中国崇礼某大型雪场大众滑雪者损伤情况分析

doi:10.19723/j.issn.1671-167X.2021.02.007

Abstract

Abstract:

Objective: To make a retrospective analysis of the injuries of skiing population in a large ski resort in Chongli, China and provide a basis for predicting the rapidly increasing medical needs for ski injuries in the context of the 2022 Winter Olympic Games. Methods: The basic data of all injured skiers who were treated in a medical station of a large ski resort in Chongli during the snow season from November 2017 to March 2018 and from November 2018 to March 2019 were collected. The number of skiers, the number of injuries, the causes of injuries, the types of injuries and the locations of injuries were compared. Results: A total of 753 skiers were injured in two snow seasons, and the estimated average incidence of injury was 4.53 and 4.46 per 1 000 skier days at the resort respectively. The average daily injury rate per 1 000 skiers in November of the two snow seasons was relatively low, with 2.20 and 1.38 cases respectively. The difference of injury rate in different months might have little to do with snowfall and more to do with passenger flow. In both the snow seasons, men accounted for more injuries than women, and injured skiers aged between 21 and 30 accounted for the largest proportion, reaching 36.8%. The main causes of injuries were falls (76.6%). The highest rate of injury was in the head and neck (17.9%), followed by the knee (17.4%) and wrist and fingers (13.3%). The most common types of injuries were contusion and trauma (29.5%) and joint and/or ligament injuries (22.2%). Children (2-12 years old) accounted for 12.7% of all the injured skiers. The rate of moderate to severe injuries (including fractures, concussions, etc.) was 34.8% among the injured patients over 50 years of age. Conclusion: The snow resort should focus on injuries to children and elderly skiers and carry out targeted guidance and rescue work. In order to better ensure the medical safety of skiers, the ski resort medical station and nearby treatment hospitals should be equipped with a corresponding number of medical personnel and equipment, and the ski resort should further improve its safety management and rescue system.

Key words: Ski resorts, Skiing, Sports injury, Winter Olympic Games

CLC Number:

R648

YANG Yu-ping,MA Xiao,CHEN Na-yun,JIANG Yan-fang,ZHANG Xiao-wei,DING Zhong-wei,AO Ying-fang. Analysis of the mass skiers’ injury in a large ski resort in Chongli, China[J].Journal of Peking University (Health Sciences), 2021, 53(2): 273-278.

