[1]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):35-38.[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,(02):35-38.[doi:10.3877/cma.j.issn.2096-0263.2015.02 .007]
点击复制

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()
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:
2015年02期
页码:
35-38
栏目:
老年骨科流行病学
出版日期:
2015-11-05

文章信息/Info

Title:
Epidemiological analysis of elderly ankle injury in the Third Hospital of Hebei Medical University from 2008 through 2012
作者:
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
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):
Yang Yanjiang Dong Tianhua Du Chenguang Yang Zongyou Chen Wei Lyu Hongzhi Liu Lei Sun Jiayuan Wang Haili Yin Bing Liu Bo Liu Song Zhang Yingze
Emergency Center of Trauma, Key Laboratory of Orthopaedic Biomechanics of Hebei Province, The Third Hospital of Hebei Medical University, Orthopaedic Research Institution of Hebei Province
关键词:
老年人 踝损伤 流行病学 性别分布 年龄分布
Keywords:
Aged  ankle Injuries  Epidemiology  Sex distribution  Age distribution
DOI:
10.3877/cma.j.issn.2096-0263.2015.02 .007
摘要:
目的 分析2008 年至2012 年期间河北医科大学第三医院老年踝关节损伤的流行病学 特征。方法 对2008 年1 月至2012 年12 月河北医科大学第三医院收治的646 例老年踝关节损伤患 者的资料进行回顾性分析,记录患者的性别、年龄以及骨折部位等数据。根据年龄分为3 个年龄段: 60 ~ 69 岁,70 ~ 79 岁,≥ 80 岁,总结5 年间老年踝关节损伤的流行病学特征。结果 共收集646 例老年踝关节损伤患者,男231 例(35.76%)、女415 例(64.24%),男女比为1 ︰ 1.80;损伤高发 年龄段为60 ~ 69 岁(62.38%);44-A 型损伤303 例(46.90%),44-B 型损伤249 例(38.55%), 44-C 型损伤94 例(14.55%)。44-A 型和44-B 型损伤女性所占比例高于男性,44-C 型损伤男性高于女 性,男女患者AO 分型间差异有统计学意义(χ2=31.440,P < 0.001)。60 ~ 69 岁以及80 岁以上的老 年患者,各分型男女构成差异有统计学意义(P < 0.001,P=0.007)。结论 老年踝关节损伤高发年 龄段为60 ~ 69 岁,女性多于男性,损伤高发类型为44-A 型。
Abstract:
 Objective To analyze the epidemiological features and trends of elderly ankle injury from 2008 through 2012 in the Third Affiliated Hospital of Hebei Medical University. Methods The clinical data were collected from elderly patients with ankle injury who had been treated between January 2008 and December 2012 in our hospital. The characteristic information of this injury was collected in terms of gender, age and fracture type based on AO classification. The patients were assigned into four groups according to age group, age 60-69 years, 70-79 years, and over 90 years. Results A number of 646 elderly patients with ankle injury were collected, including 231 males and 415 females. The total male/female ratio was 1:1.80. The ankle injury predominated in an age group of 69 to 79 years (62.38%). There were 303 cases (46.90%) of type 44-A, 249 ones (38.55%) of type 44-B and 94 ones (14.55%) of type 44-C. The differences in gender distribution and AO fracture type distribution were statistically significant (χ2=31.440, P<0.001). The differences in gender distribution in each fracture type were statistically significant in the 60-69 age group and more than 80 years old group (P<0.001, P=0.0070. Conclusion The peak age of adult malleolar injury was from 60 to 69 years. There were more female patients than male. 44-A was the most common fracture type based on AO classification system.

