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格鲁吉亚第比利斯两家急救中心颌面损伤的回顾性研究。

A RETROSPECTIVE STUDY OF THE MAXILLOFACIAL INJURIES IN TWO EMERGENCY DEPARTMENTS IN TBILISI, GEORGIA.

机构信息

1Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia.

2Department of Prosthetic Dentistry and Implantology, Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Georgia.

出版信息

Georgian Med News. 2023 Jun(339):13-19.

Abstract

Maxillofacial injuries are a global problem in our modern society. It can be a major cause of increased morbidity and mortality. Maxillofacial trauma can lead to scar distortion accompanied by emotional and psychological problems. The epidemiology of facial fractures varies in terms of trauma type, the extent of injury, and severity. The main aim of this research is to explore the scope, the burden, and the etiology of maxillofacial injuries in Tbilisi, Georgia. Data was retrospectively collected from two large emergency departments in Tbilisi, Georgia using a cross-sectional design. Inclusion criteria was patients admitted in hospitals during one year with diagnosis maxillofacial injury. SPSS 21 software was used for statistical analysis. Differences in categorical variables were assessed with Chi-square tests of independence. This research shows that men are still the most frequent victims of maxillofacial injuries. Out of 598 patients, whose age ranged from 1month to 87 years - 67% were males, and 33% patients were females, including both, maxillofacial trauma alone and also combined injuries. With only maxillofacial injuries, the male patients were still leading, with 51% (307) and female patients were 28% (167), these results gave us a statistically significant difference (p=0.026). The main causes of maxillofacial injuries were falls, which equaled to 63% (378 patients) from total recorded data, as in many other countries. The results of this research provide really important information about future preventive interventions in the country. It also shows us that educating the public with prevention strategies is substantial.

摘要

颌面损伤是我们现代社会中的一个全球性问题。它可能是发病率和死亡率增加的主要原因。颌面创伤可导致伴有情绪和心理问题的瘢痕畸形。面部骨折的流行病学在创伤类型、损伤程度和严重程度方面存在差异。本研究的主要目的是探讨格鲁吉亚第比利斯颌面损伤的范围、负担和病因。使用横断面设计,从格鲁吉亚第比利斯的两家大型急诊部门回顾性收集数据。纳入标准为在医院住院一年以上的颌面损伤诊断患者。使用 SPSS 21 软件进行统计分析。使用独立性卡方检验评估分类变量的差异。这项研究表明,男性仍然是颌面损伤最常见的受害者。在 598 名年龄在 1 个月至 87 岁之间的患者中,男性占 67%,女性占 33%,包括单纯颌面外伤和复合伤。仅颌面外伤患者中,男性仍占主导地位,占 51%(307 人),女性占 28%(167 人),这一结果具有统计学意义(p=0.026)。颌面损伤的主要原因是跌倒,在总记录数据中占 63%(378 例),与许多其他国家一样。这项研究的结果为未来在该国进行预防干预提供了非常重要的信息。它还表明,通过预防策略对公众进行教育是非常重要的。

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本文引用的文献

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The psychological sequelae of maxillofacial trauma: a scoping review of the literature.颌面创伤的心理后遗症:文献综述
Br J Oral Maxillofac Surg. 2022 Dec;60(10):1303-1320. doi: 10.1016/j.bjoms.2022.09.013. Epub 2022 Oct 13.

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