Figures/Tables 6

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References 31

[1]	Carús L, Escorihuela M. Feature-specific ski injuries in snow parks[J]. Accid Anal Prev, 2016,95(Pt A):86-90. doi: 10.1016/j.aap.2016.06.023 pmid: 27415812
[2]	Pierpoint LA, Kerr ZY, Grunwald G, et al. Effect of environmental conditions on injury rates at a Colorado ski resort[J]. Inj Prev, 2020,26(4):324-329. pmid: 31324655
[3]	Castellani C, Singer G, Eibisberger M, et al. An epidemiologic analysis of winter sport accidents on ski slopes comparing two seasons[J]. J Sports Med Phys Fit, 2019,59(4):648-654.
[4]	Hunter RE. Skiing injuries[J]. Am J Sports Med, 1999,27(3):381-389. pmid: 10352778
[5]	Laver L, Pengas IP, Mei-Dan O. Injuries in extreme sports[J]. J Orthop Surg Res, 2017,12(1):59. pmid: 28420431
[6]	Pons-Villanueva J, Seguí-Gómez M, Martínez-González MA. Risk of injury according to participation in specific physical activities: a 6-year follow-up of 14 356 participants of the SUN cohort[J]. Int J Epidemiol, 2010,39(2):580-587. doi: 10.1093/ije/dyp319 pmid: 19897466
[7]	Torbjørn S, Debbie P, Kathrin S, et al. Sports injury and illness incidence in the PyeongChang 2018 Olympic Winter Games: a prospective study of 2914 athletes from 92 countries[J]. Br J Sports Med, 2019,53(17):1085-1092. pmid: 31235615
[8]	张莹, 叶海波. 北京冬奥会影响下我国滑雪产业变化与发展趋势研究[C]// 第十一届全国体育科学大会论文摘要汇编. 北京: 中国体育科学学会, 2019: 1276-1278.
[9]	李宏, 王诚民. “三亿人上冰雪”引领冰雪文化发展研究[J]. 边疆经济与文化, 2019(3):105-106.
[10]	王艳兵, 王文霞, 樊晓兵, 等. 高山滑雪场游客安全救护模式研究:以张家口崇礼区为例[J]. 河北北方学院学报(社会科学版), 2017,33(2):109-112.
[11]	曹国林. 高山滑雪初学者运动损伤原因调查分析[J]. 辽宁体育科技, 2014,36(2):32-33, 37.
[12]	Greenspan L, McLellan BA, Greig H. Abbreviated Injury Scale and injury severity score: a scoring chart[J]. J Trauma, 1985,25(1):60-64. pmid: 3965737
[13]	Martin B, Gerhard R. Favourable changes of the risk-benefit ratio in alpine skiing[J]. Int J Environ Res Public Health, 2015,12(6):6092-6097. pmid: 26035659
[14]	Hosaka N, Arai K, Otsuka H, et al. Incidence of recreational snowboarding-related spinal injuries over an 11-year period at a ski resort in Niigata, Japan[J]. BMJ Open Sport Exerc Med, 2020,6(1):e000742. doi: 10.1136/bmjsem-2020-000742 pmid: 32419953
[15]	Stenroos A, Handolin L. Incidence of recreational Alpine skiing and snowboarding injuries: Six years experience in the largest ski resort in Finland[J]. Scand J Surg, 2015,104(2):127-131. pmid: 24786173
[16]	Posch M, Schranz A, Lener M, et al. Incidences of fatalities on Austrian ski slopes: A 10-year analysis[J]. Int J Environ Res Public Health, 2020,17(8):2916.
[17]	Annabelle D, Nathan KE, Robert JJ. Alpine skiing injuries[J]. Sports Health, 2019,11(1):18-26. pmid: 30782106
[18]	Paolo G, Marco B, Giuseppe S, et al. Factors affecting injury severity among recreational skiers and snowboarders: an epidemi-ology study[J]. Knee Surg Sports Traumatol Arthrosc, 2010,18(12):1804-1809. pmid: 20390247
[19]	Arne E, Andreas R, Stig H. Injuries among children and adults in alpine skiing and snowboarding[J]. J Sci Med Sport, 2019,22(Suppl 1):S3-S6.
[20]	Jason SM, Dana K. Let it snow: how snowfall and injury mechanism affect ski and snowboard injuries in Vail, Colorado, 2011—2012[J]. J Trauma Acute Care Surg, 2013,75(2):334-338. pmid: 23887567
[21]	Tim C, Anthony MN, Matthew W, et al. Injury patterns in recreational alpine skiing and snowboarding at a mountainside clinic[J]. Wildern Environ Med, 2013,24(4):417-421.
[22]	Jordan MJ, Aagaard P, Herzog W. Anterior cruciate ligament injury/reinjury in alpine ski racing: a narrative review[J]. Open Access J Sports Med, 2017,8:71-83. pmid: 28435336
[23]	Jannelli E, Calderoni EF, Ivone A, et al. From the central pivot to the peripheal knee injuries in the skier: a narrative review[J]. Acta Biomed, 2019,90(12):39-42.
[24]	Steenstrup SE, Bakken A, Bere T, et al. Head injury mechanisms in FIS World Cup alpine and freestyle skiers and snowboarders[J]. Br J Sports Med, 2018,52(1):61-69. pmid: 29133295
[25]	Milan M, Jhajj S, Stewart C, et al. Helmet use and injury severity among pediatric skiers and snowboarders in Colorado[J]. J Pediatr Surg, 2017,52(2):349-353. pmid: 27876383
[26]	Nicolas B, Jean-Dominique L, Sanae A, et al. Effect of helmet use on traumatic brain injuries and other head injuries in alpine sport[J]. Wildern Environ Med, 2018,29(2):151-158.
[27]	Andrew WR, Paul CB, Craig MR. Ulnar collateral ligament injury of the thumb metacarpophalangeal joint[J]. Clin J Sport Med, 2010,20(2):106-112. pmid: 20215892
[28]	Suezie K, Nathan KE, Robert JJ, et al. Snowboarding injuries: trends over time and comparisons with alpine skiing injuries[J]. Am J Sports Med, 2012,40(4):770-776. pmid: 22268231
[29]	On MG, Oh JR, Jang YH, et al. Epidemiologic study of shoulder injuries in the PyeongChang 2018 Winter Olympic Games[J]. Clin Orthop Surg, 2019,11(2):187-191. pmid: 31156771
[30]	Jörg S, Josef K, Matej S, et al. Reducing the back overuse-related risks in alpine ski racing: let’s put research into sports practice[J]. Br J Sports Med, 2019,53(1):2-3.
[31]	王梦. 河北崇礼2018-2019年雪季滑雪游客首次突破百万人次[EB/OL]. (2019-05-02) [2020-03-15]. http://sports.xinhuanet.com/c/2019-05/02/c_1124443390.htm.

