[1]刘磊 王宝泉 孙然 杨宗酉 孙家元 陈伟 王海立 殷兵 刘松 李石伦 杨光 张英泽. 2010年至2011年中国东部和西部地区成人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,(05):302-307.
　Liu Lei,Wang Baoquan,Sun Ran,et al.Epidemiological comparison of adult femoral intertrochanteric fractures between the east and west areas in China from 2010 through 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(05):302-307.
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 2010年至2011年中国东部和西部地区成人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05期
页码:
302-307
栏目:
老年骨科流行病学
出版日期:
2018-10-05

文章信息/Info

Title:
Epidemiological comparison of adult femoral intertrochanteric fractures between the east and west areas in China from 2010 through 2011
作者:
刘磊1 王宝泉2 孙然1 杨宗酉1 孙家元1 陈伟1 王海立1 殷兵1 刘松1 李石伦1 杨光1 张英泽1
 050051 石家庄，河北医科大学第三医院关节外科，河北省骨科研究所，河北省骨科生物力学重点实验室1；053500 衡水，景县人民医院2
Author(s):
 Liu Lei1;  Wang Baoquan2;  Sun Ran1;  Yang Zongyou1;  Sun Jiayuan1;  Chen Wei1;  Wang Haili1;  Yin Bing1;  Liu Song1;  Li Shilun1;  Yang Guang1;  Zhang Yingze1.
 1Department of Joint Surgery, the Third Hospital of Hebei Medical University, Key Laboratory of Orthopaedic Biomechanics of Hebei Province, Orthopaedic Research Institution of Hebei Province, Shijiazhuang 050051, China; 2Jingxian People’s Hospital, Hengshui 053500, China
关键词:
 ; 髋骨折;  流行病学;  性别分布;  年龄分布
Keywords:
Hip fractures;  Epidemiology;  Sex distribution;  Age distribution
文献标志码:
A
摘要:
目的 对比分析我国东部和西部地区成人股骨转子间骨折的流行病学特征。方法 回顾性分析2010年1月至2011年12月我国东部35所医院和西部28所医院诊治的成人股骨转子间骨折患者资料，记录患者的性别、年龄、骨折AO分型和Evans分型等数据。将东部35所医院诊治的患者资料定为A组，西部28所医院诊治的患者资料定为B组，对比分析两组患者的一般资料。结果 共收集9 233例成人股骨转子间骨折，男女比为1.04∶1；骨折高发年龄段为71～80岁（28.71%）；根据AO分型，31-A1型骨折2 464例（26.69%），31-A2型骨折5 251例（56.87%），31-A3型骨折1 518例（16.44%）；根据Evans分型，稳定性骨折4 169例（45.15%），不稳定性骨折5 064例（54.85%）。A组6 856例，男女比为0.99∶1；B组2 377例，男女比为1.19∶1；两组患者性别构成比较差异有统计学意义（c2=14.582，P＜0.01）。A组患者中位年龄（74岁）大于B组（70岁），差异有统计学意义（Z=9.755，P＜0.01）。两组骨折高发年龄段均为71～80岁，构成比分别为29.89%和25.33%。根据AO分型，两组患者骨折高发类型均为31-A2型，构成比分别为57.28%和55.70%；根据Evans分型，均以不稳定性骨折多见。两组患者年龄段分布和骨折Evans分型分布比较差异有统计学意义（P＜0.05），骨折AO分型分布比较差异无统计学意义。结论 成人股骨转子间骨折高发年龄为71～80岁，男性多于女性，高发类型为31-A2型，多见于不稳定性骨折。东部地区女性患者比例、中位年龄和稳定性骨折构成比高于西部地区，31-A3型骨折构成比低于西部地区。
Abstract:
 Objective To compare the epidemiological characteristics of adult femoral intertrochanteric fractures between the east and west areas in China from 2010 to 2011. Methods The data of adult femoral intertrochanteric fractures treated between January 2010 and December 2011 at 35 east hospitals and 28 west ones were analyzed retrospectively. The patients’ gender, age, type of AO and Evans classification were documented. Data from the 35 east hospitals were classified as group A while data from the 28 west ones as group B. Comparisons were made between the 2 groups to find out the general epidemiological characteristics. Results A total of 9,233 adults femoral intertrochanteric fractures were collected. The total male/female ratio was 1.04∶1. The fractures predominate age range was 71 to 80 years (28.71%). According to AO classification, there were 2,464 cases (26.69%) of type 31-A1, 5,251 ones (56.87%) of type 31-A2 and 1,518 ones (16.44%) of type 31-A3. According to Evans classification, there were 4,169 cases (45.15%) of stable fractures and 5,064 ones (54.85%) of unstable fractures. The male/female ratio was 0.99∶1 in group A of 6, 856 patients and 1.19∶1 in group B of 2, 377 patients, showing a significant difference between two groups (c2=14.582, P<0.01). The median age of group A (74 years) which was significantly older than group B (70 years) (Z=9.755, P<0.01). The fractures predominate age range was 71 to 80 years in both groups, accounting for 29.89% and 25.33% respectively. According to AO classification, the high-risk type was 31-A2 in both groups, accounting for 57.28% and 55.70% respectively. According to Evans classification, the prevailing type were unstable fractures in both groups. The differences in age distribution and Evans type distribution were statistically significant between the 2 groups (P<0.05). There were no significant differences in AO type distribution between the 2 groups (P>0.05). Conclusions The peak age of adult femoral intertrochanteric fractures was from 71 to 80 years, the high-risk type was 31-A2 and unstable fractures were more common. There were more male patients than female ones. The proportion of female, median age and proportion of stable fractures in the east area were higher than those in the west area, while the proportion of 31-A3 type was lower.

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备注/Memo

备注/Memo:
 河北省医学科学重点研究课题（20170660）
更新日期/Last Update: 2019-01-28