桃園地區手傷害概況之調查研究

A survey of Traumatic hand injuries in Tao-Yuan area

霍秀群(Sau-Kwan Fok) ； 韋有維(Yau-Wai Wai) ； 林顯瑜(Shean-Yu Lin)

《中華民國復健醫學會雜誌》 22卷2期 (1994/12) Pp. 67-76

摘要

本篇收集了從民團79年1月至81年5月曾在省立桃園醫院復健科或急診處，因手部傷害接受治療的926個病患，以面訪或電話追蹤或病歷查閱方式，了解他們當時手部受傷型態、傷害誘因、嚴重程度以及如今復原程度、復健療效等。其中面訪37位，電話追蹤153位，其它以病歷查問方式完成。結果發現926個手傷病患中，受訪與工作相關者佔78.9％，其中63.1％直接為操作機器所傷。手傷部位以食指機率最高，中指次之。因工受傷者，14.5％需要住院．平均住院天數20.3（2-180）天。在有較完整資料記載的357個個案中，47.3％因手傷喪失一天以上的工作天，平均損失28.7（0-547）的工作天。在110個接受過復健他的手傷害病患，37個完成面訪追蹤，仍有89,2%遺留輕或中度關節攣縮。在197個工傷案例，完全恢復佔63.9%，功能稍損佔31.5％，不能處理日常生活佔4.6%。有82.7％病患回到原來工作，14.7%變換工作，2.6％不能工作。

關鍵字

手外傷

並列摘要

926 cases of hand injuries attending the Reha-bilitation Department or Emergency Service of Provincial Taoyuan Hospital from the period between Jan 1990 to May 1992 were studied either through interview (37). telephone (153) or chart review (736). Their pattern and severity of injuries, contributing causes- the present status of recovery and efficacy of rehabilitation were assessed. 78.9% of these injuries were job-related. 63.1% were injured directly by machines. Index finger was the most frequently injured site: middle finger ranked second. for job-relaied injuries. 14.5% of them need hospitalization and they hospitalization for 20.3 (2-180) days on the average. Among 357 records, 47.3% of them were incapacitated for more than one working day due to the hand injury. The average time off work was 28.7 (0-547) days. Of 110 patients who had received rehabilitation, 37 were interviewed and 89,2% still had mild or moderate degree of joint contracture. Data were available for 197 job-related injury cases whereby 63.9% of them had full recovery; 31.5% had partial functional impairment and 4.6% could not handle activities of daily living. 82.7% of them returned to previous job, 14.7% changed their job due to the injury and 2-6% could not work.

並列關鍵字

traumatic hand ijuries