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目的分析河北医科大学第三医院老年骨折的流行病学特征。方法回顾性收集2008年1月至2012年12月河北医科大学第三医院诊治的老年(>60岁)骨折患者,统计各骨折部位构成情况,并分析其随年龄、性别变化趋势。结果共收集老年骨折10 937例,占全部骨折的17.87%。男性3 676例(33.61%),女性7 261例(66.39%),男女比例1︰1.98,其中61~65岁男女比例最高(1︰1.62),71~75岁最低(1︰2.32),61~65岁骨折患者最多。骨折部位以胸腰椎(28.24%)最多,其次为股骨近端(21.94%)和尺桡骨远端(12.06%)。其中女性以胸腰椎骨折(31.65%)最多,其次为股骨近端骨折(20.85%)和尺桡骨远端骨折(14.81%);男性则以股骨近端骨折(24.10%)最多,其次为胸腰椎骨折(21.52%)和足部骨折(7.21%)。股骨近端骨折以61~65岁构成比最低(10.32%),随年龄升高而升高,至86岁以上最高(52.01%)。胸腰椎骨折以71~75岁构成比最高(33.30%),86岁以上最低(18.29%)。尺桡骨远端骨折以61~65岁构成比最高(14.17%),随年龄降低而降低,至86岁以上最低(7.05%)。其他部位(除常见骨折部位之外)61~65岁构成比最高(49.93%),86岁以上最低(22.65%)。结论老年骨折患者女性多于男性,胸腰椎骨折、股骨近端骨折和尺桡骨远端骨折占比较高,且随年龄升高,股骨近端骨折占比逐渐升高,尺桡骨骨折、其他骨折占比逐渐降低。
Objective To analyze the epidemiological characteristics of elderly fractures in the Third Hospital of Hebei Medical University. Methods The aged (> 60 years old) patients diagnosed and treated in the Third Hospital of Hebei Medical University from January 2008 to December 2012 were retrospectively collected. The composition of each fracture site was analyzed and analyzed with age and gender. Results A total of 10 937 elderly fractures were collected, accounting for 17.87% of all fractures. There were 3 676 males (33.61%) and 7 261 females (66.39%), the ratio of males to females was 1: 1.98, among which males and females were the highest (1︰1.62) Up to 65-year-old fracture patients. The fracture site was thoracolumbar spine (28.24%), followed by proximal femur (21.94%) and distal radius and ulna (12.06%). Among them, thoracolumbar fractures (31.65%) were the most common in females, followed by proximal femur fractures (20.85%) and distal radius ulna fractures (14.81%), while females (24.10%) had proximal femur fractures Fractures (21.52%) and foot fractures (7.21%). The proximal femoral fractures with the lowest constituent ratio of 61-65 years old (10.32%), increased with age, the highest (52.01%) over the age of 86. Thoracolumbar fractures with the highest constituent ratio of 71-75 years (33.30%), the lowest 86 years of age (18.29%). The distal radius and distal radius fractures in 61 to 65 years old constitute the highest ratio (14.17%), decreased with age, to the lowest 86 years old (7.05%). Other parts (except for the common fracture site) constitute the highest ratio of 61-65 years (49.93%), the lowest of 86 years (22.65%). Conclusions There are more female patients in the elderly fracture than in the male patients. Thoracolumbar fractures, proximal femur fractures and distal radius fractures account for a high proportion of fractures. As the age increases, the proportion of proximal femur fractures gradually increases. The ulnar radius fractures and other fractures account for Gradually lower than the ratio.