[1]刘松 陈伟 朱燕宾 李彦森 殷兵 张飞 李佳 张英泽.2010—2011年中国东北和西北地区老年髋部骨折的流行病学对比[J].中华老年骨科与康复电子杂志,2017,(03):172-176.[doi:10.3877/cma.j.issn.2096-0263.2017.03.008]
　Liu Song,Chen Wei,Zhu Yanbin,et al.Epidemiological comparison of hip fractures in the elderly between northeast and northwest areas of China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(03):172-176.[doi:10.3877/cma.j.issn.2096-0263.2017.03.008]
点击复制

2010—2011年中国东北和西北地区老年髋部骨折的流行病学对比()
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:
2017年03期
页码:
172-176
栏目:
老年骨科流行病学
出版日期:
2017-06-01

文章信息/Info

Title:
Epidemiological comparison of hip fractures in the elderly between northeast and northwest areas of China from 2010 to 2011
作者:
刘松 陈伟 朱燕宾 李彦森 殷兵 张飞 李佳 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):
Liu Song;  Chen Wei;  Zhu Yanbin;  Li Yansen;  Yin Bing;  Zhang Fei;  Li Jia;  Zhang Yingze
Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University, Orthopaedic Research Institution of Hebei Province, Key Laboratory of Orthopaedic Biomechanics of Hebei Province, Shijiazhuang 050051, China
关键词:
老年人;  髋骨折;  流行病学;  AO分型;  性别分布
Keywords:
Aged;  Hip fractures;  Epidemiology;  AO classification;  Sex distribution
DOI:
10.3877/cma.j.issn.2096-0263.2017.03.008
文献标志码:
A
摘要:
目的 对比分析中国东北地区和西北地区 60 岁以上老年髋部骨折的流行病学特点。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月东北地区和西北地区 14家医院诊治的老年髋部骨折患者资料。将东北地区 4家医院资料定义为东北组，西北地区 10家医院资料定义为西北组，对比分析两组患者性别、年龄、侧别和骨折分型等。结果 共收集老年髋部骨折 1 499例，其中东北组 806例，西北组 693例。东北组男性 289例，女性 517例，男女比为 1∶1.79；西北组男性 304例，女性 389例，男女比为 1∶1.28，差异有统计学意义（c2=10.002，P＜0.05）。东北组和西北组中位年龄分别为 76岁和 72岁，差异有统计学意义（Z=-6.950，P＜0.001）。东北组 76～80岁构成比最高（22.70%，183/806），西北组60～65岁构成比最高（23.95%，166/693），两组60～65岁、66～70岁、 81～85岁和≥86岁 4个年龄段构成比差异有统计学意义（P＜0.05）。西北组 31-C型骨折构成高于东北组（c2=18.353，P＜0.001），31-A 型和 31-B 型骨折构成差异无统计学意义。东北组 31-B2 型骨折最多（270例，33.5%），西北组 31-A2型骨折最多（207例，29.87%），两组比较，31-B2，31-C1和 31-C2型骨折构成差异有统计学意义（P＜0.05），其他骨折亚型差异无统计学意义。结论 老年髋部骨折女性多于男性，与西北组比较，东北组年龄大，31-C型骨折构成比小。东北组高发骨折亚型为 31-B2型，西北组为 31-A2型。
Abstract:
Objective To compare and analyze the epidemiological features of hip fractures in the elderly between Northeast and Northwest areas of China from 2010 to 2011. Methods Data of human fractures treated between January 2010 January to December 2011 in 14 hospitals in Northeast and Northwest China were collected through the PACS system and case reports checking system. Data of 4 hospitals in Northeast were classified as Northeast group, while data of 10 hospitals in Northwest were classified as Northwest group. The data of gender, age, side and fracture classification between two groups were compared. Results A total of 1,499 hip fractures in the elderly were divided into Northeast group (806 cases) and Northwest group (693 cases). There were 289 males and 517 females in the Northeast group (M/ F=1∶1.79), and 304 males and 389 females in the Northwest group (M/F=1∶1.28, c2=10.002, P<0.05). The median age of two groups were 76 years and 72 years, respectively, with a statistically significant difference (Z=-6.950, P<0.001). The predominant age group in two groups were 76-80 years (22.70%, 183/806) and 60- 65 years (23.95%, 166/693). The gender distribution had significant differences in patients aged 60-65 years, 66-70 years, 81-85 years and ≥86 years (P<0.05). The proportion of 32-C fractures in Northwest group was higher than that in Northeast group (c2=18.353, P<0.001), while there were no significant differences in 32-A and 32- B fractures. The highest frequency of the sub-type in Northeast group was type 31-B2 (270 cases, 33.5%), while type 31-A2 in Northwest group (207 cases, 29.87%). Differences were statistically significant between two groups in subtype 31-B2, 31-C1 and 31-C2 (P<0.05) and there were no significant differences in other sub-types. Conclusions Hip fractures in elderly were most seen in females. Compared with Northwest group, older age and lower proportion of type 31-C fractures was found in Northeast group. The highest frequency of the sub-type in Northeast group and Northwest group were 31-B2 and 31-A2, respectively.

