2010年至2011年中国东部与西部地区成人股骨远端骨折的流行病学对比分析  

Epidemiological comparison of adult distal femoral fractures between east and west areas in Chinafrom 2010 to 2011

作　　者：鞠林林 陈伟[1] 张奇[1] 吕红芝[1] 吴涛[1] 郑金[1] 常恒瑞 张飞[1] 田野[1] 金霖[1] 刘勃[1] 刘松[1] 朱燕宾 张英泽[1] 

机构地区：[1]河北医科大学第三医院创伤急救中心、河北省骨科研究所、河北省骨科生物力学重点实验室,石家庄050051

出　　处：《中华创伤骨科杂志》2017年第5期417-422,共6页Chinese Journal of Orthopaedic Trauma

基　　金：基金项目：国家自然科学基金青年科学基金（81401789）;河北省高层次人才资助项目（A201400156）

摘　　要：目的对比分析我国东部地区与西部地区成人股骨远端骨折的流行病学特征。方法回顾性分析2010年1月至2011年12月期间我国东部地区与西部地区63家医院诊治的成人股骨远端骨折患者资料。将我国东部地区35家医院患者资料定为A组，西部地区28家医院患者资料定为B组，对比分析两组患者的性别、年龄及骨折AO分型等数据。结果共收集2523例成人股骨远端骨折患者，男1544例，女979例，男女比为1．58：1。骨折高发年龄段为41～50岁（18．94％），高发骨折类型为33．A型（50．18％）。A组1650例，男1027例，女623例，男女比为1．65：1；中位年龄为48岁。B组873例，男517例，女356例，男女比为1．45：1；中位年龄为45岁。两组患者男女比和中位年龄比较差异均无统计学意义（P〉0．05）。两组患者高发骨折年龄段比较集中，均为31～60岁。两组均以33-A型骨折最多，33．B型骨折最少。B组33-A型骨折患者构成比（53．49％）较A组（48．42％）显著升高，33．B型骨折患者构成比（16．84％）较A组（21．39％）显著降低，差异均有统计学意义（P〈0．05）。结论成人股骨远端骨折以青壮男性常见，骨折高发类型为33．A型。东、西部地区高发骨折年龄段均为31—60岁，男性多于女性。东、西部地区骨折高发类型均为33-A型，东部地区33．B型骨折患者构成比显著高于西部地区，而33-A型骨折患者构成比显著低于西部地区。Objective To compare and analyze the epidemiological features of adult patients with distal femoral fracture between the east and west areas in China from 2010 to 2011. Methods The data of adult patients with distal femoral fracture treated from January 2010 through December 2011 in 63 hospitals were collected through the PACS system and case reports checking system. The data from 35 hospitals in the east area were classified as group A and those from 28 hospitals in the west area as group B. The analytic items included gender, age and AO classification. Results A total of 2,523 adult distal femoral fractures were collected, involving 1,544 males and 979 females, with a male to female ratio of 1.58： 1. The adult femoral fractures predominated in an age range from 41 to 50 years （18.94%） and their high-risk type was 33-A （50. 18% ）. In group A of 1,650 cases, there were 1,027 males and 623 females, with a male to female ratio of I. 65：1 and a median age of 48 years; in group B of 873 cases, there were 517 males and 356 females,with a male to female ratio of 1.45：1 and a median age of 45 years. There were no significant differenc, es in the age distribution and gender proportion between groups A and B （ P 〉 0.05）. The age distribution showed that the peak ranges were from 31 to 60 years in both groups. The proportion of type 33-A was the most and that of type 33-B the least in both groups. The proportion of type 33-A in group B （53.49%） was significantly higher than in group A （48.42%） while that of type 33-B in group B （16.84%） was significantly lower than in group A （21.39%） （ P 〈 0.05）. Conclusions Adult distal femoral fiactures were common in mid- dle-aged males and their high-risk type was 33-A, Their peak age was from 31 to 60 years in both east and west areas in China. They were more common in men. The predominant fracture type was 33-A in both areas. The east area witnessed a significant higher proportion of type 33-B and a significant lower proportion of type 33-A

关 键 词：股骨骨折 流行病学 病例对照研究 成年人 

分 类 号：R683[医药卫生—骨科学]