Versteegen G J, Kingma J, Meijler W J, ten Duis H J
Paincentre, Department of Anaesthesiology, University Hospital Groningen, The Netherlands.
Eur Spine J. 1998;7(3):201-5. doi: 10.1007/s005860050056.
During the 25-year period 1970-1994, 680 patients were diagnosed with neck sprain due to causes other than car accidents at the Emergency Room of the University Hospital Groningen. The purpose of the present study was to analyse the prevalence, groups at risk and trends in patients with neck sprain. We defined the population as patients diagnosed with neck sprain that was not due to a car accident (NCA). The binominal test was used to obtain measures of statistical significance, deltax was used to obtain both the total increase in the number of neck sprain victims over the whole period (1970-1994) and the relative contribution of successive 5-year periods. Over the 25-year period a steady increase in the number of patients was observed from 55 in 1970-1974 to 241 in 1990-1994. The highest prevalence was found among 15- to 19-year-olds (3.92 per 10,000), followed by 10- to 14-year-olds (3.40 per 10,000). The major causes of neck sprain NCA were accidental falls (25%), sports injuries (24%) and bicycling injuries. Across the life span, the male: female ratio was 0.63. Ten percent of patients were treated as inpatients. The increase in neck sprain NCA can be only partly attributed to increased media attention. The reduction of working hours resulting in more leisure time activities, which in turn increases the exposure time in at risk situations, and the awareness of both patients and physicians is discussed.
在1970年至1994年的25年期间，格罗宁根大学医院急诊室有680名患者被诊断出因非交通事故原因导致颈部扭伤。本研究的目的是分析颈部扭伤患者的患病率、高危人群及趋势。我们将研究人群定义为被诊断出非因交通事故（NCA）导致颈部扭伤的患者。采用二项式检验来获得统计学显著性测量值，使用δ值来计算整个时期（1970 - 1994年）颈部扭伤受害者总数的增加量以及连续5年期间的相对贡献。在这25年期间，观察到患者数量稳步增加，从1970 - 1974年的55例增加到1990 - 1994年的241例。患病率最高的是15至19岁的人群（每10000人中有3.92例），其次是10至14岁的人群（每10000人中有3.40例）。非交通事故导致颈部扭伤的主要原因是意外跌倒（25%）、运动损伤（24%）和骑自行车受伤。在整个生命周期中，男女比例为0.63。10%的患者接受了住院治疗。非交通事故导致的颈部扭伤增加仅部分归因于媒体关注度的提高。文中还讨论了工作时间减少导致休闲活动增多，进而增加了处于危险情况的暴露时间，以及患者和医生意识方面的问题。
