《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (7): 665-668.

• 论文 • 上一篇    下一篇

423 例脊髓损伤住院患者特征分析

姜京城1,2，朱立强3，叶超群1，孙天胜1，胥少汀1   

  1. 1.北京军区总医院骨科，北京市100700；2.第三军医大学，重庆市400038；3.解放军322 医院信息科，山西大同市037006。
  • 收稿日期:2011-12-08 修回日期:2012-05-21 出版日期:2012-07-25 发布日期:2012-07-25
  • 通讯作者: 孙天胜

Characteristics of Spinal Cord Injury in Hospital: 423 Cases Report

JIANG Jing-cheng, ZHU Li-qiang, YE Chao-qun, et al   

  1. Departmentof Orthopedics, Beijing Army General Hospital, Beijing 100700, China
  • Received:2011-12-08 Revised:2012-05-21 Published:2012-07-25 Online:2012-07-25

PDF (PC)

被引次数

7

摘要： 目的分析脊髓损伤住院患者的特点。方法对423 例脊髓损伤住院患者进行回顾性分析。结果患者男女比为15.3∶1，平均年龄(40±11)岁。煤矿相关工作人员最多(61.7%)，致伤因素为煤块砸伤(53.26%)。主要损伤部位为颈椎135 例(31.91%)、腰椎187 例(44.21%)，损伤程度ASIA A级192 例(45.39%)。并发症前3 位是泌尿系感染、压疮、肺部感染，并发症发生危险因素主要为损伤严重程度(ASIA评分)、受伤入院时间、手术治疗(P<0.05)。医疗支付方式主要为自费(73%)。结论需加强煤矿工作人员的职业防护，提高医疗保险覆盖范围，提高院前急救水平。

关键词: 脊髓损伤, 流行病学, Logistic 回归分析

Abstract: Objective To investigate the epidemiology of spinal cord injuries (SCI) in hospital. Methods 423 patients with SCI were reviewed. esults The ratio of male to female was 15.3∶ 1, aged (40±11) years. The coal mine-related staff was the most (61.7%), mainly aused from coal blocks dropping (53.26%). 135 cases (31.91%) injured in cervical vertebra, and 187 cases (44.21%) in lumbar. There were 92 (45.39%) cases were complete injury. The most frequent complication of SCI were urinary tract infection, pressure sore and pulmonary nfection. The factors correlated with the complication were the degree of ASIA Impairment Scale, the period of admitted to hospital after injury, nd the surgery (P<0.05). The expenditure of hospitalization was mainly provided by oneself (73%). Conclusion It is important to improve he occupation prevention, enlarge the coverage of medical insurance, and promote pre-hospital care to prevent SCI.

Key words: spinal cord injury, epidemiology, Logistic regression analysis