Shingu H, Ikata T, Katoh S, Akatsu T
San-in Rosai Hospital, Yonago, Japan.
Paraplegia. 1994 Jan;32(1):3-8. doi: 10.1038/sc.1994.2.
To survey the situation of traumatic spinal cord injuries (SCI) in Japan, the SCI Prevention Committee of the Japanese Medical Society of Paraplegia sent out by mail study charts in the form of questionnaires to institutions nationwide. Using the statistical method of the nationwide epidemiological survey described by Hashimoto et al,1 the annual estimated incidence was obtained from the number of patients registered, and from the questionnaire reply rate at each prefecture. The number of registered patients in 1990 was 3465 and the mean reply rate was 56.6%. There were 2665 registered patients with a neurological deficit (Frankel A-D) and the annual SCI incidence was 39.4 per million. The male:female ratio was 4.3:1 and the ratio of cervical cord injures to those caudal to the cervical cord was 2.9:1. The mean age at the time of injury was 48.5 years. The cause most frequently seen was traffic accidents, the second most frequent being falls from a height. Besides those two, sports injuries and falls on level ground were the third most frequent causes of SCI in the young generation and in elderly people respectively.
为了调查日本创伤性脊髓损伤（SCI）的情况，日本截瘫医学会脊髓损伤预防委员会以问卷形式通过邮件向全国机构发送了研究图表。采用桥本等人描述的全国性流行病学调查统计方法，1从登记患者数量以及各都道府县的问卷回复率得出年度估计发病率。1990年登记患者数量为3465例，平均回复率为56.6%。有2665例登记患者存在神经功能缺损（Frankel A - D级），年度SCI发病率为每百万人口39.4例。男女比例为4.3:1，颈髓损伤与颈髓以下损伤的比例为2.9:1。受伤时的平均年龄为48.5岁。最常见的病因是交通事故，其次是高处坠落。除这两种情况外，运动损伤和在平地上摔倒分别是年轻一代和老年人SCI的第三大常见病因。
