佛山市三水地区老年人骨质疏松性骨折危险因素调查与分析  

Investigation and analysis on the risk factors of osteoporotic fracture in the elderly in Sanshui district of Foshan city

作　　者：胡德洪[1] 何斌[1] 彭仲华[1] 王京华[1] 罗洪斌[1] 韦昌南[1] 谢学文[1] 

机构地区：[1]广东省佛山市中医院三水医院骨一科,广东佛山528000

出　　处：《中国医药科学》2016年第24期154-157,共4页China Medicine And Pharmacy

基　　金：广东省佛山市卫生和计生局医学科研课题(20160308)

摘　　要：目的探讨佛山市三水地区老年人骨质疏松性骨折危险因素调查与分析。方法于2015年12月-2016年8月回顾性分析佛山市三水地区600例骨质疏松症老年患者的临床资料,根据有无骨折分为骨折组（n=300）和非骨折组（n=300）,并使用《三水地区老年人骨质疏松性骨折危险因素调查表》对患者进行问卷调查,包括性别、年龄、身高、体重、职业、文化程度、家族史、骨折史、月经史、体重指数（BMI）、日常生活方式（包括运动、饮食、吸烟、饮酒）等因素与骨质疏松性骨折发生的相关性,采用Logistic回归分析老年骨质疏松骨折的危险因素。结果 Logistic多因素回归分析显示,骨密度是老年人骨质疏松性骨折患者最重要的危险因素（β=-0.403,OR=0.632,95%CI=0.617-0.906,SE=0.052,P〈0.05）;年龄（β=0.611,OR=1.224,95%CI=1.045-1.514,SE=0.237,P〈0.05）、性别（β=0.523,OR=1.138,95%CI=1.039-1.518,SE=0.224,P〈0.05）、骨折史（β=0.323,OR=1.631,95%CI=1.012-1.402,SE=0.083,P〈0.05）、体重指数（β=0.451,OR=1.527,95%CI=1.324-1.624,SE=0.091,P〈0.05）、日常生活方式（β=0.527,OR=1.524,95%CI=1.164-1.953,SE=0.021,P〈0.05）均与老年骨质疏松症患者骨折的发生关系密切,是患者骨折的重要影响因素。结论佛山市三水地区老年人骨质疏松性骨折受多种因素共同影响,患者应改变不良生活习惯、注意饮食和锻炼、积极改变体质以预防发生骨质疏松性骨折。Objective To investigate the risk factors of osteoporotic fracture in the elderly in Sanshui district of Foshan city. Methods The clinical data of 600 elderly patients with osteoporosis in Sanshui district of Foshan city from December 2015 to August 2016 were analyzed retrospectively. Patients were divided into fracture group（n=300） and non fracture group（n=300）. And the use of ＂Sanshui risk factors of elderly osteoporotic fracture questionnaire＂ questionnaire survey on patients. The contents included sex, age, height, weight, occupation, education level, family history, fracture history, menstrual history, body mass index（BMI）, daily life style（including exercise, diet, smoking, drinking） and so on. The correlation between the fracture and osteoporotic fracture. Logistic regression analysis of risk factors for osteoporotic fractures in elderly patients were analyzed. Results Logistic multivariate regression analysis showed that bone mineral density（BMD） was the most important risk factor for elderly patients with osteoporotic fractures（β=-0.403, OR=0.632, 95%CI=0.617-0.906, SE=0.052,P 〈 0.05）. Age（β=0.611, OR=1.224, 95%CI=1.045-1.514, SE=0.237, P 〈 0.05）, gender（β=0.523, OR=1.138, 95%CI=1.039-1.518, SE=0.224,P〈 0.05）, fracture history（β=0.323, OR=1.631, 95%CI=1.012-1.402, SE=0.083, P 〈 0.05）, body mass index（β=0.451, OR=1.527, 95%CI=1.324-1.624, SE=0.091, P 〈 0.05）, daily life（β=0.527, OR=1.524, 95%CI=1.164-1.953, SE=0.021, P 〈 0.05）, elderly patients with bone fracture in patients with osteoporosis had a close relationship, it was an important factor in patients with fracture. Conclusion The osteoporotic fracture of the elderly in Foshan City Sanshui area is influenced by various factors, the patient should change the bad habits, pay attention to diet and exercise, and actively change the constitution to prevent the occurrence of osteoporotic fracture.

关 键 词：骨质疏松性骨折 危险因素 骨密度 相关性 

分 类 号：R683[医药卫生—骨科学]