[1]邵佳申,刘勃,李佳,等.2010至2011年河北省老年股骨转子间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,2018,(06):352-355.[doi:10.3877/cma.j.issn.2096-0263.2018.06.007]
 Shao Jiashen,Liu Bo,Li Jia,et al.Epidemiological characteristic analysis of femoral intertrochanteric fractures in the elderly in Hebei from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(06):352-355.[doi:10.3877/cma.j.issn.2096-0263.2018.06.007]
点击复制

2010至2011年河北省老年股骨转子间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:
2018年06期
页码:
352-355
栏目:
老年骨科流行病学
出版日期:
2018-11-23

文章信息/Info

Title:
Epidemiological characteristic analysis of femoral intertrochanteric fractures in the elderly in Hebei from 2010 to 2011
作者:
邵佳申刘勃李佳吕红芝朱燕宾刘松陈伟张英泽
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):
Shao Jiashen Liu Bo Li Jia Lyu Hongzhi Zhu Yanbin Liu Song Chen Wei Zhang Yingze
Center of Orthopedic Trauma, the Third Hospital of Hebei Medical University, Orthopedic Research Institution of Hebei Province, Key Laboratory of Orthopedic Biomechnics of Hebei Province, Shijiazhuang 050051, China
关键词:
髋骨折 老年人 流行病学 多中心研究
Keywords:
Hip fractures Aged Epidemiology Multi-center study
DOI:
10.3877/cma.j.issn.2096-0263.2018.06.007
文献标志码:
A
摘要:
目的 分析河北省老年股骨转子间骨折的流行病学特征。方法 收集河北省5家医院自2010年1月至2011年12月间就诊的骨折患者的基本资料和数字化影像资料进行数据分析,筛选出60岁以上发生股骨转子间骨折的老年患者,记录并比较其性别、年龄、AO分型等数据,分析两年间河北地区老年股骨转子间骨折的流行病学特征。结果 共收集老年股骨转子间骨折患者2 142例。其中男性984例(45.9%)、女性1 158例(54.1%),男女比例为1∶1.18;左侧骨折1 117例(52.1%)、右侧骨折1 025例(47.9%)。年龄61~99岁,平均年龄(65±8)岁,各年龄段骨折中以71~80岁组所占比例最高(45.0%),按照AO分型,31-A2型所占比例最高(59.1%);31-A3型所占比例最低(12.3%)。结论 河北省老年股骨转子间骨折占同期全部股骨转子间骨折的67.7%,占同期60岁以上所有骨折患者的13.4%。女性普遍多于男性。71~80岁年龄组所占比例最高;31-A2型骨折所占比例最高。
Abstract:
Objective To investigate epidemiological characteristics of femoral intertrochanteric fractures in elderly patients in Hebei. Methods The digital radiography imagedata and basic information of patients above 60 years with hip fractures from 2010 to 2011 were analyzed retrospectively in 5 hospitals of Hebei. All data including patients’ gender, age, and AO types were abstracted and analyzed to investigate the epidemiologic characteristics of femoral intertrochanteric fracture occurring during this time in this district. Results A total of 2,142 femoral intertrochanteric fracture with age above 60 years old were included, 984 (45.9%) males, 1,158 (54.1%) females (M∶F=1∶1.18). Fractures involving left side were slightly more than the right (1,117/1,025). The fracture was most common in age of 71-80 years group (45.0%) with the mean age of (65.0±7.9) years. By AO classification, type 31-A2 was the most common fracture type (59.1%), with type 31-C3 as the least common type (12.3%). Conclusion In elderly patients, femoral intertrochanteric fractures accounts for 67.7% of femoral intertrochanteric fractures in all ages, and 13.4% of all fractures in hebei, female are more prone to hip fractures than male, and the most peak age is 71-80 years. 31-A2 is the most common fractures type.

