合肥市两家省级医院髋部骨折的性别及年龄分布分析  

Analysis of the distribution of age and gender of hip fractures in two provincial hospitals in Hefei

作　　者：王俊[1] 尹宗生[1] 马广文[1] 常俊[1] 汪垠[1] 

机构地区：[1]安徽医科大学第四附属医院骨科,合肥230022

出　　处：《中国骨质疏松杂志》2014年第10期1197-1201,共5页Chinese Journal of Osteoporosis

摘　　要：目的调查和分析合肥市两家省级医院髋部骨折的性别及年龄分布。方法对合肥市两家省级医院2008-2012年,年龄≥50岁的髋部骨折患者,总计2371例,分为男、女两组,并在组内根据不同年龄段分为亚组,分析髋部骨折在不同的年龄组和性别的分布情况。探讨髋部骨折与性别、年龄的相关性。结果 2371例髋部骨折病人中1007例（42.5%）男性,1364例（57.5%）女性,男女之比为：0.74∶1。70~79岁患者占34.5%,80~89岁患者占29.7%,明显高于其他组别（P〈0.05）。男性股骨颈骨折与股骨粗隆间骨折比为1.5∶1,女性为1.7∶1（χ2=3.6,df=1,P=0.058）,骨折类型不存在性别差异。男性股骨颈骨折和粗隆间骨折的平均年龄分别为72.40±10.13岁和74.43±10.61岁（P〈0.001）,女性为71.20±11.17岁和77.75±8.75岁（P〈0.001）,两种类型骨折的平均年龄差有统计学意义。随着年龄的增加股骨粗隆间骨折的占髋部骨折比例在不断增加,且骨折增长的速率要快于股骨颈骨折。结论股骨颈骨折和股骨粗隆间骨折有性别、年龄的分布差异,对于髋部骨折的预防,股骨颈骨折在年龄上要早于股骨粗隆间骨折,女性是预防的重点。预防跌倒是降低骨折发生的关键。Objective To investigate and analyze the distribution of age and gender of hip fractures in two provincial hospitals in Hefei.Methods A total of 2371 patients with hip fractures,aging over 50 years old,were admitted to two provincial hospitals from 2008 to 2012.They were divided into male and female group.Each group was further divided into subgroups according to age.Distribution of age and gender,and the correlation between hip fractures and age and gender were analyzed in different subgroups.Results A total of 2371 hip fractures,1007 in men（42.5%） and in women 1364（57.5%）,were recorded.The male-to-female ratio was 0.74 to 1.The proportion of patients in the age group of 70-79 years（34.5%） and 80-89 years（29.7%） was signicantly higher than that of other age groups（P 0.05）.The overall cervical to trochanteric fracture ratio in men and women was 1.5to 1 and 1.7 to 1（χ2= 3.6,df = 1,P = 0.058）.No gender differences were seen between the type of fractures.The mean age of cervical and trochanteric fractures was 72.40 ± 10.13 and 74.43 ± 10.61 years old in men,respectively（P 0.001）,and71.20 ± 11.17 and 77.75 ± 8.75 years old in women,respectively（P 0.001）.The average age in the two types of hip fracture was statistically different.The proportion of the intertrochanteric fracture among all hip fractures occurs more apparently with age increasing.The growth rate of the intertrochanteric fracture was faster than the cervical fracture.Conclusion The distribution of age and gender is different in the cervical fracture and intertrochanteric fracture.For the prevention of hip fracture,the cervical fracture is earlier than the intertrochanteric fracture in year of age and women should be paid more attention..The prevention of falls is of crucial importance to reduce the incidence of hip fractures.

关 键 词：髋部骨折 发病率 性别因素 年龄因素 流行病学研究 

分 类 号：R683.42[医药卫生—骨科学]