蒲鑫伟,任 荣

安全带作为汽车被动安全系统的核心组成部分，其正确使用对降低交通事故中乘客伤亡风险具有关键作用。骨折是交通事故中最常见的损伤类型之一，其部位分布与安全带使用状态密切相关。本文系统综述安全带的防护机制与分类，梳理交通事故中安全带使用与乘客骨折发生率、骨折部位分布的相关性研究现状，分析影响该相关性的关键因素，探讨当前研究争议与未解问题，并提出针对性的优化建议与未来研究方向。深入解析二者相关性，可为汽车安全设计优化、交通安全宣传教育及临床创伤救治提供重要参考。

交通事故；安全带；骨折部位；相关性分析；被动安全；创伤防护

[1] 刘德衍,虢洪松,李国良.69例交通事故肋骨骨折伤残鉴定案的回顾性分析及体会[J].医学与法学,2021,13(06):114-117. [2] 陈捷敏,王亚辉,夏晴.多车追尾交通事故致脊柱骨折伴脊髓损伤法医学因果关系鉴定1例[J].法医学杂志,2021,37(06):909-911. [3] 刘青青,闫志平.交通事故致胫腓骨粉碎性骨折伤残程度鉴定1例[J].医学与法学,2021,13(04):98-100. [4] Yang Q S,Li S K,Yin F P.Experimental investigation on the fatigue failure mechanical behavior of hollow sandstone under triaxial cyclic loading and unloading paths[J].Engineering Failure Analysis,2026,183 110220-110220. [5] Kouchaki G H,Aliha M,Marsavina L,et al.Mixed-mode tensile and in-plane shear fracture analysis for PUR foams using two sub-sized short bend beam configurations[J].Theoretical and Applied Fracture Mechanics,2026,141(PA):105282-105282. [6] Mahdavi M,Fakoor M.On the ability of maximum principal and maximum tangential strain criteria for fracture assessment of orthotropic materials[J].Theoretical and Applied Fracture Mechanics,2026,141(PA):105286-105286. [7] Yu Y,Hou C,Rabczuk T,et al.A phase field model considering inertial effect in dynamic fracture[J].Theoretical and Applied Fracture Mechanics,2026,141(PA):105283-105283. [8] Han W,Zhu Z,Cui Z,et al.Development of an innovative testing method for determining mode-I fracture toughness of rock under hydrostatic stress conditions[J].Theoretical and Applied Fracture Mechanics,2026,141(PA):105287-105287. [9] Shlyannikov V,Khamidullin R,Kosov D,et al.Crack paths at macro and meso scales[J].Theoretical and Applied Fracture Mechanics,2026,141(PA):105280-105280. [10] Wang Q,Ma W,Cui C.Effect of opening penetration ratio on the mechanical properties and fracture evolution of sandstone under uniaxial compression[J].Theoretical and Applied Fracture Mechanics,2026,141(PA):105277-105277. [11] Cao X,Zhang Z,Dong Y,et al.A configurational force-based peridynamic for mixed-mode fracture in brittle materials[J].Theoretical and Applied Fracture Mechanics,2026,141(PA):105276-105276. [12] Yang J,He J,Peng J.Broad-spectrum light-induced bending,fracture,delamination,and jumping in a phenanthrene-modified barbituric acid crystal[J].Dyes and Pigments,2026,246(P1):113347-113347. [13] Palacios A M,Bruynzeel M A,Rossum V S P,et al.Re-irradiation of adrenal metastases using MR-guided adaptive SABR:A feasible and effective approach in a high-risk population[J].Clinical and Translational Radiation Oncology,2026,56 101056-101056. [14] Feng L,Yang Z,Hou N,et al.MiR-378 mediates the ovariectomy induced bone loss via exaggerating osteoclastogenesis and transforming growth factor beta impaired osteogenesis[J].Genes&Diseases,2026,13(1):101754-101754. [15] Alves A R,Rodrigues X H,Laranjeira A J,et al.PolyRingene:A novel 2D carbon allotrope explored via first-principles and machine learning interatomic potentials[J].FlatChem,2025,54 100951-100951. [16] Liang Q,Lan H,Zhou Y,et al.Effect of strain rate on the fracture behavior of granite under unconfined compression:A meso-scale energy evolution perspective[J].Underground Space,2025,25 176-194. [17] Zu W,Wen Z,Tao J,et al.Heat extraction performance in enhanced geothermal systems:effects of heterogeneous fracture distribution and hydraulic properties[J].Applied Thermal Engineering,2025,281(P2):128674-128674. [18] Chen J,Liu B,He J,et al.Multimodal mechanisms of platelet-rich plasma in bone defect repair:Angiogenesis,inflammation modulation,and metabolic regulation[J].Regenerative Therapy,2025,30 920-932. [19] Milyutin V,Gervasyeva I,Kalonov A,et al.Effect of cerium on structure and texture formation of Fe-Ga alloy during cold rolling and primary recrystallization[J].Materials Today Communications,2025,49 114035-114035. [20] Yang X,Shen D,Wang Q,et al.Microstructure control and high-temperature mechanical response of TA15 titanium alloy fabricated by selective laser melting[J].Materials Today Communications,2025,49 114072-114072. [21] 赵焕利,李玉斌,李键,等.交通伤导致骨盆骨折合并多发损伤患者一体化救治体系的效果研究[J].山东医学高等专科学校学报,2025,47(03):31-32. [22] 姜叶洁,李东强,何玉俊,等.行人交通损伤髋部新月形骨折的内固定方案有限元评估[J].汽车工程师,2025,(03):42-48. [23] 王红伟,郝凤霞.交通事故腰椎横突骨折特点分析——基于158例鉴定案例[J].法制博览,2024,(24):88-90. [24] 沈强,张旭,杨晓亮,等.腕背中､远动脉弓第二交通支带蒂骨瓣治疗舟骨骨折不愈合的疗效[J].武警医学,2024,35(05):369-373. [25] 张精华,彭晨曦,王一航.17例交通事故髋臼骨折伤残等级鉴定[J].法制博览,2024,(10):109-111. [26] 杜宇,贾琼,任鹏.交通事故造成Ⅰ型Jefferson骨折伴桥脑延髓沟撕裂1例[J].中国法医学杂志,2023,38(06):716-717+719. [27] 张艳娟,张玉勤.基于SBAR模式的预检分诊在交通事故致骨折患者中的应用效果[J].新疆医科大学学报,2023,46(12):1684-1688. [28] 金子波.134例交通事故致骨盆骨折之损伤程度鉴定的分析[J].医学与法学,2023,15(01):93-96. [29] 黄欣,沈勤学,刘冰燕.59例交通事故致肋骨骨折伤残鉴定的分析[J].法制博览,2022,(34):115-117. [30] 何冬梅,杨驰.下颌骨髁突骨折的诊治方案:基于上海交通大学医学院附属第九人民医院颞下颌关节中心的经验[J].上海交通大学学报(医学版),2022,42(06):695-701.

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