回顾2015至2020年就诊于广西医科大学第一附属医院的老年脊髓损伤的临床资料，分析老年脊髓损伤的流行病学特征。

利用电子病历查询系统对患者的相关数据进行提取，我们收集了2015~2017年与2018~2020年相同时间区域内患者的性别、年龄、病因、职业、损伤部位、并发症、是否为完全性损伤、是否合并高血压和糖尿病等数据，比较两个时间段患者流行病学特征的差异。

本研究共收集患者269例，男183例（68.0%），女86例（32.0%）。2018~2020年157例，其中男101例（64.3%），女56例（35.7%），中位年龄67岁（62~72岁）；2015~2017年112例，其中男82例（73.2%），女30例（26.8%），中位年龄66岁（62.5~70岁）。79岁以下患者达263例（97.8%），两个时间段内颈段脊髓损伤发生率最高，2015~2017年为70例（62.5%），2018~2020年为77例（49.0%），近年有下降趋势；两个时间段最常见致伤因素为外伤，2015~2017年为60例（53.6%），2018~2020年为60例（38.20%），近年发病有下降趋势；两个时间段中占比最高的职业均为农民，其中2015~2017年57例（50.1%）、2018~2020年94例（59.9%），近年来农民发病率有上升的趋势；两个时间段的患者在性别、年龄、脊髓损伤部位、合并高血压和糖尿病方面的差异无统计学意义，在致伤因素、职业、并发症的差异有统计学意义。

老年患者发病数量有增加的趋势，主要人群为79岁以下的老年患者，颈段脊髓损伤最常见，多为不完全性脊髓损伤，最常见并发症为肺炎，深静脉血栓有增加的趋势，农民占比最高，主要致伤因素为外伤。

The clinical data of elderly patients with spinal cord injury treated in the First Affiliated Hospital of Guangxi Medical University from 2015 to 2020 were reviewed to analyze the epidemiological characteristics.

Extract relevant data of patients from electronic medical record query system, we collected data on gender, age, etiology, occupation, injury site, complications, degree of injury, hypertension and diabetes from 2015 to 2017 and 2018 to 2020, and compared the epidemiological differences between the two groups.

This study included 269 cases of patients, 183 males (68.0%) and 86 females (32.0%). There were 157 cases from 2015 to 2017, including 101 males (64.3%) and 56 females (35.7%), median age 67 years (62-72 years); There were 112 cases from 2018 to 2020, including 82 males (73.2%) and 30 females (26.8%), with median age of 66 years (62.5 to 70 years). There were 263 patients under 79 years old (97.8%). The incidence rate of cervical spinal cord injury was the highest in two time periods, there were 70 cases (62.5%) from 2015 to 2017 and 77 cases (49.0%) from 2018 to 2020, respectively, showing a downward trend in recent years. The most common injury factor in two groups was trauma, which was 60 cases (53.6%) from 2015 to 2017 and 60 cases (38.20%) from 2018 to 2020. The occupation with the highest proportion in both groups was farmers, there were 57 cases (50.1%) from 2015 to 2017and 94 cases (59.9%) from 2018 to 2020. In recent years, the incidence of farmers had an increasing trend. There were not any statistically significant differences between the two groups in gender, age, spinal cord injury site and complicated hypertension and diabetes, while there were statistically significant differences in injury factors, occupation and complications between the two groups.

Number of cases in elderly patients with spinal cord injury has a tendency to increase, the main groups of elderly patients under the age of 79, the neck section of spinal cord is the most common, incomplete spinal cord injury accounted for the majority, the most common complications of pneumonia, deep vein thrombosis has a tendency to increase. Farmers accounted for the highest proportion, and the main injury factor was trauma.