期刊文献+

上海市社区老年人骨质疏松性骨折的风险评估 被引量:16

Risk assessment of osteoporotic fractures in the elderly in Shanghai communities
下载PDF
导出
摘要 目的应用FRAX工具评估上海市社区老年人骨质疏松性骨折的风险。方法收集1300例上海市社区老年人的临床资料并进行回顾性分析,应用FRAX工具计算10年内骨折发生风险,应用统计学分析不同危险因子与FRAX计算的骨折风险的相关性。结果研究对象10年内发生主要部位骨质疏松性骨折发生风险为(6.0±3.6)%,髋部骨折的发生风险为(2.8±2.4)%。主要部位骨质疏松性骨折风险及髋部骨折风险均随着年龄增长而增加。相关性研究结果显示,跌倒与10年主要部位和髋部骨折发生风险具有显著相关性(r=0.134,P<0.01;r=0.124,P<0.01)。结论 FRAX工具可用于评估上海市社区老年人骨质疏松性骨折的风险,建议在老年人健康体检时应用FRAX工具进行骨折风险评估。 Obje ctive To predict the osteoporotic fracture risk in the elderly in Shanghai communities using FRAX tool.Me thods Clinical data of 1300 cases in Shanghai communities were collected for the retrospective analysis. FRAX tool was used to calculate risk of the major osteoporotic fractures. The relationship between different risk factors and the fracture risk predicted by FRAX was analyzed. Re sults The risk of 10-year major osteoporotic fractures was 6. 0 ± 3. 6%,and the risk of hip fractures was2. 8 ± 2. 4%. The risk of the major osteoporotic fracture and hip fracture increased with age. Correlation analysis showed that in addition to the risk factors involved in the FRAX tool,fall was significant correlated with 10-year probability of major fracture and hip fracture( r = 0. 134,P〈0. 01; r = 0. 124,P〈0. 01,respectively). Conclusion FRAX tool can be applied to predict the osteoporotic fracture risk in the elderly in Shanghai communities. We recommend that it should be included in routine health checkup.
出处 《中国骨质疏松杂志》 CAS CSCD 北大核心 2016年第7期824-827,共4页 Chinese Journal of Osteoporosis
基金 上海市黄浦区卫生局科研项目(HKW201424)
关键词 骨质疏松 骨折 FRAX 危险因素 Osteoporosis Fracture FRAX Risk factors
  • 相关文献

参考文献15

  • 1Siris, E. S. , Y. T. Chen, T. A. Abbott, et al. Bone mineral density thresholds for pharmacological intervention to prevent fractures. Arch Intern Med,2004, 164 (10) : 1108-1112. 被引量:1
  • 2Langsetmo, L. , D. Goltzman, C. S. Kovacs, et al. Repeat low- trauma fractures occur frequently among men and women who have osteopenic B MD. J Bone Miner Res,2009, 24 ( 9 ) : 1515- 1522. 被引量:1
  • 3Watts, N. B. , E. M. Lewiecki, P. D. Miller, et al. National Osteoporosis Foundation 2008 Clinieian Guide to Prevention and Treatment of Osteoporosis and the World Health Organization Fracture Risk Assessment Tool (FRAX) : what they mean to the bone densitometrist and bone technologist. J Clin Densltom, 2008, 11(4) : 473-477. 被引量:1
  • 4原发性骨质疏松症诊治指南(2011年)[J].中华骨质疏松和骨矿盐疾病杂志,2011,4(1):2-17. 被引量:1845
  • 5Chinese Medical Association of osteoporosis and bone mineral disease. Guidelines for diagnosis and treatment of primary osteoporosis. Chinese Journal of Osteoporosis and Bone Mineral Research, 2011, 4( 1 ) : 2-17 (in Chinese). 被引量:1
  • 6Kanis, J. A. , O. Johnell, A. Oden, et al. FRAX and the assessment of fracture probability in men and women from the UK. Osteoporos Int,2008, 19(4) : 385-397. 被引量:1
  • 7Kanis, J. A., E. V. McCloskey, H. Johansson, et al. Case finding for the management of osteoporosis with FRAX-- assessment and intervention thresholds for the UK. Osteoporos Int,2008, 19(10) : 1395-1408. 被引量:1
  • 8Dawson-Hughes, B. and C. National Osteoporosis Foundation Guide. A revised clinieian guide to the prevention and treatment of osteoporosis. J Clin Endoerinol Metab, 2008, 93 (7) : 2463- 2465. 被引量:1
  • 9Cheung, E. Y., C. H. Bow, C. L. cheung, et al. Discriminative value of FRAX for fracture prediction in a cohort of Chinese postmenopausal women. Osteoporos Int,2012, 23 (3) : 871-878. 被引量:1
  • 10Kanis, J. A. , N. C. Harvey, H. Johansson, et al. FRAX and fracture prediction without bone mineral density. Climacteric, 2015, 18 Suppl 2: 2-9. 被引量:1

共引文献1844

同被引文献138

引证文献16

二级引证文献91

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部