摘要
目的分析2010年-2011年河北省老年髋部骨折的流行病学特征。方法收集河北省5家医院2010年1月-2011年12月收治的骨折患者数字化影像资料和基本资料,筛选60岁以上且符合选择标准的老年髋部骨折(股骨颈骨折、股骨转子间骨折及股骨头骨折)患者。回顾患者性别、年龄、骨折AO分型,分析河北省老年髋部骨折流行病学特征。结果研究共纳入4 207例60岁以上髋部骨折患者,占同期全部髋部骨折患者的59.61%,占同期60岁以上骨折患者的26.24%。其中男1 703例(40.48%)、女2 504例(59.52%),男女比例为1∶1.47。患者年龄61~99岁,平均75.4岁;其中70~79岁患者最多(43.97%),90~99岁患者最少(2.02%);各年龄段女性患者均多于男性,但差异无统计学意义(P>0.05)。按照AO分型,31-A型2 118例(50.34%),31-B型2 004例(47.63%),31-C型85例(2.02%)。除60~69岁年龄段的31-A1型、31-A3型、31-C1型和80~89岁年龄段的31-A3型骨折男性多于女性外,其余各型骨折患者女性均多于男性。结论河北省老年髋部骨折患者女性普遍多于男性,70~79岁是高发年龄段,股骨转子间粉碎骨折是常见类型。
Objective To investigate epidemiological characteristics of geriatric hip fractures between 2010 and2011 in Hebei province. Methods The digital radiography image data and basic information of patients above 60 years old with hip fractures(femoral neck fracture, femoral intertrochanteric fracture, and femoral head fracture) in5 hospitals of Hebei province between January 2010 and December 2011 were analyzed retrospectively. All the data including patients’ gender, age, and AO types were abstracted and analyzed to investigate the epidemiologic characteristics of geriatric hip fractures in Hebei province. Results A total of 4 207 hip fracture patients above 60 years old were included, accounting for 59.61% of all patients with hip fractures and 26.24% of all fractures patients over 60 years old in the same period. There were 1 703(40.48%) males and 2 504(59.52%) females(M∶F=1∶1.47). The patients ranged in age from 61 to 99 years, with an average of 75.4 years;the majority of patients aged 70-79 years(43.97%) and the minority of the patients aged 90-99 years(2.02%);women of all ages were more than men, but the difference was not significant(P>0.05). According to AO classification, there were 2 118 cases(50.34%) of type 31-A, 2 004 case(47.63%) of type 31-B, and 85 cases(2.02%) of type 31-C. Except for the type 31-A1, 31-A3, and 31-C1 of 60-69 age group, and the type31-A3 of 80-89 age groups, women were significantly more than men. Conclusion There are more women than men in hip fractures in Hebei province, and 70-79 age group is the high-risk age group of geriatric hip fractures. Among them,intertrochanteric comminuted fractures are common types.
作者
邵佳申
金柱成
刘勃
朱燕宾
刘松
陈伟
张英泽
SHAO Jiashen;JIN Zhucheng;LIU Bo;ZHU Yanbin;LIU Song;CHEN Wei;ZHANG Yingze(Department of Orthopaedics,the Third Hospital of Hebei Medical University,Shijiazhuang Hebei,050051,P.R.China)
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2019年第10期1287-1290,共4页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
老年髋部骨折
流行病学
多中心研究
Geriatric hip fracture
epidemiology
multi-center study
