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中国东北黑龙江省创伤性脊髓损伤的当前流行病学概况及特征:对监测与控制的启示

Current epidemiological profile and features of traumatic spinal cord injury in Heilongjiang province, Northeast China: implications for monitoring and control.

作者信息

Chen R, Liu X, Han S, Dong D, Wang Y, Zhang H, Shi J, Zhao C, Yao M

机构信息

Department of Orthopaedic Surgery, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, PR China.

Department of Parasitology, Pathogenic Biology, Basic Medical College, Harbin Medical University, Harbin, PR China.

出版信息

Spinal Cord. 2017 Apr;55(4):399-404. doi: 10.1038/sc.2016.92. Epub 2016 Jul 26.

Abstract

STUDY DESIGN

A retrospective hospital-based study.

OBJECTIVES

Traumatic spinal cord injury (TSCI) is considered to be an important public health problem worldwide. Only a few studies concerning the regional epidemiological characteristics of TSCI have been published in China. The purpose is to evaluate the epidemiological characteristics of TSCI in Heilongjiang province in northeast China.

SETTING

The Second Affiliated Hospital of Harbin Medical University and the Fifth Hospital of Harbin City, Heilongjiang province.

METHODS

Information of 232 patients who suffered from TSCI was gathered from their charts between January 2009 and December 2013. Information on sociodemographic variables was collected from each chart, including the patient's age, sex, occupation, injury time, causes and extent of injury.

RESULTS

The average age of patients with TSCI was 45.35±14.35 years. The male/female ratio was 4:1. The incidence of TSCI increased gradually with age and peaked in the 46- to 60-year-old age category. The most common occupation was farm laborer (35.34%). Motor vehicle collisions, followed by falls, were found to be the leading cause of TSCI. Furthermore, the majority of TSCI patients (76.29%) suffered a cervical injury.

CONCLUSION

The present study reveals that TSCI is an issue in the province, and it should not be ignored. Our results provide preliminary evidence and theoretical basis for developing an integrated control program for TSCI.

摘要

研究设计

一项基于医院的回顾性研究。

目的

创伤性脊髓损伤(TSCI)被认为是全球重要的公共卫生问题。在中国,仅有少数关于TSCI区域流行病学特征的研究发表。本研究旨在评估中国东北地区黑龙江省TSCI的流行病学特征。

研究地点

哈尔滨医科大学附属第二医院和黑龙江省哈尔滨市第五医院。

方法

收集2009年1月至2013年12月期间232例TSCI患者病历中的信息。从每份病历中收集社会人口统计学变量信息,包括患者的年龄、性别、职业、受伤时间、受伤原因和损伤程度。

结果

TSCI患者的平均年龄为45.35±14.35岁。男女比例为4:1。TSCI的发病率随年龄逐渐增加,在46至60岁年龄组达到峰值。最常见的职业是农民(35.34%)。机动车碰撞是TSCI的主要原因,其次是跌倒。此外,大多数TSCI患者(76.29%)为颈椎损伤。

结论

本研究表明TSCI是该省的一个问题且不容忽视。我们的研究结果为制定TSCI综合防控方案提供了初步证据和理论依据。

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