北京积水潭医院老年髋部骨折患者人口学特点及伤因分析  

Demographic characteristics and causes of hip fractures in elderly patients in Beijing Jishuitan Hospital

作　　者：王梦琴[1] 刘肖[1] 王聪[1] 赵斌[1] WANG Meng-Qin;LIU Xiao;WANG Cong;ZHAO Bin(Emergency Department, Beijing Jishuitan Hospital, the Fourth Clinical Medical College of Peking University, Beijing 100035, China)

机构地区：[1]北京积水潭医院·北京大学第四临床医学院急诊科,北京100035

出　　处：《中华老年多器官疾病杂志》2020年第8期605-607,共3页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：目的分析老年髋部骨折患者年龄、性别及受伤原因的特点,提出预防受伤的方案。方法选择2018年9月至12月就诊于北京积水潭医院创伤急诊的老年髋部骨折患者为研究对象,对所有入选患者进行问卷调查,内容包括年龄、性别、诊断、受伤时间、受伤月份、受伤外力、受伤地点、是否起夜上厕所时摔倒。采用SPSS 22.0统计软件对数据进行分析,采用t检验、方差分析及χ^2检验进行数据分析。结果纳入分析的研究对象共414例,年龄(80.7±7.7)岁,80~89岁人群占比最高为50.2%,女性明显多于男性。股骨颈骨折患者多于粗隆间骨折,前者年龄小于后者,差异有统计学意义(P<0.05)。白天受伤的患者明显多于夜间,且白天受伤患者的年龄小于夜间受伤者,但差异无统计意义(P>0.05)。室内自伤为主要受伤特点,夜间起夜上厕所为夜间受伤主要原因,年龄越大,此特征越明显(P<0.05)。结论老年髋部骨折患者年龄、性别及受伤原因具有自身特点,针对其特点可以提出预防方案,从而减少髋部骨折的发生。Objective To analyze the characteristics of age,sex and causes of hip fractures in the elderly patients with a view of developing a preventive protocol.Methods Enrolled in this study were the elderly patients treated for hip fractures at the Trauma Emergency Department of Beijing Jishuitan Hospital from September 2018 to December 2018.All the selected patients were investigated by a questionnaire covering age,gender,diagnosis,time and month of the fracture,external force,location of fracture,and whether the fall occurred in the bathroom at night.SPSS statistics 22.0 was used for data analysis.The data were analyzed by t-test,analysis of variance,andχ^2 test.Results A total of 414 patients were included in the analysis,with an average age being(80.7±7.7)years,the highest proportion(50.2%)of age group being of 80-89 years old,and female being significantly more than male.The patients with femoral neck fracture were more than those with intertrochanteric fracture,the former being younger than the latter and the difference being statistically significant(P<0.05).More patients were injured during the day than at night,and those injured during the day were younger than those injured at night,but with no significant difference(P>0.05).Fractures incurred at falls at home featured prominently,and using bathroom at night was the main cause of fractures at night.The older the patient,the more obvious the characteristics(P<0.05).Conclusion Hip fractures in the elderly have their own characteristics in the respects of age,gender,and cause,and prevention protocol can be proposed accordingly to reduce their occurrence.

关 键 词：老年人 髋部骨折 人口学 伤因 

分 类 号：R683[医药卫生—骨科学]