绝经后女性腕部不稳定性骨折的危险因素分析  

Analysis of the risk factors of the unstable distal radius fractures in postmenopausal females

作　　者：徐文停[1] 顾国庆[1] 陈健[2] 倪诚[1] 喻任[1] 陆纯德[1] 

机构地区：[1]上海建工医院骨科,上海200083 [2]上海建工医院放射科,上海200083

出　　处：《中国骨质疏松杂志》2014年第4期436-438,共3页Chinese Journal of Osteoporosis

基　　金：上海市卫生局科研课题计划(2010146)

摘　　要：目的调查分析绝经后女性腕部不稳定性骨折的危险因素。方法选取113例绝经后女性腕部骨折患者进行问卷调查,32例不稳定性骨折作为不稳定骨折组,81例稳定性骨折作为对照组。结果不稳定骨折组中年龄及体重指数明显高于对照组(P<0.05),不稳定骨折组近1年内跌倒次数及内科合并症比例明显多于对照组(P<0.05),不稳定骨折组中服用钙盐比例明显低于对照组(P<0.05),不稳定骨折组中骨质疏松检出率明显高于对照组(P<0.05)。结论高龄、肥胖、跌倒、合并内科夹杂症及骨质疏松为绝经后女性腕部不稳定性骨折的高危险因素。Objective To explore the risk factors of the unstabe distal radius fractures in postmenopausal females. Methods A total of 113 postmenopausal women with the distal radius fractures were selected. A questionnaire survey among all the subjects was performed. Then, 32 patients with the unstable distal radius fractures were selected as unstable fracture group, and 81 patients with stable distal radius fractures were selected as control group. Results Age and body mass index （BMI） in unstable fracture group were much higher than those in control group （ P 〈 0.05）. The frequency of fall in recent 12 months and the proportion of internal complication in unstable fracture group were significant higher than those in control group （P 〈 0.05 ）. The proportion of taking calcium medicine in unstable fracture group was significant lower than that in control group （ P 〈 0.05 ）. The incidence of osteoporosis in unstable fracture group was much higher than that in control group （ P 〈 0.05 ）. Conclusion Advanced age, obesity, fall, complication in internal medicine, and osteoporosis are high risk factors of unstable radius fractures in postmenopausal females.

关 键 词：桡骨远端骨折 骨质疏松 危险因素 

分 类 号：R683.41[医药卫生—骨科学]