Department of Orthopaedics, the First Affiliated Hospital of Anhui Medical University, Anhui, China.
Spinal Cord. 2013 Jan;51(1):20-2. doi: 10.1038/sc.2012.92. Epub 2012 Sep 4.
A retrospective hospital-based study.
To describe the epidemiologic features of traumatic spinal cord injury (TSCI) in Anhui Province.
Two hospitals within Anhui Province, China.
We retrospectively reviewed the hospital records on all patients with TSCI, admitted between 1 January 2007 and 31 December 2010 (n=761). Variables included age, gender, occupation, neurological level, severity of injury, cause and treatment.
Seven hundred and sixty-one cases of TSCI were identified. Five hundred and eighty eight were males (77.3%) and 173 were females (22.7%), with a mean age of 45 years (s.d.=13, range from 5 to 87). Fall from height was the leading cause of injury (52.6%), followed by transport (21.2%). The neurological lesion levels were cervical (46.3%), lumbosacral (33.3%) and thoracic (20.4%).
Prevention strategies for TSCI should target 30-60 age group, males, farmers and fall from height. The results of this study will serve as a basis for further studies on TSCI. The prevention strategies and treatment should be designed according to the injury features.
回顾性医院基础研究。
描述安徽省外伤性脊髓损伤（TSCI）的流行病学特征。
中国安徽省的两家医院。
我们回顾性地分析了 2007 年 1 月 1 日至 2010 年 12 月 31 日期间（n=761）所有外伤性脊髓损伤住院患者的病历资料。变量包括年龄、性别、职业、神经水平、损伤严重程度、病因和治疗方法。
共发现 761 例 TSCI 患者。588 例为男性（77.3%），173 例为女性（22.7%），平均年龄为 45 岁（标准差=13，范围为 5-87）。高处坠落是最常见的损伤原因（52.6%），其次是交通伤（21.2%）。神经损伤水平为颈椎（46.3%）、腰骶部（33.3%）和胸椎（20.4%）。
针对 30-60 岁年龄组、男性、农民和高处坠落的 TSCI 预防策略应成为进一步研究 TSCI 的基础。本研究结果将为 TSCI 的进一步研究提供依据。应根据损伤特征制定预防策略和治疗方案。
