骨质疏松性骨折相关危险因素的探讨及干预措施  

Discussion and intervention measures of risk factors of osteoporotic fracture

作　　者：孟庆兰[1] 栗平[2] 

机构地区：[1]内蒙古医科大学附属医院,内蒙古呼和浩特010058 [2]内蒙古医科大学第二附属医院,内蒙古呼和浩特010058

出　　处：《中国医药导报》2013年第34期157-159,共3页China Medical Herald

基　　金：内蒙古自治区自然科学基金项目(编号2012MS1186)

摘　　要：目的分析老年人骨质疏松性骨折发生的危险因素,并提出有针对性的预防措施,进而提高和改善老年人生活质量。方法选择98例骨质疏松性骨折患者为研究对象,对其年龄、性别、骨折发生的诱因及其他相关危险因素进行分析。结果股骨颈、椎体、桡骨远端较其他部位容易发生骨质疏松性骨折;女性骨折占63.27%,男性占36.73%;多变量Logistic回归分析显示,年龄(OR=1.122)、性别(OR=0.965)、低钙饮食(OR=1.352)、意外跌倒(OR=1.622)、骨密度(OR=0.736)及脆性骨折(OR=1.342)是发生老年骨质疏松性骨折的重要危险因素。结论针对老年人发生骨质疏松性骨折的危险因素,采取多方面干预措施,可以有效降低老年人群骨质疏松及其骨折等并发症的发生率。Objective To analyze the risk factors of osteoporotic fractures in the elderly, and put forward the targeted prevention measures, and then enhance and improve the quality of life of the old people. Methods 98 patients with osteoporotic fractures were selected as the study object, the age, sexual, inducement of fracture and other related risk factors were analyzed. Results The femoral neck and vertebral body, distal radius were more easy osteoporosis fracture than the other parts; the female accounted for 63.27%, the male accounted for 36.73%; non-conditional logistic multivariate analysis reveals that： ages （OR = 1.122）, sexua （OR = 0.965）, low calcium diet （OR = 1.352）, accidental failing （OR = 1.622） were significant risk factors of osteoporosis fractures. Conclusion Various intervention measures should adopt in the elderly aim at risk factors of osteoporotic fracture that can effectively reduce the occurrence rate of elderly osteoporosis and its complications such as frac- tures.

关 键 词：骨质疏松性骨折 危险因素 干预措施 

分 类 号：R683[医药卫生—骨科学]