髋部骨折流行病学分布特点:单中心2859例分析

发布时间：2018-03-28 19:07

本文选题：髋骨折　切入点：老年人　出处：《第二军医大学学报》2017年04期

【摘要】：目的回顾性分析2 859例髋部骨折患者的流行病学特点,为进一步完善老年髋部骨折的防治手段提供依据。方法收集第二军医大学长海医院2004年1月—2016年12月收治入院的所有髋部骨折患者病例资料,采集患者的年龄、性别、受伤机制、骨折类型、受伤至手术时间、住院时间、出血量、手术方法等信息,采用SPSS 16.0软件进行数据处理,分析髋部骨折的流行病学分布特点。结果 (1)本院的髋部骨折收治总数逐年增加,其中股骨颈骨折的占比最高(1 602/2 859,56.03%),股骨粗隆间骨折次之。(2)髋部骨折患者年龄52~104岁,年龄分布差异有统计学意义(P0.05)。其中,71~80岁组最多,占37.39%(1 069/2 859)。(3)髋部骨折病例中女性所占比例(1 916/2 859,67.02%)高于男性(943/2 859,32.98%)。(4)受伤机制分布差异有统计学意义(P0.05),行走中自行摔伤导致骨折最多,占87.65%(2 506/2 859)。(5)骨折类型在不同性别之间的分布差异具有统计学意义(P0.05),女性股骨颈骨折较多,男性股骨粗隆间骨折比例较高。(6)所有患者中合并有糖尿病(765/2 859,26.76%)或心脑血管疾病(739/2 859,25.85%)的病例数最多。结论老年髋部骨折以股骨颈骨折和股骨粗隆间骨折多见,其在年龄、性别、受伤机制、合并症等方面均有一定的流行病学分布特征,这为进一步改善髋部骨折的防治策略提供了线索。
[Abstract]:Objective to analyze retrospectively the epidemiological characteristics of 2 859 patients with hip fracture. Methods data of all hip fracture cases admitted from January 2004 to December 2016 in Changhai Hospital of the second military Medical University were collected and the age and sex of the patients were collected. The information of injury mechanism, fracture type, injury to operation time, hospitalization time, blood loss, operation method and so on were processed by SPSS 16.0 software. The epidemiological distribution of hip fractures was analyzed. Results 1) the total number of patients with hip fractures in our hospital increased year by year, of which the proportion of femoral neck fractures was the highest (1 602 / 2 859) 56.03, followed by intertrochanteric fracture of femur. The age of patients with hip fractures was 52 ~ 104 years old. The difference in age distribution was statistically significant (P 0.05). The group of 80 years old was the most, accounting for 37.39% of all cases of hip fracture. (1 916 / 2 859% 67.02)) the distribution of injury mechanism was significantly higher than that of male (943 / 2 85932.9832.98..4) the distribution of injury mechanism was significantly higher than that of male (P 0.05), and the number of fracture caused by self-injury during walking was the highest. The distribution of fracture types among different genders was statistically significant (P 0.05), and female femoral neck fractures were more common. Male femur intertrochanteric fracture ratio is higher. 6) among all the patients with diabetes mellitus 765 / 2859 / 26.76) or cardio-cerebrovascular disease 739 / 2859 / 25.85). Conclusion the femoral neck fracture and femoral intertrochanteric fracture are the most common fracture in the elderly, and they are found in age and sex. The mechanism of injury, complications and other aspects have some epidemiological characteristics, which provides clues to further improve the prevention and treatment strategy of hip fracture.
【作者单位】：第二军医大学长海医院创伤骨科;中韩生物医学中心;第二军医大学海军医学系流行病学教研室;陆军总医院骨科全军创伤骨科研究所;解放军南京总医院骨科;
【基金】：国家自然科学基金国际合作项目(8141101156) 上海市科委生物医药专项(15411950600)~~
【分类号】：R683

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