参考文献/References:

1 Wang J, Wang Y, Liu WD, et al. Hip fractures in Hefei, China: the Hefei osteoporosis project [J]. J Bone Miner Metab, 2014, 32(2): 206-214.
2 Ensrud KE. Epidemiology of fracture risk with advancing age [J]. J Gerontol A Biol Sci Med Sci, 2013, 68(10): 1236-1242.
3 常晓, 张保中, 翁习生, 等. 高龄髋部骨折术后院内死亡的危险因素分析 [J]. 中华老年骨科与康复电子杂志, 2017, 3(1): 43-49.
4 Cooper C, Campion G, Melton LJ. Hip fractures in the elderly: a world-wide projection [J]. Osteoporos Int, 1992, 2(6): 285-289.
5 殷兵, 郭家良, 董天华, 等. 西南地区 11家医院成人髋部骨折患者临床特征构成分析 [J]. 中华外科杂志, 2015, 53(5): 349-352.
6 Zhang YZ. Clinical epidemiology of orthopedic trauma [M]. New York: Thieme, 2012: 157-176.
7 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.
8 Azagra R, López-Expósito F, Martin-Sánchez JC, et al. Incidence of hip fracture in Spain (1997- 2010) [J]. Med Clin (Barc), 2015, 145 (11): 465-470.
9 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: 165.
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 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.
12 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.
13 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.
14 丁剑锋. 老年人髋部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.
15 Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures [J]. Lancet, 2002, 359(9319): 1761-1767.
16 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.
17 王烨明, 魏万富. 5563例髋部骨折病例的发病特征分析 [J]. 中国骨质疏松杂志, 2014 (8): 956-959.
18 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.
19 Falch JA, Kaastad TS, Bøhler G, et al. Secular increase and geographical differences in hip fracture incidence in Norway [J]. Bone, 1994, 14(4): 643-645.
20 程志安, 林定坤, 刘冬斌, 等. 广州市 1998-2007年 3449例骨质疏松髋部骨折患者住院医疗资源分析 [J]. 中华流行病学杂志, 2008, 29 (11): 1128-1131.