参考文献/References:

1 Gullberg B, Johnell O, Kanis JA. World-wide projections for hip fracture [J]. Osteoporos Int, 1997, 7(5): 407-413.
2 Miyamoto RG, Kaplan KM, Levine BR, et al. Surgical management of hip fractures: an evidence-based review of the literature. I: femoral neck fractures [J]. J Am Acad Orthop Surg, 2008, 16(10): 596-607.
3 Orimo H, Hashimoto T, Yoshimura N, et al. Nationwide incidence survey of femoral neck fracture in Japan, 1992 [J]. J Bone Miner Metab, 1997, 15(2): 100-106.
4 曾波, 熊鸿燕, 许建中, 等. 髋部骨折患者448例流行病学分布特征 [J]. 中华创伤杂志, 2011, 27(1): 56-59.
5 Maharlouei N, Khodayari M, Forouzan F, et al. The incidence rate of hip fracture in Shiraz, Iran during 2008-2010 [J]. Arch Osteoporos, 2014, 9(1): 165.
6 陈述祥, 刘彦, 区文欢, 等. 老年髋部骨折术后肺部并发症的危险因素分析 [J]. 中华老年骨科与康复电子杂志, 2016, 2(4): 239-244.
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, 2(2): 109-113.
8 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): 1-5.
9 杨洋, 林向进. 877例髋部骨折患者发病情况及其流行病学特征分析 [J]. 中华流行病学杂志, 2014, 35(4): 446-448.
10 张静, 李志锐, 唐佩福. 老年粗隆间骨折的手术治疗进展 [J]. 中华老年骨科与康复电子杂志, 2016, 2(4): 250-253.
11 丁剑锋. 老年人股骨转子间骨折临床发病特点及防治的研究 [J]. 中国骨质疏松杂志, 2012, 18(12): 1116-1118.
12 殷兵, 郭家良, 董天华, 等. 西南地区11家医院成人股骨转子间骨折患者临床特征构成分析 [J]. 中华外科杂志, 2015, 53(5): 349-352.
13 Azagra R, Lópezexpósito F, Martinsánchez JC, et al. [Incidence of hip fracture in Spain (1997-2010)]. Med Clin, 2015, 145(11): 465-470.
14 刘松, 陈伟, 朱燕宾, 等. 2010-2011年中国东北和西北地区老年股骨转子间骨折的流行病学对比 [J]. 中华老年骨科与康复电子杂志, 2017, 3(3): 172-176.
15 Giversen IM. Time trends of age-adjusted incidence rates of first hip fractures: a register-based study among older People in Viborg County, Denmark, 1987-1997 [J]. Osteoporos Int, 2006, 17(4): 552-564.
16 Suzuki T, Kim H, Yoshida H, et al. Randomized controlled trial of exercise intervention for the prevention of falls in community-dwelling elderly Japanese women [J]. J Bone Miner Metab, 2004, 22(6): 602-611.
17 张英泽. 临床创伤骨科流行病学 [M] . 北京: 人民卫生出版社, 2009.

相似文献/References:

