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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:

期数:

2016年03期

页码:

172-176

栏目:

老年骨科流行病学

出版日期:

2016-08-05

文章信息/Info

Title:

Epidemiological analysis of geratic fractures in the Third Affiliated Hospital to Hebei Medical University from 2008 to 2012

作者:

于沂阳; 刘勃; 陈伟; 刘松; 李石伦; 陈霄; 杨光; 朱燕宾; 李彦森; 张英泽

050051 石家庄，河北医科大学第三医院 河北省骨科研究所 河北省骨科生物力学重点实验室

Author(s):

Yu Yiyang;  Liu Bo;  Chen Wei;  Liu Song;  Li Shilun;  Chen Xiao;  Yang Guang;  Zhu Yanbin;  Li Yansen;  Zhang Yingze

Key Laboratory of Orthopaedic Biomechanics of Hebei Province, the Third Hospital of Hebei Medical University, Orthopaedic Research Institution of Hebei Province, Shijiazhuang 050051, China

关键词:

老年人; 　骨折; 　流行病学; 　骨质疏松症

Keywords:

Aged;  Fractures;  bone;  Epidemiology;  Osteoporosis

DOI:

10.3877/cma.j.issn.2096-0263.2016.03.009

文献标志码:

A

摘要:

目的 分析河北医科大学第三医院老年骨折的流行病学特征。 方法　回顾性收集 2008 年 1 月至 2012 年 12 月河北医科大学第三医院诊治的老年（＞ 60 岁）骨折患者，统计各骨折部位构成情况，并分析其随年龄、性别变化趋势。 结果　共收集老年骨折 10 937 例，占全部骨折的 17.87%。男性 3 676 例（33.61%），女性 7 261 例（66.39%），男女比例 1 ︰ 1.98，其中 61 ～ 65 岁男女比例最高（1 ︰ 1.62）， 71 ～ 75 岁最低（1 ︰ 2.32）， 61 ～ 65 岁骨折患者最多。骨折部位以胸腰椎（28.24%）最多，其次为股骨近端（21.94%）和尺桡骨远端（12.06%）。其中女性以胸腰椎骨折（31.65%）最多，其次为股骨近端骨折（20.85%）和尺桡骨远端骨折（14.81%）；男性则以股骨近端骨折（24.10%）最多，其次为胸腰椎骨折（21.52%）和足部骨折（7.21%）。股骨近端骨折以 61 ～ 65 岁构成比最低（10.32%），随年龄升高而升高，至 86 岁以上最高（52.01%）。胸腰椎骨折以 71 ～ 75 岁构成比最高（33.30%）， 86 岁以上最低（18.29%）。尺桡骨远端骨折以 61 ～ 65 岁构成比最高（14.17%），随年龄降低而降低，至 86 岁以上最低（7.05%）。其他部位（除常见骨折部位之外） 61 ～ 65 岁构成比最高（49.93%）， 86 岁以上最低（22.65%）。 结论 老年骨折患者女性多于男性，胸腰椎骨折、股骨近端骨折和尺桡骨远端骨折占比较高，且随年龄升高，股骨近端骨折占比逐渐升高，尺桡骨骨折、其他骨折占比逐渐降低。

Abstract:

Objective To investigate the epidemiological characteristics of fractures in elderly patients at the Third Hospital of Hebei Medical University. Methods The elderly patients (>60 years) of fractures admitted at the Third Hospital of Hebei Medical University were collected in this retrospective study.The proportion of each fracture site were statistic and its trends with age and gender were analyzed. Result A total of 10 937 elderly fractures were collected, accounting for 17.87% of all fractures. There were 3 676 fractures of males and 7 261 females, with sex ratio of 1:1.98 (M/F). The highest sex ratio (M/ F) was aged 61-65 years (1:1.62), while the lowest one was aged 71-75 years (1:2.32). The most amount of fractures were aged 61-65 years, The fracture site of most proportion were thoracolumbar (28.24%), the following were proximal femur (21.94%) and distal radius and ulna (12.06%). In females, the most proportion were 31.65% of thoracolumbar fractures, the following were 20.85% of proximal femur fractures and 14.81% of distal radius and ulna fractures. In males, the most proportion were 24.10% of proximal femur fractures, the following were 21.52% of thoracolumbar fractures and 7.21% of foot fractures. The lowest proportion of proximal femur fractures was aged 61-65 years (10.32%), while increased with age, and the most proportion was aged over 86 years (52.01%). The most proportion of thoracolumbar fractures was aged 71-75 years (33.30%) and the lowest one was aged over 86 years (18.29%). The most proportion of distal radius and ulna fractures was aged 61-75 years (14.17%) and the oldest age was over 86 years (7.05%). The most proportion of other sites of fractures was aged 61-75 years (49.93%) and the lowest one was aged over 86 years (22.65%). Conclusions Females were more pron to fractures than males in the elderly patients. The most frequent fractures were thoracolumbar fractures, proximal femur fractures and distal radius and ulna fractures. With aging, the proportion of proximal femur fractures increased, while the proportion of distalradius and ulna fractures and other sites of fractures were decreased.

备注/Memo

备注/Memo:

基金项目： 国家自然科学基金青年科学基金（81401789）

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更新日期/Last Update: 2017-04-01