参考文献/References:

1 张英泽. 临床创伤骨科流行病学 [M] . 北京: 人民卫生出版社, 2009: 275-299. 2 Van Staa TP, Dennison EM, Leufkens HG, et al. Epidemiology of fractures in England and Wales [J]. Bone, 2001, 29(6): 517-522. 3 Kannus P, Palvanen M, Niemi S, et al. Increasing number and incidence of low-trauma ankle fractures in elderly People: Finnish statistics during 1970-2000 and projections for the future [J]. Bone, 2002, 31(3): 430-433. 4 Bengnér U, Johnell O, Redlund-Johnell I. Epidemiology of ankle fracture 1950 and 1980. Increasing incidence in elderly women [J]. Acta Orthop Scand, 1986, 57(1): 35-37. 5 Court-Brown CM, Mcbirnie J, Wilson G. Adult ankle fractures--an increasing problem? [J]. Acta Orthop Scand, 1998, 69(1): 43-47. 6 Daly PJ, Fitzgerald RH, Melton LJ, et al. Epidemiology of ankle fractures in Rochester, Minnesota [J]. Acta Orthop Scand, 1987, 58(5): 539-544. 7 Thur CK, Edgren G, Jansson K?, et al. Epidemiology of adult ankle fractures in Sweden between 1987 and 2004: a population-based study of 91,410 Swedish inpatients [J]. Acta Orthop, 2012, 83(3): 276-281. 8 Salai M, Dudkiewicz I, Novikov I, et al. The epidemic of ankle fractures in the elderly--is surgical treatment warranted? [J]. Arch Orthop Trauma Surg, 2000, 120(9): 511-513. 9 Lee KM, Chung CY, Kwon SS, et al. Ankle fractures have features of an osteoporotic fracture [J]. Osteoporos Int, 2013, 24(11): 2819-2825. 10 Marsh JL, Slongo TF, Agel J, et al. Fracture and dislocation classification compendium-2007 - Orthopaedic Trauma Association classification, database and outcomes committee [J]. J Orthop Trauma, 2007, 21(10): S1-S133. 11 Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review [J]. Injury, 2006, 37(8): 691-697. 12 Hoiness P, Stromsoe K. Early complications of surgically managed ankle fractures related to the AO classification.A review of 118 ankle fractures treated with open reduction and internal fixation [J]. Arch Orthop Trauma Surg, 1999, 119(5/6): 276-279. 13 邱贵兴. 老年骨质疏松性骨折的治疗策略 [J/CD]. 中华老年骨科与 康复电子杂志, 2015, 1(1): 1-5. 14 Greenfield DM, Eastell R. Risk factors for ankle fracture [J]. Osteoporos Int, 2001, 12(2): 97-103. 15 Koval KJ, Zhou W, Sparks MJ, et al. Complications after ankle fracture in elderly patients [J]. Foot Ankle Int, 2007, 28(12): 1249- 1255. 16 Jensen SL, Andresen BK, Mencke S, et al. Epidemiology of ankle fractures. A prospective population-based study of 212 cases in Aalborg, Denmark [J]. Acta Orthop Scand, 1998, 69(1): 48-50.

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]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,(02):109.[doi:10.3877/cma.j.issn.2096-0263.2016.02.009]
[7]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,(02):136.[doi:10.3877/cma.j.issn.2096-0263.2016.03.002]
[8]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,(02):172.[doi:10.3877/cma.j.issn.2096-0263.2016.03.009]
[9]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,(02):177.[doi:10.3877/cma.j.issn.2096-0263.2016.03.010]
[10]周春光,刘立岷,宋跃明,等.后路手术治疗老年中下胸椎结核的疗效分析[J].中华老年骨科与康复电子杂志,2016,(04):193.[doi:10.3877/cma.j.issn.2096-0263.2016.04.001]
 Zhou Chunguang,Liu Limin,Song Yueming,et al.Posterior surgery for elderly patients with middle or lower thoracic tuberculosis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(02):193.[doi:10.3877/cma.j.issn.2096-0263.2016.04.001]

备注/Memo

备注/Memo:
河北省卫生厅医学科学研究重点课题指令性计划项目(20150284)
更新日期/Last Update: 2015-12-30