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脊髓损伤受害者的流行病学评估。

Epidemiological evaluation of victims of spinal cord injury.

作者信息

Brito Luciane Maria Oliveira, Chein Maria Bethânia da Costa, Marinho Saymo Carneiro, Duarte Thaiana Bezerra

机构信息

Federal University of Sao Paulo - SP-BR.

出版信息

Rev Col Bras Cir. 2011 Sep-Oct;38(5):304-9.

PMID:22124640
Abstract

OBJECTIVE

to evaluate patients suffering from spinal cord injury

METHODS

A retrospective, cross-sectional study was conducted with 87 patients admitted to the university hospital of UFMA between January 2008 and June 2009. We assessed sex, age, compromised segment of the spine and cause of injury, subjecting these data to statistical analysis (chi-square test).

RESULTS

there was a significant prevalence of males (p <0.001), with 81.6% (71) cases, and age between 21 and 30 years of age (p <0.001), with 39.1% (34) of cases. The average age was 33.96 ± 13.56 years. The proportion of falls from height was significantly greater than the number of traffic (p <0.001) and motorcycle (p <0.001) accidents. The most compromised segment of the spine (p <0.001) was the thoracic (33), with 37.9% of cases. Traffic accidents appear in greater proportion among men (p = 0.014). The cervical spine was the most affected in males (p = 0.043). The thoracolumbar fractures were caused, to a greater extent, by falls from height (p = 0.003), whereas involvement of the thoracic spine was significantly higher (p = 0.016) in traffic accidents.

CONCLUSION

The group at higher risk of injury to the spinal cord is the young adult male. Although there is a difference between the sexes when correlated traffic accidents, falling from height is the main cause in both sexes.

摘要

目的

评估脊髓损伤患者

方法

对2008年1月至2009年6月期间入住UFMA大学医院的87例患者进行回顾性横断面研究。我们评估了性别、年龄、脊柱受损节段和损伤原因,并对这些数据进行统计分析(卡方检验)。

结果

男性患病率显著(p<0.001),占81.6%(71例),年龄在21至30岁之间(p<0.001),占39.1%(34例)。平均年龄为33.96±13.56岁。高处坠落的比例显著高于交通事故(p<0.001)和摩托车事故(p<0.001)。脊柱受损最严重的节段(p<0.001)是胸椎(33例),占37.9%。交通事故在男性中所占比例更大(p = 0.014)。颈椎在男性中受影响最大(p = 0.043)。胸腰椎骨折在很大程度上是由高处坠落引起的(p = 0.003),而交通事故中胸椎受累显著更高(p = 0.016)。

结论

脊髓损伤风险较高的群体是年轻成年男性。尽管在交通事故方面存在性别差异,但高处坠落是男女双方的主要原因。

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