[1]刘松,李佳,李石伦,等.中国华北和华东地区2010至2011年老年股骨转子间骨折流行病学对比分析[J].中华老年骨科与康复电子杂志,2018,(01):43-47.[doi:10.3877/cma.j.issn.2096-0263.2018.01.010]
　Liu Song,Li Jia,Li Shilun,et al.Epidemiological comparison of femoral intertrochanteric fractures in the elderly between northern and eastern China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(01):43-47.[doi:10.3877/cma.j.issn.2096-0263.2018.01.010]
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中国华北和华东地区2010至2011年老年股骨转子间骨折流行病学对比分析()
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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:
2018年01期
页码:
43-47
栏目:
老年骨科流行病学
出版日期:
2018-01-31

文章信息/Info

Title:
Epidemiological comparison of femoral intertrochanteric 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; 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):
Liu Song;  Li Jia;  Li Shilun;  Chen Wei;  Zhu Yanbin;  Zhang Fei;  Li Yansen;  Zhang Yingze.
The Third Hospital of Hebei Medical University, Key Laboratory of Orthorpaedic Biomechanics of Hebei Province, Orthorpaedic Research Institution of Hebei Province, Shijiazhuang 050051, China
关键词:
老年人;  髋骨折;  流行病学;  性别分布
Keywords:
Aged;  Hip fractures;  Epidemiology;  Sex distribution
DOI:
10.3877/cma.j.issn.2096-0263.2018.01.010
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 共收集老年股骨转子间骨折患者5 413例，其中男性2 116例（39.09%），女性3 297例（60.91%），男女比为1∶1.56。所有患者年龄中位数为79岁（65～103岁），80～84岁年龄段构成比最高，占25.46%（1 378/5 413）；左侧（2 791例，51.56%）多于右侧（2 622例，48.44%）。A组3 324例，其中男性1 431例，女性1 893例，男女比为1∶1.32；B组2 089例，其中男性685例，女性1 404例，男女比为1∶2.05，差异有统计学意义（c2=56.712，P＜0.001）。A组和B组年龄中位数分别为78岁和81岁，差异有统计学意义（Z=-12.282，P＜0.001）。A组75～79岁年龄段构成比最高，占25.42%（845/3 324）；B组80～84岁年龄段构成比最高，占26.28%（549/2 089）。A组骨折高发类型为Ⅰ型，占28.34%（942/3 324）；B组骨折高发类型为Ⅱ型，占29.15%（609/2 089）。两组比较，V型骨折构成比差异无统计学意义，其他骨折类型构成比差异有统计学意义（P＜0.05）。结论 老年股骨转子间骨折女性多见，华北和华东地区高发骨折类型分别为Ⅰ型和Ⅱ型。与华北地区相比，华东地区患者年龄高，女性构成比高，Ⅰ型和Ⅲ型骨折构成比低，Ⅱ型和Ⅳ骨折构成比高。
Abstract:
Objective To compare and analyze the epidemiological features of femoral intertrochanteric fractures in the elderly between Northern and Eastern areas of China from January 2010 to December 2011. Methods Data of human fractures treated between January 2010 to December 2011 in 39 hospitals in northern and eastern China were collected through the PACS system and case reports checking system. The 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 5,413 femoral intertrochanteric fractures in the elderly were divided into group A (3,324 cases) and group B (2,089 cases). There were 2,116 males (39.09%) and 3,297 females (60.91%), with a male/female ratio of 1:1.56. The median age of all the patients was 79 years old (65-103 years old). Left side (2,791 cases, 51.56%) outnumbered the right side (2,622 cases, 48.44%). There were 1,431 males and 1,893 females in the group A (M/F=1:1.32), and 685 males and 1,404 females in group B (M/F=1:2.05, c2=56.712, P<0.001). The median age of the two groups were 78 years and 81 years, respectively, difference was statistically significant (Z=-12.282, P<0.001). The predominant age group in group A was 75 to 79 years, accounting for 25.42% (845/3,324). The predominant age group in group B was from 80 to 84 years, accounting for 26.28%（549/2,089）. The high-risk type was type Ⅰ in group A, accounting for 28.34% (942/3,324). While in group B the high-risk type was type Ⅱ, accounting for 29.15% (609/20,894). There were no significant differences in type Ⅴ, while differences were statistically significant between the two groups in other types (P<0.05). Conclusions Femoral intertrochanteric fractures in elderly were most seen in females and the highest frequency fracture type was type Ⅰ and type Ⅱ in Northern and Eastern areas of China, respectively. Compared with northern China, the patients were older, the proportion of females was higher in eastern China. The proportion of type Ⅰ and typeⅢ was lower, while the proportion of type Ⅱ and type Ⅳwas higher.

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81572125）
更新日期/Last Update: 2018-01-31