Zhang Liuqing, Sun Yiyuan, Wang Peihua, Shi Runjie, Chen Dong
Department of Otolaryngology Head and Neck Surgery,Shanghai Nineth People's Hospital,School of Medicine,Shanghai Jiao Tong University;Ear Institute Shanghai JiaoTong University School of Medicine;Shanghai Key Laboratory of Translational Medicine on Ear and Nose diseases,Shanghai,200001,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Mar;34(3):239-243. doi: 10.13201/j.issn.2096-7993.2020.03.013.
This thesis studies on epidemiological characteristics of patients with nasal bone fractures. This thesis retrospectively studies on 2 881 patients with nasal bone fractures. The characteristics, causes, and fracture types are collected and reviewed retrospectively. The type of nasal bone fracture is classified according to Fred's classification, and SPSS 25.0 software is used in statistical analysis. The sex ratio of nasal bone fracture between males and females is 2.44:1, male cases are obviously more than female cases. The group aged 19-29 years occupies the largest proportion, accounted for 35.54%. Traffic accident was the leading cause of the nasal bone fracture, accounting for 33.84%. The second cause was violent assault, 24.12% totally. The number of patients suffering nasal bone fractures combined with maxilla frontal process fractures is higher than that of simple nasal bone fractures. Type Ⅱ fracture is significantly more common in patients with other types nasal bone fractures. Logistic regression analysis for simple nasal bone fracture showed that the relative risk of simple nasal bone fracture is lower in men than in women, and the risk of simple nasal fractures decreased with age increasing. Compared with traffic accident, the relative risk of simple nasal bone fracture is higher in violence injury, sports injury and collision injury. The distribution of the nasal fractures of the inpatients has certain characteristics in terms of individual characteristics, injury cause and fracture types, which is worthy of further strategic study on prevention and treatment of the nasal fractures.
本论文研究鼻骨骨折患者的流行病学特征。本论文回顾性研究了2881例鼻骨骨折患者。对其特征、病因及骨折类型进行回顾性收集与分析。鼻骨骨折类型按弗雷德分类法进行分类,并采用SPSS 25.0软件进行统计分析。鼻骨骨折的男女比例为2.44:1,男性病例明显多于女性病例。19 - 29岁年龄组占比最大,为35.54%。交通事故是鼻骨骨折的主要原因,占33.84%。其次是暴力袭击,共占24.12%。鼻骨骨折合并上颌骨额突骨折的患者数量高于单纯鼻骨骨折患者。Ⅱ型骨折在其他类型鼻骨骨折患者中明显更为常见。单纯鼻骨骨折的Logistic回归分析显示,男性单纯鼻骨骨折的相对风险低于女性,且单纯鼻骨骨折的风险随年龄增长而降低。与交通事故相比,暴力伤、运动伤和碰撞伤导致单纯鼻骨骨折的相对风险更高。住院患者鼻骨骨折在个体特征、损伤原因及骨折类型方面的分布具有一定特点,值得对鼻骨骨折的防治进行进一步的策略性研究。