[1]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.
[2]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.
[3]沈鹏程 朱立帆 蒋富贵 鞠文 徐能 李晓林.锁定钢板结合重建肱骨内侧柱治疗老年不稳定型肱骨近端骨折的疗效分析[J].中华老年骨科与康复电子杂志,2015,(02):7.[doi:10.3877/cma.j.issn.2096-0263.2015.02.002]
 Shen Pengcheng,Zhu Lifan,Jiang Fugui,et al.Clinical research of locking plate combined with medial column mechanical support for unstable fractures of the proximal humerus in elderly patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(06):7.[doi:10.3877/cma.j.issn.2096-0263.2015.02.002]
[4]刘文宣 张宇宸 刘文聪 高霞 李涛 张晓琳.CTR 基因多态性与老年男性骨质疏松的相关性研究[J].中华老年骨科与康复电子杂志,2015,(02):19.[doi:10.3877/cma.j.issn.2096-0263.2015.02.004]
 Liu Wenxuan,Zhang Yuchen,Liu Wencong,et al.Association between calcitonin receptor gene polymorphism and osteoporosis in elderly men[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(06):19.[doi:10.3877/cma.j.issn.2096-0263.2015.02.004]
[5]董仁卫 郭琪 王家仲 王连成.老年人群肌力水平与心血管疾病 三大危险因素的相关性研究[J].中华老年骨科与康复电子杂志,2015,(02):29.[doi:10.3877/cma.j.issn.2096-0263.2015.02.006]
 Dong Renwei,Guo Qi,Wang Jiazhong,et al.The association between muscle strength level and three major risk factors of cardiovascular disease in elderly population[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(06):29.[doi:10.3877/cma.j.issn.2096-0263.2015.02.006]
[6]李森磊,孙立,杨先腾,等.老年髋关节置换术后认知功能障碍的危险因素分析[J].中华老年骨科与康复电子杂志,2016,(02):71.[doi:10.3877/cma.j.issn.2096-0263.2016.02.002]
 Li Senlei,Sun Li,Yang Xianteng,et al.Risk factors analysis for postoperative cognitive dysfunction in  elderly patients undergoing hip arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):71.[doi:10.3877/cma.j.issn.2096-0263.2016.02.002]
[7]裴宝瑞,吴啸波,李力更,等.应用低分子肝素钙预防老年髋部骨折术前静脉血栓栓塞症的剂量研究[J].中华老年骨科与康复电子杂志,2016,(02):76.[doi:10.3877/cma.j.issn.2096-0263.2016.02.003]
 Pei Baorui,Wu Xiaobo,Li Ligeng,et al.The efficacy of low molecular weight heparin calcium of preventive versus therapeutic dose in prevention of venous thromboembolism in elderly patients before hip fracture surgery[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):76.[doi:10.3877/cma.j.issn.2096-0263.2016.02.003]
[8]赵德伟,马志杰,杨磊,等.多孔钽金属涂层髋关节假体置换治疗老年股骨颈骨折的临床疗效观察[J].中华老年骨科与康复电子杂志,2016,(02):92.[doi:10.3877/cma.j.issn.2096-0263.2016.02.006]
 Zhao Dewei,Ma Zhijie,Yang Lei,et al.Clinical investigation of hip implants by using porous tantalum coating in the treatment of elderly femoral neck fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):92.[doi:10.3877/cma.j.issn.2096-0263.2016.02.006]
[9]宋会平,张柳.阿仑膦酸钠治疗老年女性严重骨质疏松症患者的疗效分析[J].中华老年骨科与康复电子杂志,2016,(03):141.[doi:10.3877/cma.j.issn.2096-0263.2016.03.003]
 Song Huiping,Zhang Liu.Effcacy analysis of alendronate in the treatment of severe osteoporosis in senile women[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):141.[doi:10.3877/cma.j.issn.2096-0263.2016.03.003]
[10]柴仪,田伟明,温志刚.经皮椎体后凸成形术治疗高龄骨质疏松性椎体压缩骨折的疗效分析[J].中华老年骨科与康复电子杂志,2016,(03):150.[doi:10.3877/cma.j.issn.2096-0263.2016.03.005]
 Chai Yi,Tian Weiming,Wen Zhigang.Curative effective analysis of percutaneous kyphoplasty for osteoporotic vertebral compression fracture in senile patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):150.[doi:10.3877/cma.j.issn.2096-0263.2016.03.005]
[11]钟俊青,王连成.快速外科通道理念对老年股骨转子间骨折围手术期康复指导的前瞻性研究[J].中华老年骨科与康复电子杂志,2016,(02):87.[doi:10.3877/cma.j.issn.2096-0263.2016.02.005]
