[1]刘松,李佳,李石伦,等.2010-2011年我国华北和华东地区老年尺桡骨远端骨折的流行病学特征分析[J].中华老年骨科与康复电子杂志,2017,(06):372-376.[doi:10.3877/cma.j.issn.2096-0263.2017.06.011]
　Liu Song,Li Jia,Li Shilun,et al.Epidemiological comparison of distal ulna and radius fractures in the elderly between northern and eastern China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(06):372-376.[doi:10.3877/cma.j.issn.2096-0263.2017.06.011]
点击复制

2010-2011年我国华北和华东地区老年尺桡骨远端骨折的流行病学特征分析()
分享到：

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

卷:
期数:
2017年06期
页码:
372-376
栏目:
老年骨科流行病学
出版日期:
2017-11-27

文章信息/Info

Title:
Epidemiological comparison of distal ulna and radius fractures in the elderly between northern and eastern China from 2010 to 2011
作者:
刘松; 李佳; 李石伦; 陈伟; 朱燕宾; 张飞; 孙家元; 张英泽
050051石家庄，河北医科大学第三医院创伤急救中心，河北省骨科研究所，河北省骨科生物力学重点实验室
Author(s):
Liu Song;  Li Jia;  Li Shilun;  Chen Wei;  Zhu Yanbin;  Zhang Fei;  Sun Jiayuan;  Zhang Yingze
Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University, Orthopaedic Research Institution of Hebei Province, Key Laboratory of Orthopaedic Biomechanics of Hebei Province, Shijiazhuang 050051, China
关键词:
老年人;  桡骨骨折;  尺骨骨折;  流行病学;  性别分布
Keywords:
Aged;  Radius fractures;  Ulna fractures;  Epidemiology;  Sex distribution
DOI:
10.3877/cma.j.issn.2096-0263.2017.06.011
文献标志码:
A
摘要:
目的 对比分析中国华北地区和华东地区 2010年 1月至 2011年 12月老年尺桡骨远端骨折患者的流行病学特点。方法 利用医学影像计算机存档与传输系统（PACS）及病案查询系统收集 2010年 1月至 2011年 12月华北地区和华东地区 39家医院诊治的老年尺桡骨远端骨折患者资料。将华北地区 18家医院资料定义为 A组，华东地区 21家医院资料定义为 B组，对比分析两组患者性别、年龄、侧别和骨折分型等。结果 共收集老年尺桡骨远端骨折 9 683例，其中男性 1 850 例（19.11%），女性 7 833例（80.89%），男女比为 1∶4.23；左侧（5 132例，53.00%）多于右侧（4 551例，47.00%）。A组 4 604例，其中男性 1 018例，女性 3 586例，男女比为 1∶3.52；B组 5 079例，其中男性 832例，女性 4 247例，男女比为 1∶5.10，差异有统计学意义（c2=51.302，P＜0.001）。A组和 B组年龄中位数分别为 68岁和 69岁，差异有统计学意义（Z=-4.149，P＜0.001）。A 组和 B 组均为 60～65 岁构成比最高，分别占 37.66%（1 734/ 4 604）和35.76%（1 816/5 079）。两组比较，≥86岁年龄段构成比差异有统计学意义（c2=35.240，P＜0.001）。 A组和 B组高发骨折类型均为 23-A型，分别占 65.86%（3 032/4 604）和 65.56%（3 330/5 079）。A组 23-B 型构成比高于B组，23-C型构成比低于B组（P＜0.05），23-A型构成差异无统计学意义。两组比较，23-A2， 23-A3，23-B3和 23-C2型骨折亚型构成差异无统计学意义，其他骨折亚型差异有统计学意义（P＜0.05）。结论 老年尺桡骨远端骨折女性多见，高发骨折类型为 23-A型。与华北地区相比，华东地区患者年龄高，23-B型骨折构成比低，23-C型骨折构成比高。
Abstract:
Objective To compare and analyze the epidemiological features of distal ulna and radius fractures in the elderly between northern and eastern areas of China from 2010 to 2011. Methods The data of human fractures treated between 2010 January to 2011 December in 39 hospitals in northern and eastern China were collected through the PACS system and case reports checking system. Data of 18 hospitals in northern China were classified as group A, while data of 21 hospitals in eastern China were classified as group B. Gender, age, side and fracture classification between two groups were compared. Results A total of 9,683 distal ulna and radius fractures in the elderly were divided into group A (4,604 cases) and group B (5,079 cases). There were 1,850 males (19.11%) and 7,833 females (80.89%), with a male/female ratio of 1:4.23. Left fractures (5,132 cases, 53.00%) were more than the right side (4,551 cases, 47.00%). There were 1,018 males and 3,586 females in the group A (M/F=1:3.52), and 832 males and 4,247 females in the group B (M/F=1:5.10, c2=51.302, P<0.001). The median age of the two groups were 68 years and 69 years, respectively, with a statistically significant difference (Z=-4.149, P<0.001). The predominant age group in the two groups was from 60 to 65 years, accounting for 37.66% (1,734/4,604) and 35.76% (1,816/5,079), respectively. The age distribution had significant differences in patients aged ≥86 years between the two groups (c2=35.240, P<0.001).The high-risk type was 23-A, accounting for 65.86% (3,032/ 4,604) and 65.56% (3,330/5,079), respectively. The proportion of type 23-B in group A was higher than that in group B and the proportion of type 23-C was lower than that in group B (P<0.05), while there was no significant differences in type 23-A. There were no significant differences in sub-type 23-A2, 23-A3, 23-B3 and 23- C2, while differences were statistically significant between the two groups in other sub- types. Conclusions Distal ulna and radius fractures in elderly were most seen in females and the highest frequency fracture type was 23-A. Compared with northern China, the patients were older, the proportion of type 23-B was lower and the proportion of type 23-C was higher in eastern China.

