《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (07): 412-413.

• 临床研究 • 上一篇    下一篇

2002年北京市脊髓损伤发病率调查

李建军1,2; 周红俊1,2; 洪毅1,2; 季京平3; 刘根林1,2; 粟绍强1,2; 赵超男1,2; 董云英1,2; 方玉美1,2; 谭鹏3; 周天健1,2; 张爱民1,2; 郑樱1,2;北京市2002年脊髓损伤流行病学调查小组   

  1. 1.中国康复研究中心 北京市 100068;2.首都医科大学康复医学院 北京市 100068;3.北京市卫生局信息中心 北京市 100050
  • 收稿日期:2004-04-19 出版日期:2004-07-25 发布日期:2004-07-25

Spinal cord injuries in Beijing:a municipal epidemiological survey in 2002

LI Jian-jun, ZHOU Hong-jun, HONG Yi, et al   

  1. China Rehabilitation Research Center,100068 Beijing, China
  • Received:2004-04-19 Published:2004-07-25 Online:2004-07-25

PDF (PC)

被引次数

574

摘要： 目的调查北京脊髓损伤的发病情况。方法中国康复研究中心和北京卫生信息中心对 2002年收治脊髓损伤患者的86家北京地区医院进行调查。调查人员由受过培训的专业人员组成。2002年共收治1077例脊髓损伤患者,按分层抽样的方法抽取264名患者参加调查。结果脊髓损伤年发病率为60/106。男女比率为3∶1。颈段损伤为49%;胸段损伤为28%;腰段损伤为66.7%;其他损伤为0.4%。平均受伤年龄为41岁。常见致伤原因为高处坠落和交通事故。平均住院时间为189天,平均住院费用为27819.3元。4名患者出院后转至康复中心,其余患者直接回家。结论北京脊髓损伤年发病率高有许多原因,第一致伤原因为高处坠落,建议有关部门应加强安全防护教育,采取有效的防护措施。脊髓损伤患者中得到系统康复治疗的比率很低。

关键词: 脊髓损伤, 流行病学, 发病率, 预防, 调查

Abstract: Objective To survey the situation of spinal cord injuries (SCI) in Beijing.Methods China Rehabilitation Research Center and Information Center of Beijing Health Bureau sponsored the surveillance of 86 hospitals in Beijing which had hospitalized SCI patients in 2002. The faculty of surveillance was composed of trained professionals. The number of registered SCI patients in 2002 was 1077, and 264 patients in 11 hospitals were chosen to be investigated in detail according to stratified sampling result.Results There were 1077 registered patients with a neurological deficit and the annual SCI incidence was 60 per million. The ratio of male to female was 3:1 and the ratio of cervical, thoracic, lumbar injuries and others is 4.9%, 28%, 66.7%, 0.4% respectively. The mean age at the time of injury was 41 years. The causes most frequently seen were falls from a height and traffic accidents. The mean time of hospitalization was 18.9 days and the mean expenditure of hospitalization was 27819.3 RMB. Four patients were transferred to rehabilitation hospitals, and others went homes directly after discharge.Conclusion There are many reasons for the high annual SCI incidence in Beijing and the first SCI cause was falling from a height, which should be pay special attention when the prevention measures are taken into account. The rate of SCI patients who received systemic medical rehabilitation was low.

Key words: spinal cord injury, epidemiology, incidence, prevention, investigation