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运动相关的口腔颌面部损伤:一项浦项国立大学牙科学院的 5 年回顾性研究。

Sports-Related Oral and Maxillofacial Injuries: A 5-Year Retrospective Study, Pusan National University Dental Hospital.

机构信息

Clinical Professor, Department of Oral Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Gyeongnam, Republic of Korea.

Fellow, Department of Oral Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Gyeongnam, Republic of Korea.

出版信息

J Oral Maxillofac Surg. 2021 Jan;79(1):203.e1-203.e8. doi: 10.1016/j.joms.2020.07.218. Epub 2020 Aug 5.

Abstract

PURPOSE

The incidence of sports trauma is gradually increasing, and its importance is therefore also increasing. The present study was conducted to analyze the types, proportions, and tendencies of sports trauma associated with the oral and maxillofacial regions.

PATIENTS AND METHODS

Patients who visited the Emergency Department of Pusan National University Dental Hospital between 2014 and 2018 for more than 5 years were surveyed through retrospective epidemiologic investigations. Type of sports was classified according to American Academy of Pediatrics classification. For statistical analysis, age and gender distribution, cause of trauma, and annual trends data were collected.

RESULTS

Of the 517 patients, most of the patients were teenagers (27.9%), followed by those younger than 10 years (23.2%) (χ = 22.897; P = .002), and noncontact sports, which is cycling, was the most common (43.5%) cause for trauma in both adult and children groups (χ = 91.824; P < .001). The most common sports associated with contact sports, limited-contact sports, and noncontact sports were football (47.7%), baseball (50.0%), and cycling (74.8%), respectively. The causes for trauma injury were as follows: contact sports, other person's body (53.4%); limited-contact sports, other objects (60.9%); and noncontact sports, slip down (77.4%) (χ = 298.901; P < .001). The prevalence and incidence of sports injuries increase every year, and the proportion of injured patients in May was the highest (χ = 52.360; P = .181). The high percentage of traumatic sports demonstrated statistically significant trends (χ = 43.073; P = .002). Kickboard injuries showed a rapid increase recently (P for linear trend = .045), whereas other sports showed no significant trends.

CONCLUSIONS

Considering the increasing incidence of sports-related injuries, oral and maxillofacial surgeons should be more concerned with maxillofacial trauma during sports.

摘要

目的

运动创伤的发生率逐渐增加,因此其重要性也在增加。本研究旨在分析与口腔颌面部相关的运动创伤的类型、比例和趋势。

方法

通过回顾性流行病学调查,对 2014 年至 2018 年在釜山国立大学牙医院急诊就诊的 5 年以上的患者进行调查。根据美国儿科学会的分类方法对运动类型进行分类。为了进行统计分析,收集了年龄和性别分布、创伤原因和年度趋势数据。

结果

在 517 名患者中,大多数患者为青少年(27.9%),其次是 10 岁以下的患者(23.2%)(χ²=22.897,P=.002),非接触运动(如骑自行车)是成人和儿童群体中最常见的创伤原因(χ²=91.824,P<.001)。与接触性运动、有限接触性运动和非接触性运动相关的最常见运动分别是足球(47.7%)、棒球(50.0%)和骑自行车(74.8%)。创伤原因如下:接触性运动,他人身体(53.4%);有限接触性运动,其他物体(60.9%);非接触性运动,滑倒(77.4%)(χ²=298.901,P<.001)。运动损伤的患病率和发病率逐年增加,5 月受伤患者比例最高(χ²=52.360,P=.181)。创伤性运动的高比例呈统计学显著趋势(χ²=43.073,P=.002)。最近踢板伤迅速增加(线性趋势 P 值=.045),而其他运动则没有明显趋势。

结论

考虑到与运动相关的伤害发生率增加,口腔颌面外科医生在运动期间应更加关注颌面外伤。

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