[1]顾 昊,刘 华,苏方东,等.太仓地区老年髋部骨折流行病学调查分析[J].医学信息,2021,34(14):139-141.[doi:10.3969/j.issn.1006-1959.2021.14.038]
　GU Hao,LIU Hua,SU Fang-dong,et al.Epidemiological Investigation and Analysis of Hip Fracture in the Elderly in Taicang Area[J].Medical Information,2021,34(14):139-141.[doi:10.3969/j.issn.1006-1959.2021.14.038]
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太仓地区老年髋部骨折流行病学调查分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年14期
页码:
139-141
栏目:
调查分析
出版日期:
2021-07-15

文章信息/Info

Title:
Epidemiological Investigation and Analysis of Hip Fracture in the Elderly in Taicang Area
文章编号:
1006-1959（2021）14-0139-03
作者:
顾 昊; 刘 华; 苏方东; 等
（1.太仓市中医医院骨科，江苏 太仓 215400； 2.太仓市浏河人民医院骨科，江苏 太仓 215432）
Author(s):
GU Hao; LIU Hua; SU Fang-dong; et al.
(1.Department of Orthopedics,Taicang Hospital of Traditional Chinese Medicine,Taicang 215400,Jiangsu,China; 2.Department of Orthopedics,Liuhe People’s Hospital,Taicang 215432,Jiangsu,China)
关键词:
骨质疏松; 股骨颈骨折; 股骨粗隆间骨折
Keywords:
Osteoporosis; Femoral neck fracture; Femoral intertrochanteric fracture
分类号:
R181.3
DOI:
10.3969/j.issn.1006-1959.2021.14.038
文献标志码:
A
摘要:
目的 探讨太仓市60岁以上老年人群髋部骨折发病的流行病学情况。方法 选取2011年1月1日~2013年12月31日一家市级医院和一家乡镇医院住院治疗的老年髋部骨折患者211例。通过随访方式调查患者基本情况，比较患者治疗方式、死亡率等情况。结果 本次研究共有211例患者获得随访，股骨颈骨折91例，股骨粗隆间骨折120例，手术治疗157例，保守治疗54例；市级医院手术治疗比例为84.39%，高于乡镇医院的28.95%，差异有统计学意义（P＜0.05）；随访期内保守治疗死亡率为64.81%，高于手术治疗的10.83%，差异有统计学意义（P＜0.05）。结论 太仓地区髋部骨折以女性患者更为常见。受文化程度和饮食习惯的影响，对骨质疏松症的认识和预防不足。加强对太仓地区骨质疏松症的高发人群进行骨质疏松症的医学知识宣教并采取综合的防治措施有重要意义。
Abstract:
Objective To investigate the epidemiology of hip fracture in the elderly over 60 years old in Taicang.Methods A total of 211 elderly hip fracture patients who were hospitalized in a municipal hospital and a township hospital from January 1, 2011 to December 31, 2013 were selected.Investigate the basic conditions of the patients through follow-up, and compare the treatment methods and mortality of the patients.Results A total of 211 patients were followed up in this study, including 91 cases of femoral neck fractures, 120 cases of femoral intertrochanter fractures, 157 cases of surgical treatment, and 54 cases of conservative treatment;The rate of surgical treatment in municipal hospitals was 84.39%, which was higher than 28.95% in township hospitals,the difference was statistically significant (P＜0.05);During the follow-up period, the mortality rate of conservative treatment was 64.81%, which was higher than the 10.83% of surgical treatment,the difference was statistically significant (P＜0.05).Conclusion Hip fractures in Taicang are more common in female patients. Affected by education level and eating habits, the awareness and prevention of osteoporosis are insufficient.It is of great significance to strengthen the medical knowledge education of osteoporosis and take comprehensive prevention and treatment measures for the high-risk population of osteoporosis in Taicang area.

参考文献/References:

[1]阿布都艾尼江·阿不力米提,袁宏.老年髋部骨折术后功能恢复的影响因素研究[J].医学信息,2020,33(1):39-42. [2]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. [3]芮云峰,马斌斌,倪明,等.老年髋部骨折患者合并骨折的临床特征及其危险因素[J].中国矫形外科杂志,2019,27(22):2028-2032. [4]王继雄.探讨老年股骨粗隆间骨折术后再发对侧粗隆间骨折的临床治疗及发病原因[J].双足与保健,2019,16(222):145-146. [5]田守进,赵理平,倪善军,等.老年髋部骨折术后对侧髋部再骨折的影响因素分析[J].中华创伤骨科杂志,2015,17(2):124-128. [6]王玉环,刘素香,刘凡,等.综合干预对社区高风险骨质疏松性骨折老年女性骨质疏松相关行为的影响[J].中国老年学杂志,2016,36(5):1186-1188. [7]梁朝革,张国宁,王嘉,等.长宁区50岁以上人群髋部骨折的流行病学调查[J].中国骨与关节损伤杂志,2013,28(12):1122-1124. [8]张培训,许庭珉.老年骨质疏松性髋部骨折的围术期处理策略[J].中国骨与关节杂志,2020,9(6):6-8. [9]陈述祥,陈彦东,刘红光,等.老年人髋部骨折内固定与人工关节置换术危险性的比较[J].中国矫形外科杂志,2010,18(20):1737-1739. [10]黄晓,莫冰峰,尹东,等.老年髋部骨折后死亡的相关影响因素分析[J].中国矫形外科杂志,2013,21(8):757-761. [11]王影,傅秀珍,张广清.老年髋部骨折患者跌倒风险及自我效能的评估冰[J].广东医学,2013,34(7):1141-1143. [12]万永鲜,徐丽丽,卓乃强,等.老年髋部骨折患者围术期死亡风险评估[J].中华创伤杂志,2016,32(3):213-217. [13]曾日祥,马勇,张耀强.影响老年髋部骨折手术风险的相关因素分析[J].局解手术学杂志,2016,125(4):57-60. [14]李玉田,刘传军.80例老年髋部骨折手术治疗与非手术治疗方法的选择与疗效分析[J].辽宁医学杂志,2016,30(1):20-21. [15]陈超,布特格勒其,赵自芳,等.80岁以上高龄患者髋部骨折术后1年内死亡率及相关因素分析[J].中日友好医院学报,2019,33(4):223-225. [16]王驭恺.老年髋部骨折的多学科处理[J].国际骨科学杂志,2019,40(1):1-4.

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更新日期/Last Update: 1900-01-01