[1]张弢,俞光荣,朱燕宾,等.2015至2019年河北医科大学第三医院老年踝关节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,2021,(01):4-8.[doi:10.3877/cma.j.issn.2096-0263.2021.01.002]
　Zhang Tao,Yu Guangrong,Zhu Yanbin,et al.A single center analysis for the epidemiological characteristics of eldly ankle fractures from Third Hospital of Hebei Medical University from 2015 to 2019[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2021,(01):4-8.[doi:10.3877/cma.j.issn.2096-0263.2021.01.002]
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2015至2019年河北医科大学第三医院老年踝关节骨折的流行病学特征分析()
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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:
2021年01期
页码:
4-8
栏目:
老年骨科流行病学
出版日期:
2021-02-05

文章信息/Info

Title:
A single center analysis for the epidemiological characteristics of eldly ankle fractures from Third Hospital of Hebei Medical University from 2015 to 2019
作者:
张弢1; 俞光荣2; 朱燕宾1; 秦士吉1; 张英泽1
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，国家卫生健康委骨科智能器材实验室1；200065 上海，同济大学附属同济医院足踝外科2
Author(s):
Zhang Tao1;  Yu Guangrong2;  Zhu Yanbin1;  Qin Shiji1;  Zhang Yingze1
1Department of Orthopaedic Surgery, the Third Hospital of HebeiMedical University, Orthopedic Research Institution of Hebei Province, Key Laboratory of Orthopedic Biomechanics of Hebei Province, NHC Key Laboratory of Intelligent Orthopeadic Equipment, Shijiazhuang 050051, China; 2Department of Foot and Ankle Surgery, Tongji Hospital of Tongji University, Shanghai 200065, China
关键词:
老年人;  踝关节骨折;  流行病学;  危险因素
Keywords:
Aged;  Ankle Fracture;  Epidemiology;  Risk factors
DOI:
10.3877/cma.j.issn.2096-0263.2021.01.002
文献标志码:
A
摘要:
目的 回顾2015至2019年就诊于河北医科大学第三医院的老年踝关节骨折的临床及影像学资料，分析老年踝关节骨折的流行病学特征。方法 利用医学影像计算机存档系统及电子病历查询系统对患者相关数据进行提取。分析老年踝关节骨折年龄分布、性别分布、侧别分布、体重指数，AO分型等特征。结果 本研究共纳入376例老年踝关节骨折患者，患者年龄60～95岁，平均（66.33±6.01）岁，其中男性153例（40.69%），女性223例（59.31%），男女性别比为1∶1.46。60～69岁年龄组骨折占比最高（78.19%）。依据不同性别分组的老年踝关节骨折患者，其侧别构成具有统计学差异。根据AO/OTA分型，44-A型 167例（44.41%），44-B型 157例（41.76%），44-C型 52例（13.83%）。患者平均体重指数（BMI）为24.86 kg/m2（16.04 kg/m2～36.65 kg/m2）。所有患者中，合并糖尿病患者 55例（14.63%），合并高血压患者112 例（29.79%）。结论 老年踝关节骨折60～69岁年龄段占比最高，女性骨折风险高于男性。男性踝关节骨折发病右侧多于左侧。
Abstract:
Objective From 2015 to 2019, aged people with ankle fractures admitted to the Third Hospital of Hebei Medical University were collected, whose clinical and imaging data were retrospectively analyzed to evaluate the epidemiological characteristics of ankle fractures in the elderly. Methods The data of patients were summarized by using Picture Archiving and Communication System (PACS) and Hospital Information System (HIS). The characteristics of age distribution, sex distribution, side distribution, Body Mass Index (BMI) and AO classification of ankle fractures in the elderly patients were analyzed. Results A total of 376 elderly patients with ankle fracture were included in this study, aged 60 to 95 years old, with an average of (66.33±6.01) years old, including 153 males (40.69%) and 223 females (59.31%), with a male-female ratio of 1:1.46. The highest incidence of fracture was in the age group of 60 to 69 years old (78.19%). There was statistical difference in the side distribution among different gender groups of elderly patients with ankle fracture. According to AO/OTA classification, there were 167 cases (44.41%) of 44-A, 157 cases (41.76%) of 44-B, and 52 cases (13.83%) of 44-C. The mean BMI of the patients was 24.86 kg/m2 (16.04 kg/m2 to 36.65 kg/m2). Among all the patients, 55 patients (14.63%) had a history of diabete and 112 patients (29.79%) were diagnosed with hypertension. Conclusion The highest incidence of fracture was in the age group of 60 to 69 years old, and the risk of fracture in women is higher than that in men. Anklef ractures are more likely to occur on the right side in men.

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备注/Memo

备注/Memo:
基金项目：河北省高等学校自然科学青年拔尖人才项目（BJ2016036）
更新日期/Last Update: 2021-03-26