参考文献/References:

1 Hagino H, Yamamoto K, Ohshiro H, et al. Changing incidence of hip, distal radius, and proximal humerus fractures in Tottori Prefecture, Japan [J]. Bone, 1999, 24(3): 265-270.
2 Vogt MT, Cauley JA, Tomaino MM, et al. Distal radius fractures in older women:a 10-year follow-up study of descriptive characteristics and risk factors [J]. J Am Geriatr Soc, 2002, 50(1): 97-103.
3 王谦, 周峰, 王秋根. 桡骨远端骨折的治疗进展 [J]. 中华肩肘外科电子杂志, 2015 3(1): 5-8.
4 Chen Y, Chen X, Li Z, et al. Safety and efficacy of operative versus nonsurgical management of distal radius fractures in elderly patients: a systematic review and meta-analysis [J]. J Hand Surg Am, 2016, 41 (3): 404-413.
5 张鹏, 王天兵, 姜保国. 桡骨远端骨折与下尺桡关节损伤 [J]. 中华老年骨科与康复电子杂志, 2015 (1): 9-12.
6 邱贵兴. 老年骨质疏松性骨折的治疗策略 [J]. 中华老年骨科与康复电子杂志, 2015, 1(1): 1-5.
7 Karl JW, Olson PR, Rosenwasser MP. The epidemiology of upper extremity fractures in the United States, 2009 [J]. J Orthop Trauma, 2015, 29(8): E242-E244.
8 Ameri M, Aghakhani K, Ameri E, et al. Epidemiology of the upper extremity trauma in a traumatic center in Iran [J]. Glob J Health Sci, 2017, 9(4): 97-105.
9 Ikpeze TC, Smith HC, Lee DJ, et al. Distal radius fracture outcomes and rehabilitation [J]. Geriatr Orthop Surg Rehabil, 2016, 7(4): 202- 205.
10 Brogren E, Petranek M, Atroshi I. Incidence and characteristics of distal radius fractures in a southern Swedish region [J]. BMC Musculoskelet Disord, 2007, 8: 48.
11 Kopylov P, Abramo A, Mrkonjic A, et al. European surgical orthopaedics and traumatology [M]. Berlin Heidelberg: Springer, 2014: 1676-1696.
12 Zhang Y. Clinical epidemiology of orthopedic trauma [M]. 2nd. New York: Thieme, 2016: 95-148.
13 张英泽. 临床创伤骨科流行病学 [M]. 第 2版. 北京: 人民卫生出版社, 2014: 94-159.
14 Kreder HJ, Hanel DP, Agel J, et al. Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius: a randomised, controlled trial [J]. J Bone Joint Surg Br, 2005, 87(6): 829-836.
15 Alffram PA, Bauer G. Epidemiology of fractures of the forearm [J]. J Bone Joint Surg Am, 1962, 44(1): 105-114.
16 张凇铭, 王志涛, 马骁, 等. 老年女性桡骨远端骨折的治疗进展 [J]. 中国老年学杂志, 2014, 34(7): 2016-2018.
17 殷兵, 李福安, 郝宏毅, 等. 中国西北与东北地区 2010-2011年成人尺,桡骨远端骨折的流行病学对比 [J]. 中华解剖与临床杂志, 2015 (2): 90-93.
18 Jupiter JB. Fractures of the distal radius [J]. Instr Course Lect, 1992, 41:13-23.

