老年骨质疏松性骨折1346例统计分析  

Statistics and analysis of 1346 cases of aged osteoporosis fracture

作　　者：江峰[1] 覃芙[2] 吴恒烜[2] 邹国耀[2] 

机构地区：[1]广西医科大学一附院骨科,530021 [2]广西医科大学硕研班

出　　处：《广西医学》2002年第6期779-783,共5页Guangxi Medical Journal

摘　　要：目的 :通过分析老年骨质疏松性骨折的性别、年龄分布 ,职业及致伤原因的影响 ,手术及非手术治疗的疗效及并发症 ,了解老年骨质疏松性骨折的一般规律 ,为老年骨质疏松性骨折的预防和治疗提供理论依据。方法 :对本院 1990～ 2 0 0 0年急诊和住院所收集的老年骨质疏松性骨折的常见部位 (椎体骨折、股骨颈骨折、股骨转子间骨折、桡骨远端骨折 )共 1346例进行分析。结果 :老年骨质疏松性骨折的性别、年龄、职业及致伤原因分布有显著性差别 ;椎体骨折及桡骨远端骨折的手术及非手术治疗疗效无统计学上的显著性差异 ,股骨颈骨折和股骨转子间骨折的手术及非手术治疗疗效差别有显著意义 ;椎体骨折、股骨颈骨折和股骨转子间骨折手术治疗的并发症较非手术治疗明显降低 ,而桡骨远端骨折的两种治疗方式并发症发生率无明显差异。结论 :老年骨质疏松性骨折中以 6 0～ 6 9岁年龄组最多见 ,5 0～ 79岁以女性多见 ,80岁以后两性无差别。职业分布以案坐方式工作者最多见 ,致伤原因以跌伤多见。髋部骨折以手术治疗为佳 ,椎体骨折及桡骨远端骨折手术治疗和非手术治疗疗效差别不大。椎体骨折、髋部骨折非手术治疗并发症明显高于手术治疗 。Objective:To study the universal law of aged osteoporosis fracture by analysis the distribution of sex and age,the influence of occupation and cause,the curative effect and complication of operation and nonoperation to provide a theoretical basis for preventing and curing the fracture.Methods:The 1346 cases of fracture collected from hospitalization or emergency call at the First Affiliated Hospital of Guangxi Medical University between 1990 and 2000 for analysis(388 vertebra fracture,413 femoral neck fracture,191 interochanteric fracture and 354 terminal radius fracture).Results:The distribution of the sex,age,occupations and causes had remarkable difference.The curative effect of operation and nonoperation had obvious difference in the hip fractures but not in the vertebra fractures and the terminal radius fractures.The operative complications were found to decrease obviously in the verbebra fractures and the hip fractures compared with the nonoperative complications but not in the terminal radius fractures.Conclusion:Osteoporosis fracture in old people are the most prevalent between 60 years and 69 years.Female fracture patients are more prevalent than male between 50 years and 79 years but not after 80 years old.The fracture are the most prevalent among the people who work by sitting in occupation distribution.The fall is more frequent than others in causes.The operative curative effect is better than nonoperative in hip fracture but not in vertebra fracture and terminal radius fracture.The nonoperative complications are more than operative in hip fracture and vertebra fracture but not in terminal radius fracture.

关 键 词：骨质疏松 骨折 统计分析 老年人 诊断 治疗 

分 类 号：R681[医药卫生—骨科学] R683[医药卫生—外科学]