中老年人群髋部骨折发病率调查:上海市长宁区数据分析  

A survey on the incidence of hip fractures in middle-aged and old population from Changning District,Shanghai

作　　者：张国宁[1] 侯波[1] 单连成[1] 王嘉[1] 杨伟[1] 梁朝革[1] 

机构地区：[1]上海交通大学医学院附属同仁医院骨科,上海市200336

出　　处：《中国组织工程研究》2015年第37期6055-6059,共5页Chinese Journal of Tissue Engineering Research

基　　金：上海市卫生与计划生育委员会课题基金项目(20114089)~~

摘　　要：背景:髋部骨折成为中老年人群发病、死亡和产生巨额医疗费用的主要原因之一。随着人口老龄化的加剧,老年髋部骨折患者数量与日俱增。目的:通过对上海市长宁区中老年人群髋部骨折发病率的调查分析,探究骨折的分布情况。方法:通过上海市长宁区公共卫生信息中心以及申康医联中心对于长宁区户籍人口在各大医院就诊记录资料的收集,查询2008年7月至2013年6月ICD-10码髋部骨折(股骨颈骨折以及股骨转子间骨折)的就诊记录,获得患者相关信息。通过长宁区疾控中心资料调取,取得长宁区2010及2011年人口分布情况。计算长宁区人口髋部骨折的粗发病率及不同年龄、不同性别人群(以50岁以上,每5年为一个年龄段)的粗发病率。结果与结论:上海市长宁区50岁以上人群髋部骨折标准化发病率为197.04/10万,其中男性为88.51/10万,女性为304.73/10万,女性年标准化发病率高于男性(P<0.05)。髋部骨折的粗发病率在70岁以上急剧上升,且女性升高幅度明显高于男性。提示髋部骨折发病率与年龄、性别及骨质疏松密切相关。BACKGROUND;Hip fracture has become one of the main reasons for morbidity,death and heavy medical costs in the elderly.With aging,the incidence of hip fractures in the elderly is increased day by day.OBJECTIVE;To investigate and analyze the incidence and distribution of hip fractures in middle-aged and old population from Changning District of Shanghai,China.METHODS;Medical records of patients with hip fracture ICD-9 CODE（femoral neck fracture and intertrochanteric fracture） admitted from July 2008 to June 2013 were collected at the Changning District Public Health Information Center and Shanghai Shen Kang Medical Alliance Center.Population distributions of Changning District in 2010 and 2011 were provided by the Disease Control Center of Changning District.Then,the crude morbidity of hip fracture was calculated in terms of different ages and genders.For patients aged over 50 years,every 5 years served as an age group.RESULTS AND CONCLUSION;The incidence rate of hip fractures in the population aged over 50 years was 197.04/100 000,88.51/100 000 in male and 304.73/100 000 in female.The annual standardized incidence rate of hip fracture was higher in female than male（P〈0.05）.The crude incidence rate of hip fracture was increased dramatically in the population over 70 years,especially in females.It indicates that the incidence rate of hip fractures is closed related to age,gender and osteoporosis.

关 键 词：组织构建 骨组织工程 髋部骨折 粗发病率 标准化发病率 年龄 性别 组织工程 

分 类 号：R318[医药卫生—生物医学工程]