 1,659 outpatient and inpatient non-confraternity sports accidents treated during a 2-year period in a former district hospital. The largest share with 40.6% is soccer, followed by cycling (15%), general fitness sports (7.6%), outdoor sports (6.5%), winter sports (5.5%), and riding (5.2%). Soccer injuries rise steadily until the age of 30. Of 86 horse riding accidents a total of 68 involved women, but only 18 men (ratio 8 : 2). 53% of the horse riding accidents among women concern the age group between 10 and 20 years. 70.6% (79%) of the athletes under (over) 20 years were male, 29.4% (21%) female (p < 0.05). Topographically the lower extremities represent the most affected body region in all sports (runners 84.4%, soccer players 60.2%). Most accidents occur on a Sunday. The most common diagnosis is contusion, most commonly in martial arts (60.8%), followed by horse riding (51%). There is an astonishing dominance of soccer accidents given the fact that this study records all athletes, not just club athletes, unlike insurance studies. Important preventive measures would be a comprehensive biological training prophylaxis and the provision of communication of age-specific accident prevention proposals for the mainly affected sports.

摘要

这项流行病学研究分析了一家前地区医院在两年期间治疗的所有1659例非兄弟会体育门诊和住院事故。占比最大的是足球,为40.6%,其次是自行车运动(15%)、一般健身运动(7.6%)、户外运动(6.5%)、冬季运动(5.5%)和骑马(5.2%)。足球受伤人数在30岁之前稳步上升。在86起骑马事故中,共有68起涉及女性,只有18起涉及男性(比例为8:2)。女性骑马事故中有53%发生在10至20岁年龄组。20岁以下(以上)的运动员中,70.6%(79%)为男性,29.4%(21%)为女性(p<0.05)。从部位来看,下肢是所有运动中受影响最严重的身体部位(跑步者中占84.4%,足球运动员中占60.2%)。大多数事故发生在周日。最常见的诊断是挫伤,最常发生在武术运动中(60.8%),其次是骑马(51%)。鉴于本研究记录的是所有运动员,而不仅仅是俱乐部运动员,这与保险研究不同,足球事故的占比令人惊讶。重要的预防措施包括全面的生物训练预防以及针对主要受影响运动提供按年龄划分的事故预防建议。

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