2009年至2016年北京积水潭医院老年骨折患者的流行病学特点  

The feature of fracture in elderly patients in Beijing Jishuitan Hospital from 2009 to 2016

作　　者：刘志伟[1] 关岚[1] 王梦琴[1] 赵斌[1] 

机构地区：[1]北京积水潭医院急诊科,北京100035

出　　处：《中华急诊医学杂志》2017年第8期860-864,共5页Chinese Journal of Emergency Medicine

摘　　要：目的探讨2009年至2016年北京积水潭医院老年患者骨折的特点。方法回顾性分析2009年至2016年北京积水潭医院老年骨折患者，以年龄、性别、就诊季节、就诊时间及骨折部位为关注点进行回顾性分析。数据采用成组t检验及kendall相关性分析进行检验。结果2009年至2016年共计骨折患者42988人次；男性患者明显少于女性患者（P〈0．01）；各性别患者均呈现出逐年增加的趋势（P〈0．01）；60—69岁、70-79岁及70～79岁年龄段骨折患者均呈现出逐年增加的趋势（P〈0．01）；秋季为骨折患者最多，春季骨折患者最少（P〈0．01）；8：00—16：00时间段为骨折多发就诊时间段（P〈0．01）；老年患者常见骨折部位为桡骨骨折及股骨骨折。结论老年患者骨折在性别、年龄段、季节、时间段及骨折好发部位方面具有自己的特点，社会应对其特点做好针对性的预防。Objective To investigate the feature of fracture in elderly patients in Beijing Jishuitan Hospital from 2009 to 2016. Methods The data of elderly patients with fracture visiting the department of trauma emergency in Beijing Jishuitan Hospital from 2009 to 2016 were retrospectively reviewed. The data of patient number, age, gender, seasonal and circadian variation of visit and fracture site were collected and analyzed. Results Among all the 42 988 elderly patients with fractures visiting department of trauma emergency from 2009 to 2016, there were more female patients than male patients （ P 〈 0. 01 ）. In both male and female patient groups, there was a trend of increase in number of patients year by year （P 〈 0. 01 ）. Elderly patients in the groups of 60-69 years, 70-79 years and 80-89 years demonstrated a trend of increasing number from year to year notably in the 60-69 years group （P 〈 0. 01 ） but the total number of patients decreased as age increased. As for seasonal variation, autumn had the highest number of cases and spring the lowest （P 〈 0. 01 ）. Most elderly patients visited emergency during 8： 00-16：00 period （P 〈 0. 01 ）. The commonest sites of fractures were at radius and femur. Conclusions Fracture of elderly patients has its unique feature in gender, age, seasonal and circadian variation of visit and fracture sites. The community should do a better planning for prevention and management of elderly patients with fractures according to their specially clinical features.

关 键 词：骨折 老年患者 流行病学 北京 

分 类 号：R683[医药卫生—骨科学]