摘要
目的:分析并比较不同类型骨折老年患者流行因素的差异。方法:对2018年10月—2019年10月中国人民解放军联勤保障部队第九一〇医院骨科收治的4396例因跌倒致骨折的老年患者进行回顾研究。描述并比较不同类型骨折患者流行病学因素(性别、骨折部位、年龄、分型等)的差异。结果:4396例患者中,髋骨骨折2208例、股骨骨折1382例、胫骨骨折1104例。髋骨骨折患者骨折部位、年龄、骨折分型比较,差异有统计学意义(P<0.05),以左侧(占54.12%)、71~80岁(占41.30%)、31-B型(占53.58%)患者为主。股骨骨折患者性别、骨折部位、年龄、AO分型比较,差异有统计学意义(P<0.05),以女性(占55.28%)、左侧(占53.98%)、71~80岁(占45.15%)、AO分型31-A2型(占58.47%)患者为主。胫骨骨折患者骨折部位、年龄、Schatzker分型比较,差异有统计学意义(P<0.05),以左侧(占56.43%)、71~80岁(占47.46%)、Schatzker分型Ⅱ型(占23.91%)患者为主。结论:因跌倒致骨折的老年患者多集中在71~80岁,且主要发生于左侧,髋骨骨折骨折分型以31-B为主,股骨骨折分型主要以31-A2为主,胫骨骨折分型主要以Ⅱ型和Ⅲ型为主。
Objective:To analyze and compare the difference of the prevalence factors in elderly patients with different types of fractures.Method:A retrospective study was conducted on 4396 elderly patients with fractures caused by falls admitted to the orthopedics department of the hospital.Describing and comparing the differences in epidemiological factors(gender,fracture site,age,type)among patients with different types of fractures.Result:Among the 4396 patients,there were 2208 hip fractures,1382 femoral fractures and 1104 tibial fractures.There were statistically significant differences in the fracture site,age and fracture type composition of hip fracture patients(P<0.05),and the patients with left side(54.12%),71~80 years old(41.30%)and 31-B type(53.58%)were dominant.There were statistically significant differences in comparation of gender,fracture site,age and AO type composition of patients with femoral fracture(P<0.05),and the majority of patients were female(55.28%),left(53.98%),71~80 years old(45.15%),and AO type 31-A2(58.47%).Patients with fracture of tibial fracture type,age,Schatzker points of difference was statistically significant(P<0.05),the left side(56.43%),71~80(47.46%),Schatzker typeⅡtype(23.91%)patients.Conclusion:To fracture of elderly patients are mostly by the fall in 71-80,and mainly in the left,hip fracture classification is given priority to with 31-B,femur fracture classification are mainly composed of 31-A2,tibia fracture classification mainlyⅡtype andⅢtype.
作者
高喜
唐小燕
李萍
陈荣治
郑移真
GAO Xi;TANG Xiaoyan;LI Ping;CHEN Rongzhi;ZHENG Yizhen(th Hospital of the Joint Logistic Support Force of the PLA,Quanzhou 362000,China;不详)
出处
《中外医学研究》
2024年第21期147-150,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
髋骨
股骨
胫骨
跌倒
骨折
流行病学特征
Hip Femur
Tibia
Fall
Fracture
Epidemiological characteristics
