北京某三甲医院股骨颈骨折住院患者现状的流行病学分析

发布时间：2018-05-02 10:36

本文选题：股骨颈骨折 + 老年人　；参考：《北京大学学报(医学版)》2016年02期

【摘要】：目的:统计和分析北京积水潭医院股骨颈骨折住院患者一般情况、治疗方式、住院费用等,充实国内股骨颈骨折相关资料,为临床工作提供指导和帮助。方法:收集2008年1月到2012年12月因股骨颈骨折于北京积水潭医院接受治疗的50岁以上患者住院资料进行回顾,包括年龄、合并疾病、手术时机、治疗方式、住院日和住院费用等,对上述资料进行统计分析。结果:5年来北京积水潭医院共收治50岁以上股骨颈骨折患者共1 794例(男∶女=1∶2.06),年平均增长率为7.3%。患者平均年龄(69.9±10.7)岁,年平均增长率为0.6%,合并内科疾病比例55.0%。患者入院后平均等待手术时间(6.8±4.2)d,平均住院日(12.9±4.9)d,均呈下降趋势。手术方式以空心钉内固定(41.8%)及人工股骨头置换术(34.1%)为主,非手术患者为146例(7.9%),呈下降趋势。患者平均住院费用(35 075.7±11 343.2)元,近5年保持平稳,女性高于男性,其中人工关节置换术费用增加,空心钉内固定术费用降低。结论:近年来股骨颈骨折患者数量逐年增多,发病年龄逐年增长,空心钉内固定与人工股骨头置换术为主要治疗方式,但平均住院费用尚无明显变化。
[Abstract]:Objective: to analyze the general situation, treatment methods and hospitalization expenses of the patients with femoral neck fracture in Jishuitan Hospital, Beijing, to enrich the related data of femoral neck fracture in China, and to provide guidance and help for clinical work. Methods: from January 2008 to December 2012, the data of patients over 50 years old who received treatment for femoral neck fracture in Beijing Jishuitan Hospital were reviewed, including age, complicated diseases, timing of operation and treatment methods. The date of hospitalization and the cost of hospitalization, etc., to carry on the statistical analysis to the above data. Results: a total of 1 794 cases (male: female 1: 2 06) of femoral neck fracture over 50 years old were treated in Beijing Jishuitan Hospital in the past 5 years. The average annual growth rate was 7. 3%. The average age of the patients was 69.9 卤10.7 years old, the average annual growth rate was 0.6 and the proportion of internal diseases was 55.0%. The average waiting time after admission was 6.8 卤4.2 days, and the average hospitalization day was 12.9 卤4.9 days, which showed a downward trend. The main operation methods were hollow nail internal fixation (41.8%) and artificial femoral head replacement (34.1%). There were 146 cases of non-operative patients (7.9%), which showed a downward trend. The average hospitalization cost of the patients was 35 075.7 卤11 343.2 yuan, which remained stable in the last 5 years. The cost of artificial joint replacement increased and the cost of internal fixation with hollow nail decreased. Conclusion: in recent years, the number of patients with femoral neck fracture increases year by year, the age of onset increases year by year. The main treatment methods are hollow nail internal fixation and artificial femoral head replacement, but the average hospitalization cost has not changed significantly.
【作者单位】：北京积水潭医院创伤骨科;
【分类号】：R197.3;R683.42

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