Chow T K, Bracker M D, Patrick K
Department of Emergency Medicine, Loma Linda University Medical Center, CA 92354.
West J Med. 1993 Aug;159(2):145-8.
We questioned members of 2 southern California off-road bicycling organizations about injuries associated with the use of all-terrain bicycles. Cyclists were asked about riding and safety habits, the kind(s) of injury sustained with their most recent accident and whether they sought medical treatment, and the circumstances of the accident. Of 459 mailed surveys, 268 (58.4%) were returned. Respondents (82.8% of whom were male) ranged in age from 14 to 68 years. Of these, 225 (84%) had been injured while riding all-terrain bicycles, 51% in the past year. Although most injuries were characterized as minor, 26% required professional medical care, and 4.4% of those injured were admitted to hospital. Extremity injuries--abrasions, lacerations, contusions--occurred in 201 (90%) cyclists with 27 (12%) sustaining a fracture or dislocation. High levels of helmet use (88%) may explain the low occurrence of head and neck trauma (12%). Frequent riding and riding on paved terrain were associated with increased severity of injury, although most accidents--197 (87.6%)--occurred off paved roads. These results suggest that, compared with regular bicyclists, all-terrain cyclists have more, but not necessarily more severe, injuries. Clinicians and emergency medical personnel should be aware that the increasing popularity of off-road cycling may change the frequency and nature of bicycling injuries.
我们询问了南加州两个越野自行车组织的成员有关全地形自行车使用相关的损伤情况。向骑行者询问了骑行和安全习惯、最近一次事故中所受损伤的类型、是否寻求过医疗救治以及事故发生的情况。在邮寄的459份调查问卷中，有268份（58.4%）被返还。受访者年龄在14至68岁之间（其中82.8%为男性）。在这些受访者中，有225人（84%）在骑全地形自行车时受过伤，其中51%是在过去一年受伤的。虽然大多数损伤被认为是轻伤，但26%的损伤需要专业医疗护理，受伤者中有4.4%入院治疗。201名（90%）骑行者发生了肢体损伤——擦伤、撕裂伤、挫伤，其中27人（12%）发生了骨折或脱位。较高的头盔使用率（88%）可能解释了头颈部创伤发生率较低（12%）的原因。频繁骑行和在铺装路面骑行与损伤严重程度增加有关，尽管大多数事故——197起（87.6%）——发生在非铺装道路上。这些结果表明，与普通骑行者相比，全地形自行车骑行者受伤次数更多，但伤势不一定更严重。临床医生和急救人员应意识到，越野骑行日益普及可能会改变骑行损伤的频率和性质。