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Age/years	2017—2018 snow season	2018—2019 snow season	Total
2-12, n(%)	38 (11.9)	58 (13.4)	96 (12.7)
13-20, n(%)	37 (11.5)	53 (12.3)	90 (12.0)
21-30, n(%)	122 (38.0)	155 (35.9)	277 (36.8)
31-45, n(%)	103 (32.1)	148 (34.2)	251 (33.3)
46-60, n(%)	19 (5.9)	16 (3.7)	35 (4.7)
No date, n(%)	2 (0.6)	2 (0.5)	4 (0.5)
Total	321	432	753

Types	2017—2018 snow season	2018—2019 snow season	Total
Fall, n(%)	233 (72.6)	344 (79.6)	577 (76.6)
Collision, n(%)	32 (10.0)	79 (18.3)	111 (14.8)
Sprain, n(%)	16 (5.0)	2 (0.5)	18 (2.4)
Bruise, n(%)	33 (10.3)	1 (0.2)	34 (4.5)
Others, n(%)	7 (2.1)	6 (1.4)	13 (1.7)
Total	321	432	753

Injured parts	2017—2018 snow season	2018—2019 snow season	Total
Head or neck, n(%)	60 (18.7)	75 (17.4)	135 (17.9)
Knee, n(%)	62 (19.3)	69 (16.0)	131 (17.4)
Wrist or fingers, n(%)	54 (16.8)	46 (10.6)	100 (13.3)
Ankle or toes, n(%)	13 (4.0)	15 (3.5)	28 (3.7)
Waist or hip, n(%)	24 (7.5)	32 (7.4)	56 (7.4)
Lower limb, n(%)	27 (8.4)	46 (10.6)	73 (9.7)
Upper limb, n(%)	23 (7.2)	44 (10.2)	67 (8.9)
Shoulder or back, n(%)	42 (13.1)	36 (8.3)	78 (10.4)
Chest, ribs or abdomen, n(%)	15 (4.7)	45 (10.4)	60 (8.0)
No date, n(%)	1(0.3)	24 (5.6)	25 (3.3)
Total	321	432	753

Types	2017—2018 snow season	2018—2019 snow season	Total
Contusion and trauma, n(%)	159 (49.5)	63 (14.6)	222 (29.5)
Joint and/or ligament injuries, n(%)	47 (14.6)	120 (27.7)	167 (22.2)
Muscle and soft tissue injury, n(%)	30 (9.3)	123 (28.5)	153 (20.3)
Fracture or fissure fracture, n(%)	57 (17.8)	90 (20.8)	147 (19.5)
Concussions or internal injuries, n(%)	22 (6.9)	31 (7.2)	53 (7.0)
Others, n(%)	6 (1.9)	5 (1.2)	11 (1.5)
Total	321	432	753

Months	2017—2018 snow season	2018—2019 snow season	Total
November, n	17/7 713	18/13 074	35/20 787
December, n	90/17 747	134/23 667	224/41 414
January, n	87/19 350	118/37 220	205/56 570
February, n	98/23 066	118/12 571	216/35 637
March, n	29/3 035	44/10 308	73/13 343
Total	321/70 911	432/96 840	753/167 751

Analysis of the mass skiers’ injury in a large ski resort in Chongli, China

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