Marcelo Mendes, Márcia Borba, Renato Sawazaki, Luciana Asprino, Márcio de Moraes, Roger Willians Fernandes Moreira
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引用次数: 18
Abstract
Introduction: Brazil is among the countries with the highest prevalence of people injured by traffic accidents, showing that in 2008, levels reached 18.3 victims for 100,000 habitants were victims of traffic accidents.
Materials and methods: This retrospective study involved data collected from treated patients' charts at seven different hospitals located in three different cities all in the state of São Paulo, Brazil. Information was obtained through a standardized form, which was designed to investigate the epidemiologic features of maxillofacial traumas, restricted to victims of car accidents.
Results: Three hundred ninety-six patients were victims of car crashes with mean age 29.75 years. The age group 18-30 years showed an association with facial trauma in 96 patients, 41.56 % of whom reported using seat belt. Le Fort I, II and III (70 %) and mandible (63.11 %) were more associated with body traumas and seat belt use. The most common soft tissue lesion was laceration with 189 cases (42.3 %). The treatment way was assessed, 93 (23 %) were treated surgically and 303 (77 %) underwent conservative treatment.
Discussion: Classically, it is known front seat belt use was positively correlated with back seat belt use, healthy diet, dental and general health, regular walking, adequate sleep and no smoking. Accidents involving cars occurred more frequently in age group 18-30 years, suffering more general traumas and representing the nonusers group that wore fewer seat belts, caused, perhaps, by bigger access of the youth to cars, driving in high speed and to an inefficient fiscalization of the traffic laws.
巴西是交通事故受伤人数最高的国家之一,2008年,每10万名居民中有18.3人是交通事故受害者。材料和方法:本回顾性研究收集了来自巴西圣保罗州三个不同城市的七家不同医院的治疗患者图表的数据。通过标准化表格获得信息,该表格旨在调查仅限于车祸受害者的颌面创伤的流行病学特征。结果:396例车祸患者,平均年龄29.75岁。年龄在18-30岁的患者中有96例与面部创伤有关,其中41.56%的患者报告使用安全带。Le Fort I, II和III(70%)和颌骨(63.11%)与身体创伤和安全带使用相关。最常见的软组织损伤是撕裂伤,189例(42.3%)。评估治疗方式,手术治疗93例(23%),保守治疗303例(77%)。讨论:一般来说,前排安全带的使用与后排安全带的使用、健康的饮食、牙齿和一般健康、经常走路、充足的睡眠和不吸烟呈正相关。涉及汽车的事故在18-30岁年龄组中发生的频率更高,他们遭受的创伤更普遍,代表着不使用安全带的群体,他们系的安全带更少,这可能是由于年轻人更多地接触汽车,高速行驶以及交通法规的低效财政化。