相似文献/References:

[1]赵晨,商培洋,车凌宾,等.锁定钢板治疗老年肱骨近端骨折合并肩袖撕裂的疗效分析[J].中华老年骨科与康复电子杂志,2015,(01):22.
[2]吴斗,郝海虎,朱剑,等.老年髋部骨折术后谵妄的危险因素分析[J].中华老年骨科与康复电子杂志,2015,(01):34.
[3]高文双,曹建业,吴卫卫,等.墙壁拉力器训练对老年下腰背痛的疗效研究[J].中华老年骨科与康复电子杂志,2015,(01):39.
[4]姬晨妮,陈伟,朱燕宾,等.京津唐地区1 583例老年股骨转子间骨折流行病学特征分析[J].中华老年骨科与康复电子杂志,2015,(01):45.
[5]李石伦,鞠林林,陈伟,等.老年脊柱骨折的流行病学特征分析[J].中华老年骨科与康复电子杂志,2015,(01):50.
[6]杨延江　董天华　杜晨光　杨宗酉　陈伟　吕红芝　刘磊　孙家元　王海立　殷兵　 刘勃 刘松　张英泽.2008 年至2012 年河北医科大学第三医院 老年踝关节损伤的流行病学研究[J].中华老年骨科与康复电子杂志,2015,(02):35.[doi:10.3877/cma.j.issn.2096-0263.2015.02 .007]
　Yang Yanjiang,Dong Tianhua,Du Chenguang,et al.Epidemiological analysis of elderly ankle injury in the Third Hospital of Hebei Medical University from 2008 through 2012[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(06):35.[doi:10.3877/cma.j.issn.2096-0263.2015.02 .007]
[7]吕厚辰,唐佩福.老年髋部骨折患者死亡风险评价[J].中华老年骨科与康复电子杂志,2016,(02):109.[doi:10.3877/cma.j.issn.2096-0263.2016.02.009]
　Lyu Houchen,Tang Peifu..Advancement of mortality prediction of aged hip fracture patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):109.[doi:10.3877/cma.j.issn.2096-0263.2016.02.009]
[8]高延征,张广泉,邢帅,等.经皮椎体成形术与经皮椎体后凸成形术治疗老年 Kümmell 病的对比研究[J].中华老年骨科与康复电子杂志,2016,(03):136.[doi:10.3877/cma.j.issn.2096-0263.2016.03.002]
　Gao Yanzheng,Zhang Guangquan,Xing Shuai,et al.Comparative analysis of percutaneous vertebroplasty and percutaneous kyphoplastyon in the treatment of the elderly with Kümmell disease[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):136.[doi:10.3877/cma.j.issn.2096-0263.2016.03.002]
[9]于沂阳,刘勃,陈伟,等.2008—2012 年河北医科大学第三医院老年骨折流行病学特征分析[J].中华老年骨科与康复电子杂志,2016,(03):172.[doi:10.3877/cma.j.issn.2096-0263.2016.03.009]
　Yu Yiyang,Liu Bo,Chen Wei,et al.Epidemiological analysis of geratic fractures in the Third Affiliated Hospital to Hebei Medical University from 2008 to 2012[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):172.[doi:10.3877/cma.j.issn.2096-0263.2016.03.009]
[10]李玉龙,翁习生,董玉雷.老年全膝关节置换术围手术期并发症影响因素的研究进展[J].中华老年骨科与康复电子杂志,2016,(03):177.[doi:10.3877/cma.j.issn.2096-0263.2016.03.010]
　Li Yulong,Weng Xisheng,Dong Yulei.Research progress of influence factors concerning perioperative complications of total knee arthroplasty in aged patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):177.[doi:10.3877/cma.j.issn.2096-0263.2016.03.010]
[11]刘松,李佳,韩志刚,等.2010至2011年我国华北和华东地区老年 Colles骨折患者的流行病学特征分析[J].中华老年骨科与康复电子杂志,2018,(03):180.[doi:10.3877/cma.j.issn.2096-0263.2018.03.011]
　Liu Song,Li Jia,Han Zhigang,et al.Epidemiological comparison of Colles fractures in the elderly between northern and eastern China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(06):180.[doi:10.3877/cma.j.issn.2096-0263.2018.03.011]

备注/Memo

备注/Memo:
基金项目：河北省医学科学重点研究课题（20170653）
更新日期/Last Update: 2017-11-28