颌面骨折的流行病学分析：一项 10 年回顾性队列研究，共纳入 1007 例患者。
An epidemiological analysis of maxillofacial fractures: a 10-year cross-sectional cohort retrospective study of 1007 patients.
机构信息
Department of Oral and Maxillofacial Surgery, University of Oradea, Romania, Str. Piața 1 Decembrie, no.10, 410073, Oradea, Romania.
Research Center for Functional Genomics, Biomedicine and Translational Medicine, Iuliu Hatieganu" University of Medicine and Pharmacy, 400337, Cluj-Napoca, Romania.
出版信息
BMC Oral Health. 2021 Mar 17;21(1):128. doi: 10.1186/s12903-021-01503-5.
BACKGROUND
Epidemiological data is providing vital indicators for organizing the financial resources related to a particular type of trauma, estimating expenses and training of dental practioners and ambulatory medical staff for collaboration with a certain pattern of patients. Knowing the etiology and epidemiology of a certain pathology is significant for approaching its means of prevention.
METHODS
A 10-year retrospective statistical analysis of 1007 patients with maxillofacial fractures treated in a University Clinic of Oral and Maxillofacial Surgery in Romania was performed. The data were extracted from patients' medical records. Statistical analysis was performed. A value of p < 0.05 was considered statistically significant.
RESULTS
The incidence of maxillofacial fractures was high among patients in the 20-29 age group (35.9%). Male patients (90.57%, M:F = 9.6:1), having a low level of education (46.60%) and living in urban areas (53.50%) were more affected. The main cause of maxillofacial fractures was interpersonal violence (59.37%), both in the mandibular and midface topographic regions (p = 0.001, p = 0.002). In urban areas, fractures caused by interpersonal violence and road traffic accidents were predominant, while in rural areas, most of the fractures were due to interpersonal violence, domestic accidents, work accidents and animal attacks (p = 0.001).
CONCLUSIONS
Interpersonal violence is the main cause of maxillofacial fractures having epidemic proportions. Male patients aged 20-29 years with a low level of education represent the major risk category. Considering the wide area of interpersonal aggression, both the medical staff in the hospital and in the dental offices must be educated in order to collaborate with possible violent patients. Dentists must be prepared to work on a post-traumatic dento-periodontal field. Taking all measures to prevent inter-human aggression is imperative and will lead to a major decrease in maxillofacial fractures and an overall increase of oral health in a population.
背景
流行病学数据为组织与特定类型创伤相关的财政资源提供了重要指标，用于估算费用并培训牙科医生和流动医务人员，以与特定类型的患者合作。了解特定病理学的病因和流行病学对于探索其预防方法具有重要意义。
方法
对罗马尼亚某口腔颌面外科大学诊所治疗的 1007 例颌面骨折患者进行了 10 年回顾性统计分析。从患者病历中提取数据。进行了统计分析。p 值<0.05 被认为具有统计学意义。
结果
20-29 岁年龄组患者颌面骨折发病率高（35.9%）。男性患者（90.57%，M:F=9.6:1），文化程度较低（46.60%），居住在城市地区（53.50%）的患者受影响较大。颌面骨折的主要原因是人际暴力（59.37%），下颌骨和中面部区域均如此（p=0.001，p=0.002）。在城市地区，人际暴力和道路交通伤害引起的骨折更为常见，而在农村地区，大多数骨折是由人际暴力、家庭事故、工作事故和动物袭击引起的（p=0.001）。
结论
人际暴力是颌面骨折的主要原因，具有流行比例。20-29 岁、文化程度较低的男性患者是主要的高危人群。考虑到人际攻击的广泛范围，医院和牙科诊所的医务人员都必须接受教育，以便与可能出现暴力行为的患者合作。牙医必须准备好在创伤后牙周领域开展工作。采取一切措施预防人际暴力至关重要，这将大大减少颌面骨折的发生，并全面提高人群的口腔健康水平。
Zotero 插件