杭州地区50岁以上人群髋部骨折危险因素调查.docVIP

杭州地区50岁以上人群髋部骨折危险因素调查[摘要] 目的 对杭州地区50岁以上的人群髋部骨折的危险因素进行调查。 方法 调查对象为本市收集的髋部骨折患者1 239例，对其临床资料进行回顾性分析，采用自行设计的调查表格对调查对象进行调查，使用统计学方法对结果进行处理。 结果 髋部骨折女性高于男性，但是经过统计学分析发现其差异无统计学意义（P 0.05）。自行摔倒的患者数在所有的致伤原因中居于首位，高处坠落伤的患者数在所有的致伤原因中最低。调查对象髋部骨折与既往骨折、家族骨折、腰背疼、骨质疏松、服用糖皮质激素呈显著的正相关，与户外活动、喝牛奶、喝酸奶、吃豆制品呈显著的负相关。此外，吸烟也是男性髋部骨折的一个危险因素。 结论 各种髋部骨折患者的危险因素对于医务人员治疗措施的制定，降低髋部骨折患者的死亡率及伤残率具有非常重要的意义。 [关键词] 老年人；髋部骨折；危险因素 [中图分类号] R683.3 [文献标识码] B [文章编号] 1673—9701（2012）25—0011—02 Survey of the hip fracture risk factors for population over age of 50 in Hangzhou SHEN Jiali Department of Orthopedics， the First Peoples Hospital of Hangzhou City in Zhejiang Province， Hangzhou 310006， China [Abstract] Objective To survey the crowd of hip fracture risk factors in the Hangzhou region over the age of 50 years old. Methods 1 239 cases with hip fracture were selected in our city. We analyzed the clinical data， self—designed survey， using statistical methods to deal with the results. Results Co mpared with men， the hip fractures of women were higher， but there were no significant differences in statistical analysis （P 0.05）. The primacy of patients were the on their own fall in all the causes of injury， the number of patients injured in falls in the lowest of all causes of injury. Survey of hip fracture previous fracture， family fracture， low back pain， osteoporosis taking glucocorticoids showed a significant positive correlation with outdoor activities， milk， yogurt， eat soy products， had a significant negative correlation. Smoking was also a risk factors of male hip fracture. Conclusion Variety of hip fractures in patients with risk factors for the treatment of the medical staff and reduced mortality and disability rates of hip fracture patients had a very important significance. [Key words] Elderly； Hip fracture； Risk factors 骨质疏松症是中老年骨科疾病之一，骨质疏松性骨折是骨质疏松导致的较为严重的后果，其对老年人的身心健康造成严重的威胁，对生活质量也会造成严重的影响，与心血管疾病比较，其危害性位居第2位，目前在公共健康问题中日益突出。在老年的骨折及其髋部骨折患者中，致命性的占有12%～20%，在各种疾病中，髋部骨折患者的死亡率占第12位[1]。所以，对本地区50岁