老年骨质疏松症骨折300例临床分析  

Clinical analysis of osteoporotic fracture in the elderly: a report of 300 cases

作　　者：黄永超[1] 邱龙顺 李强[2] 黄新 张明秀[3] HUANG Yong-chao;QIU Long-shun;LI Qiang;HUANG Xin;ZHANG Ming-xiu(First Department of Spinal Column,Hanzhong Central Hospital,Hanzhong 723000,Shaanxi,CHINA;Second Department of Spinal Column,Hanzhong Central Hospital,Hanzhong 723000,Shaanxi,CHINA;Infection Control Office,Hanzhong Central Hospital,Hanzhong 723000,Shaanxi,CHINA)

机构地区：[1]汉中市中心医院脊柱一科,陕西汉中723000 [2]汉中市中心医院脊柱二科,陕西汉中723000 [3]汉中市中心医院院感办,陕西汉中723000

出　　处：《海南医学》2020年第10期1294-1296,共3页Hainan Medical Journal

摘　　要：目的观察老年骨质疏松症骨折患者的临床特点以及治疗效果。方法回顾性分析汉中市中心医院2017年8月至2019年8月期间入院治疗的300例老年骨质疏松症骨折患者的性别、发病年龄、发病部位、发病季节及不同方式的治疗效果等临床资料。结果 300例患者中男性占40.3%,女性占59.7%,女性患者明显多于男性;患者高发年龄为71~75岁,其中男性占总人数的9.0%,女性占总人数的13.0%;高发部位为脊柱,脊柱骨折患者89例,其中男性占总人数的11.7%,女性占总人数的18.0%;治疗后,骨颈骨折及股骨粗隆间骨折患者手术治疗效果明显优于其他部位骨折患者,差异均有统计学意义(P<0.05),而脊柱骨折、桡骨远端骨折、肱骨近端以及其他部位骨折患者手术治疗与非手术治疗效果相近,差异无统计学意义(P>0.05);不同季节骨折发生情况显示,患者骨折多发于冬季,占40.7%,其中男性占总人数的16.3%,女性占总人数的24.3%。结论老年骨质疏松症骨折患者以绝经后女性患者较多,脊柱为高发部位。股骨颈骨折及股骨粗隆间患者手术治疗效果更好。因此,在治疗过程中应充分考虑患者耐受性,选择合适的治疗方案。Objective To observe the clinical characteristics and treatment effects of elderly patients with osteoporotic fractures. Methods The clinical data of 300 elderly patients with osteoporotic fracture admitted to Hanzhong Central Hospital from August 2017 to August 2019 were analyzed retrospectively, including sex, age, location,season and effect of different treatment methods. Results Among the 300 patients, males accounted for 40.3%, females accounted for 59.7%, and female patients were significantly more than males. The patients aged 71 to 75 years old accounted for the highest proportion, of which 9.0% were males and 13.0% were females. There were 89 patients with spine and spine fractures, of which 11.7% were males and 18.0% were females. After treatment, the patients with bone fractures and intertrochanteric fractures had significantly better surgical treatment than patients with fractures in other parts(P<0.05), and the results of surgical treatment and non-surgical treatment were similar for patients with spine fractures, distal radius fractures, proximal humerus fractures and other fractures(P>0.05). The occurrence of seasonal fractures showed that the fractures occurred more frequently in winter, accounting for 40.7%, of which 16.3% were males and 24.3% were females. Conclusion There are more postmenopausal women with osteoporotic fracture in the elderly, and the spine is the high incidence location. The patients with femoral neck fracture and intertrochanteric femur are more effective.Therefore, in the process of treatment, the patient tolerance should be fully considered to choose the appropriate treatment plan.

关 键 词：老年 骨质疏松 骨折 手术方式 临床疗效 

分 类 号：R683[医药卫生—骨科学]