汕头地区1437例髋部骨折流行病学特点

发布时间：2018-04-21 19:13

本文选题：股骨颈骨折 + 转子间骨折　；参考：《广东医学》2017年S2期

【摘要】：目的分析近5年来汕头地区髋部骨折的流行病学特点。方法收集髋部骨折(股骨颈骨折与股骨转子间骨折)患者数据,分析髋部骨折的性别比、发病年龄、骨折类型和发病季节等流行病学分布,比较不同性别及不同类型髋部骨折临床特征的差别。结果共纳入1 437例患者,其中男570例,女867例,股骨颈骨折1 159例,转子间骨折278例;性别比(男/女)0.66,其中股骨颈骨折性别比(男/女)为0.61(439/720),股骨转子间骨折性别比(男/女)为0.89(131/147),不同类型髋部骨折的性别比差异有统计学意义(P=0.005)。患者发病年龄为(66.20±21.26)岁,其中男(56.74±24.01)岁,女(72.42±16.52)岁,男女发病年龄差异有显著统计学意义(P=0.000),股骨颈骨折患者的发病年龄(64.45±21.98)岁,转子间骨折为(73.50±16.02)岁,骨折类型之间发病年龄差异有统计学意义(P=0.000)。髋部骨折四季均可发病,春季359例,夏季352例,秋季323例,冬季403例,男女发病(P=0.910)、股骨颈骨折与转子间骨折(P=0.859)的季节分布差异均无统计学意义(P0.05)。结论汕头地区髋部骨折以女性患者和股骨颈骨折更为常见,不同性别及骨折类型的发病年龄存在显著差别,发病季节分布差异无统计学意义。
[Abstract]:Objective to analyze the epidemiological characteristics of hip fracture in Shantou area in recent 5 years. Methods the data of hip fracture (femoral neck fracture and femoral intertrochanteric fracture) were collected, and the epidemiological distribution of hip fracture sex ratio, onset age, fracture type and season were analyzed. To compare the clinical characteristics of different sex and different types of hip fractures. Results A total of 1 437 patients were included, of whom 570 were males, 867 females, 1 159 femoral neck fractures and 278 intertrochanteric fractures. The sex ratio (male / female) of femoral neck fracture (male / female) was 0.61t 439 / 720g, and the sex ratio of femoral intertrochanteric fracture (male / female) was 0.890.131 / 1470.The sex ratio of different types of hip fracture was significantly different (P 0.005). The onset age of the patients was 66.20 卤21.26 years, including 56.74 卤24.01 years for males and 72.42 卤16.52 years for females. There was a significant difference in age between male and female. The age of onset of femoral neck fracture was 64.45 卤21.98 years old, and that of intertrochanteric fracture was 73.50 卤16.02 years old. The age difference between fracture types was statistically significant (P < 0. 000). There was no significant difference in the seasonal distribution of hip fracture between male and female patients (P _ (0.910), P _ (0.859)). There was no significant difference in the seasonal distribution of hip fracture between male and female, and there was no significant difference between male and female in terms of seasonal distribution of hip fracture (359 cases in spring, 352 cases in summer, 323 cases in autumn, 403 cases in winter). Conclusion Hip fractures are more common in female patients and femoral neck fractures in Shantou area. There are significant differences in onset age among different sex and fracture types, and there is no significant difference in seasonal distribution of hip fractures.
【作者单位】：汕头市中心医院骨科;汕头市中心医院预防保健科;南方医科大学南方医院创伤骨科;
【基金】：国家自然科学基金资助项目(编号:81572165)
【分类号】：R683

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