[1]李俊锋,黄钊,程建文,等.广西壮族自治区急性骨筋膜室综合征的流行病学特征分析[J].中华老年骨科与康复电子杂志,2022,(04):243-249.[doi:10.3877/cma.j.issn.2096-0263.2022.04.009]
　Li Junfeng,Huang Zhao,Cheng Jianwen,et al.Epidemiological characteristics of acute compartment syndrome in Guangxi Zhuang Autonomous Region[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2022,(04):243-249.[doi:10.3877/cma.j.issn.2096-0263.2022.04.009]
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广西壮族自治区急性骨筋膜室综合征的流行病学特征分析()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2022年04期
页码:
243-249
栏目:
老年骨科流行病学
出版日期:
2022-08-05

文章信息/Info

Title:
Epidemiological characteristics of acute compartment syndrome in Guangxi Zhuang Autonomous Region
作者:
李俊锋1; 黄钊1; 程建文1; 2; 冯启明3; 廖亮1; 许国杰1; 程洪1; 郑铁军1; 2; 陈丁泉1; 凌赫1; 吕炳泉1; 覃家港1; 覃永念1; 许运德1; 覃娴静3; 苏伟1; 2; 赵劲民1; 2
南宁 530021，广西医科大学第一附属医院创伤骨科手外科1； 南宁 530021，广西医科大学广西生物医药协同创新中心2；南宁 530021，广西医科大学卫生与健康政策研究中心3
Author(s):
Li Junfeng1;  Huang Zhao1;  Cheng Jianwen1; 2;  Feng Qiming3;  Liao Liang1;  Xu Guojie1;  Cheng Hong1;  Zheng Tiejun1;  2;  Chen Dingquan1;  Ling He1;  Lv Bingquan1;  Qin Jiagang1;  Qin Yongnian1;  Xu Yunde1;  Qin Xianjing3;  Su Wei1;  2;  Zhao Jinmin1;  2.
1Department of Orthopaedic Traumatology and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China; 2Guangxi Collaborative Innovation Center for Biomedicine, Guangxi Medical University, Nanning 530021, China; 3Center for Health and Health Policy Research, Guangxi Medical University, Nanning 530021, China
关键词:
急性骨筋膜室综合征;  流行病学;  回顾性研究;  截肢率
Keywords:
Acute compartment syndrome;  Epidemiology;  Retrospective analysis;  Amputation rate
DOI:
10.3877/cma.j.issn.2096-0263.2022.04.009
文献标志码:
A
摘要:
分析近十年期间广西急性骨筋膜室综合征的流行病学特征及变化趋势。方法 回顾性收集广西6个地市共26家医院于2010年1月至2019年12月期间诊治的1 074例急性骨筋膜室综合征患者的病历资料，对其流行病学特征进行回顾性分析。结果 （1）患者平均年龄为39（26，50）岁，男女平均年龄差异无统计学意义（Z=-1.502，P=0.133），好发年龄段为31岁～50岁；男女比为5.59：1；发病群体以工人、农民和司机为主；（2）致伤原因以道路交通伤最多见，占比32.31%；（3）发病部位最多见于小腿和前臂，分别占64.08%和21.75%；（4）在所有的发病部位中有66.40%伴有骨折，其中，闭合性骨折占69.40%，开放性骨折占30.60%；（5）在2010～2019年期间广西急性骨筋膜室综合征发病例数呈上升趋势（回归系数β=8.036，P＜0.01），截肢率呈下降趋势（c2=9.891，P＜0.01）。结论 广西急性骨筋膜室综合征好发于青中年男性，好发部位为小腿和前臂，道路交通伤是主要致伤原因；发病人数逐年增多，患者截肢率逐渐下降，提示相关医护人员的诊治水平逐渐提高。
Abstract:
Objective To analyze the epidemiological characteristics and trend of acute compartment syndrome in Guangxi in recent ten years. Methods Medical records of 1074 patients with acute compartment syndrome from 26 hospitals in 6 cities in Guangxi were collected from January 2010 to December 2019,and the epidemiological characteristics were retrospectively analyzed. Results (1)The average age of the patients was 39(26,50) years old, and there was no significant difference between male and female (Z=-1.502, P=0.133). The onset age ranged from 31 to 50 years. The male to female ratio was 5.59:1. Workers, farmers and drivers were the main groups; (2)Road traffic injury was the most common cause of injury, accounting for 32.31%; (3)The most common sites were lower leg and forearm,accounting for 64.08% and 21.75%, respectively; (4)Fractures were found in 66.40% of all sites, including closed fractures (69.40%) and open fractures (30.60%); (5)From 2010 to 2019, the incidence of acute compartment syndrome in Guangxi showed an increasing trend (β=8.036, P<0.01), while the amputation rate showed a decreasing trend (c2=9.891, P<0.01). Conclusions Acute compartment syndrome in Guangxi usually occurs in young and middle-aged men, mostly in calf and forearm, and road traffic injury is the main cause of injury. The number of cases increased year by year, and the amputation rate of patients decreased gradually, indicating that the diagnosis and treatment level of relevant medical staff gradually improved.

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备注/Memo

备注/Memo:
基金项目：?国家自然科学基金（81960400）；广西重点研发计划项目（桂科AB19110017）；广西科学基金（2019GXNSFAA245065）；广西科学基金（桂科AD20159024）
更新日期/Last Update: 2022-09-29