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目的了解维吾尔族老年人骨质疏松性骨折的构成及变化趋势,为该病的预防和治疗及医院的骨质疏松专科发展提供理论依据。方法整理筛选某院2010年-2015年期间住院患者中维吾尔族老年人骨质疏松性骨折资料,以ICD-10分类编码,统计分析维吾尔族老年人骨质疏松性骨折流行分布状况及其病学特征。结果维吾尔族老年人骨质疏松性骨折前10好发部位依次为股骨颈、股骨粗隆间、腰椎、胸椎、股骨干、胫腓骨、尺桡骨、踝骨、髌骨、肋骨,共占同期该类骨折的84.02%。不同性别骨质疏松性骨折的年龄分布存在统计学差异(χ2=24.43,P<0.001),其中女性在65岁~、70岁~、75岁~三个年龄段的构成比高于男性,其余年龄段低于男性;不同年龄段、性别的骨折好发部位存在差异。结论基于医院骨质疏松性骨折流行病学特征分析,维吾尔族老年人骨质疏松性骨折以60岁~74岁的女性高发,其特征与国内同期研究有所差异,具有独特地域和民族特征,应根据当地维吾尔族老年人骨质疏松性骨折分布特征制定适宜的预防措施,以降低该类骨折的发病率。
Objective To understand the composition and change trend of osteoporotic fractures in the elderly in the Uygur nationality and provide a theoretical basis for the prevention and treatment of the disease and the development of osteoporosis specialist in the hospital. Methods The data of osteoporotic fractures of elderly Uigur elderly patients in a hospital from 2010 to 2015 were collected and screened. ICD-10 was used to classify and analyze the distribution and prevalence of osteoporotic fractures in the Uygur elders. feature. Results The incidence of osteoporotic fractures in the 10 major Uygur elders was in the order of femoral neck, intertrochanteric lumbar, thoracic vertebral, femoral shaft, tibiofibular, ulnar radius, ankle, patella and rib in the same period 84.02% of fractures. There were significant differences in the age distribution of osteoporotic fractures among different sexes (χ2 = 24.43, P <0.001). The proportions of females in the three ages of 65 ~ 70, 75 ~ Age lower than men; different age groups, gender differences in the incidence of fractures. Conclusions Based on the epidemiological characteristics of osteoporotic fracture in hospital, osteoporotic fractures in the Uygur elderly are predominant in women aged 60 to 74 years. Their characteristics are different from those of the same period in China. They have unique geographical and ethnic characteristics, Should be based on the local distribution characteristics of the elderly Uighur osteoporotic fractures to develop appropriate preventive measures to reduce the incidence of such fractures.