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]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.[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,(03):35.[doi:10.3877/cma.j.issn.2096-0263.2015.02 .007]
[7]李梦远,陈宏　马元琛,廖俊星,等.老年髋部骨折内固定失败后补救性髋关节置换术的临床研究[J].中华老年骨科与康复电子杂志,2016,(02):81.[doi:10.3877/cma.j.issn.2096-0263.2016.02.004]
　Li Mengyuan,Chen Hong,Ma Yuanchen,et al.Clinical research of hip arthroplasty as a salvage treatment after reduction and fixation failure in the proximal femoral fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(03):81.[doi:10.3877/cma.j.issn.2096-0263.2016.02.004]
[8]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,(03):136.[doi:10.3877/cma.j.issn.2096-0263.2016.03.002]
[9]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,(03):172.[doi:10.3877/cma.j.issn.2096-0263.2016.03.009]
[10]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,(03):177.[doi:10.3877/cma.j.issn.2096-0263.2016.03.010]
[11]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,(03):109.[doi:10.3877/cma.j.issn.2096-0263.2016.02.009]
[12]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,(04):239.[doi:10.3877/cma.j.issn.2096-0263.2016.04.009]
　Chen Shuxiang,Liu Yan,Ou Wenhuan,et al.Risk factor analysis for postoperative pulmonary complications in elderly hip fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(03):239.[doi:10.3877/cma.j.issn.2096-0263.2016.04.009]
[13]王东,周君琳.老年髋部骨折术后早期负重的时机及其影响因素[J].中华老年骨科与康复电子杂志,2017,(05):257.[doi:10.3877/cma.j.issn.2096-0263.2017.05.001]
　Wang Dong,Zhou Junlin.The timing and influence factors of early postoperative weight-bearing in elderly hip fracture patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(03):257.[doi:10.3877/cma.j.issn.2096-0263.2017.05.001]
[14]卢冰,王跃,刘攀,等.髓内钉及动力髋螺钉治疗老年稳定性股骨转子间骨折的比较[J].中华老年骨科与康复电子杂志,2017,(05):260.[doi:10.3877/cma.j.issn.2096-0263.2017.05.002]
　Lu Bing,Wang Yue,Liu Pan,et al.Comparison of the clinical efficacy between proximal femoral nail and DHS in the treatment of elderly patients with intertrochanteric fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(03):260.[doi:10.3877/cma.j.issn.2096-0263.2017.05.002]
[15]宋婷婷,王新民,毕希乐,等.老年髋部骨折围术期心力衰竭的危险因素分析[J].中华老年骨科与康复电子杂志,2018,(01):23.[doi:10.3877/cma.j.issn.2096-0263.2018.01.006]
　Song Tingting,Wang Xinmin,Bi Xile,et al.Analysis of risk factors of perioperative heart failure in elderly patients with hip fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(03):23.[doi:10.3877/cma.j.issn.2096-0263.2018.01.006]
[16]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.[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,(03):43.[doi:10.3877/cma.j.issn.2096-0263.2018.01.010]
[17]张晟,余斌.个体化围手术期方案在高龄股骨转子间骨折治疗中的应用[J].中华老年骨科与康复电子杂志,2018,(03):132.[doi:10.3877/cma.j.issn.2096-0263.2018.03.002]
　Zhang Sheng,Yu Bin.The clinical experience of the perioperative management of intertrochanteric fracture with elderly highrisk patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(03):132.[doi:10.3877/cma.j.issn.2096-0263.2018.03.002]
[18]张宇 秦晓东 许艺荠 谢文俊 胡军.老年股骨转子间骨折术后1年死亡率及危险因素分析[J].中华老年骨科与康复电子杂志,2018,(05):277.
　Zhang Yu,Qin Xiaodong,Xu Yiqi,et al.Risk factors related to mortality at one year after surgery for intertrochanteric fracture in the elderly[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(03):277.
[19]王虎 李明 靳泽岳 连晓东 陈伟. 不同方法治疗老年股骨转子间合并转子下骨折的比较[J].中华老年骨科与康复电子杂志,2019,(03):135.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.003]
　Wang Hu,Chen Wei.. Comparative of different methods for the treatment of intertrochanteric-subtrochanteric fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(03):135.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.003]
[20]刘澍雨,朱伟民,刘雨微,等.快速康复外科理念在老年髋部骨折中的术前应用[J].中华老年骨科与康复电子杂志,2021,(01):60.[doi:10.3877/cma.j.issn.2096-0263.2021.01.011]
　Liu Shuyu,,et al.Preoperative preparation for enhanced recovery after surgery in elderly hip fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2021,(03):60.[doi:10.3877/cma.j.issn.2096-0263.2021.01.011]

备注/Memo

备注/Memo:
基金项目：国家自然科学基金青年科学基金（81401789）
更新日期/Last Update: 2017-06-01