 Zhong Junqing,Wang Liancheng..Prospective study of the effect of fast track surery on peri-operative rehabilitation of elderly intertrochanteric fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):87.[doi:10.3877/cma.j.issn.2096-0263.2016.02.005]
[12]吴啸波,裴宝瑞.老年髋部骨折围手术期相关问题的研究进展[J].中华老年骨科与康复电子杂志,2016,(02):114.[doi:10.3877/cma.j.issn.2096-0263.2016.02.010]
 Wu Xiaobo,Pei Baorui..Perioperative related problems of surgery in elderly patients with hip fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):114.[doi:10.3877/cma.j.issn.2096-0263.2016.02.010]
[13]侯建伟,谢仁国,李玉前,等.加长型 PFNA-Ⅱ和DHS治疗老年骨质疏松性股骨转子下骨折的疗效分析[J].中华老年骨科与康复电子杂志,2017,(01):22.[doi:10.3877/cma.j.issn.2096-0263.2017.01.005]
 Hou Jianwei,Xie Renguo,Li Yuqian,et al.Clinical effective analysis of lengthened PFNA- II fixation and dynamic hip screw for senile osteoporotic subtrochanteric fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(06):22.[doi:10.3877/cma.j.issn.2096-0263.2017.01.005]
[14]于沂阳,李石伦,陈伟,等.中国北方和南方地区 2010—2011年 60岁以上人群股骨转子间骨折流行病学对比[J].中华老年骨科与康复电子杂志,2017,(01):55.[doi:10.3877/cma.j.issn.2096-0263.2017.01.011]
 Yu Yiyang,Li Shilun,Chen Wei,et al.Epidemiological comparison of geriatric intertrochanteric fractures between north and south areas of China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(06):55.[doi:10.3877/cma.j.issn.2096-0263.2017.01.011]
[15]徐进,李平,马信龙.老年髋部骨折手术快通道化变革中的麻醉管理[J].中华老年骨科与康复电子杂志,2017,(01):59.[doi:10.3877/cma.j.issn.2096-0263.2017.01.012]
 Xu Jin,Li Ping,Ma Xinlong.Anesthetic management of immediate reparative surgery in elderly patients with hip fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(06):59.[doi:10.3877/cma.j.issn.2096-0263.2017.01.012]
[16]刘雅克,王洪,朱鸣镝,等.老年髋部骨折术后对侧再骨折的随访研究[J].中华老年骨科与康复电子杂志,2017,(04):205.[doi:10.3877/cma.j.issn.2096-0263.2017.04.003]
 Liu Yake,Wang Hong,Zhu Mingdi,et al.The contralateral fractures after the hip fracture in the elderly[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(06):205.[doi:10.3877/cma.j.issn.2096-0263.2017.04.003]
[17]刘中砥,徐海林,陈建海,等.解剖型股骨近端髓内钉治疗老年转子间骨折的初步疗效[J].中华老年骨科与康复电子杂志,2017,(05):265.[doi:10.3877/cma.j.issn.2096-0263.2017.05.003]
 Liu Zhongdi,Xu Hailin,Chen Jianhai,et al.Clinical effectiveness of Zimmer Natural Nail System (ZNN) for treatment of elderly intertrochanteric fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(06):265.[doi:10.3877/cma.j.issn.2096-0263.2017.05.003]
[18]沈浩,王伟,何继业,等.老年髋部骨折术前合并急性脑梗塞的危险因素分析[J].中华老年骨科与康复电子杂志,2017,(05):275.[doi:10.3877/cma.j.issn.2096-0263.2017.05.005]
 Shen Hao,Wang Wei,He Jiye,et al.Risk factors analysis for preoperative acute cerebral infarction in elderly hip fracture patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(06):275.[doi:10.3877/cma.j.issn.2096-0263.2017.05.005]
[19]郝亚逢,李远,王治乾,等.左西孟旦治疗围手术期老年髋部骨折合并心衰患者的疗效研究[J].中华老年骨科与康复电子杂志,2018,(01):29.[doi:10.3877/cma.j.issn.2096-0263.2018.01.007]
 Hao Yafeng,Li Yuan,Wang Zhiqian,et al.Effectivness study of Leosimendan in the treatment of perioperative in elderly hip fracture with heart failure[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(06):29.[doi:10.3877/cma.j.issn.2096-0263.2018.01.007]
[20]鲁攀攀,马彬彬,李荥娟,等.老年髋部骨折患者术前营养不良的危险因素分析[J].中华老年骨科与康复电子杂志,2018,(03):145.[doi:10.3877/cma.j.issn.2096-0263.2018.03.005]
 Lu Panpan,Ma Binbin,Li Yingjuan,et al.Risk factors analysis for preoperative malnutrition of elderly hip fracture patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(06):145.[doi:10.3877/cma.j.issn.2096-0263.2018.03.005]

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: 2018-11-23