木工机械致手外伤患者伤情及预后调查分析.DOCVIP

临床医学论文-木工机械致手外伤患者伤情及预后调查分析 ???? 作者：陈启康，李 卫，黄继辉，林绍仪，蔡厚洪，李春雨，梁淑贞 【摘要】? 目的 顺德乐从地区家具制造业兴旺，木工机械致手外伤的发病率高，致残率高，给社会造成巨大的经济损失。笔者就我区木工机械致手外伤的伤情特点及预后情况进行分析讨论，并就如何预防手外伤发生，提高手外伤治疗水平提出相应的建议。方法 通过对1997年1月1日～2006年12月31日期间，因木工机械致手外伤就诊并住院于顺德乐从医院的3792例患者进行调查，调查人员按照统一方式调查和收集手外伤患者的有关资料后填写调查表格，结合住院病案，收集手外伤患者的一般情况，致伤机械类型、伤情特点、治疗情况（手术方式及接受康复治疗情况）、预后情况等资料，用Microsoft Visual Foxpro 5.0建立数据库，应用SPSS 11.0 for Windows进行统计处理。结果 本市木工机械致手外伤占手外伤86.9%（3 792/4 364）。木工铣床是最常见的致伤机械，多指背侧指间关节复合组织缺损为特征性损伤。对于指骨骨折治疗以传统的克氏针内固定手术为主，关节破坏治疗以关节融合为主，术后缺乏后续康复治疗。结论 木工机械致手外伤的特殊伤情以及术后缺乏康复治疗，是患者预后不良的主要原因。重视乡镇及个体私营企业的手外伤预防工作，改进简陋的木工机械是减少事故发生的有效方法。良好手术方式配合术后系统康复治疗是改善此类手外伤患者预后的关键。 【关键词】? 手损伤；流行病学；回顾性研究；木工机械；伤情特点；预后情况 ??? Investigation and analysis of wound conditions and prognosis of patients with hand injuries caused by wood working machines ??? ［Abstract］? Objective? The furniture manufacturing industry of Shunde Lecong areas is booming，but the morbidity and the injuries to hands caused by wood working machines are high，which have led to a huge economic loss to the society.The authors analyzed and discussed the features of injuries by wood working machines in our district and their recoveries，and also made corresponding proposals and suggestions to prevent hand injuries from happening and improve treatment of such injuries.Methods? An investigation was made to 3 792 patients with hand injuries caused by wood working machines，who received medical care and were hospitalized in Lecong Hospital of Shunde between January 1，1997 and December 31，2006.Along with the hospitalized cases，using the unified investigating methods，and after collecting the relevant materials of the patients，the investigators filled in the investigation forms，and collected the general information about the hand injury patients which included types of wound-causing machines，features of injuries，treatment （means of surgery as well as recovery management received） and prognosis，then set up a data base by applying Microsoft Visual Foxpro 5.0 and made stati