老年髋部骨折患者既往低能量骨折史特征及危险因素分析  

Investigation on the history of low-energy fractures and analysis of risk factors in elderly patients with hip fractures at the local

作　　者：吴旋[1] 陈翔溆 田楚伟 白利永 李荥娟[2] 邹继红[2] 任利群[2] 陈辉[1] 芮云峰[1] Wu Xuan;Chen Xiangru;Tian Chuwei;Bai Liyong;Li Yingjuan;Zou Jihong;Ren Liqun;Chen Hui;Rui Yunfeng(Department of Orthopaedics,Zhongda Hospital,School of Medicine,Southeast University,Multidisciplinary Com prehensive Diagnosis and Treatment Collaborative Group for Elderly Hip Fractures,Affiliated Hospital of Southeast University,Department of Trauma Treatment,Affiliated Hospital of Southeast University,Institute of Trauma and Orthopedics,Southeast University,Southeast University School of Medicine,Nanjing 210009,China;Department of Geriatrics,Zhongda Hospital,School of Medicine,Southeast University,Nanjing 210009,China)

机构地区：[1]东南大学附属中大医院骨科、东南大学附属中大医院老年髋部骨折多学科综合诊疗协作组、东南大学附属中大医院创伤救治中心、东南大学创伤骨科研究所、东南大学医学院,南京210009 [2]东南大学附属中大医院老年科,南京210009

出　　处：《中华老年医学杂志》2023年第11期1326-1329,共4页Chinese Journal of Geriatrics

摘　　要：目的分析老年髋部骨折患者既往低能量骨折史特征及危险因素.方法回顾性分析了2018年1月至2021年12月在东南大学附属中大医院收治的老年髋部骨折患者596例.其中女性404例,男性192例,根据患者髋部骨折前既往低能量骨折史,将患者分为既往有低能量骨折组和无低能量骨折组,比较两组患者性别、年龄、骨折类型、体重指数(BMI)、合并内科疾病数目、美国麻醉师协会(ASA)评分等特征.结果既往无低能量骨折组368例,有低能量骨折组228例,其中椎骨118例,髋部69例,肋骨57例,桡骨19例,肱骨14例,髌骨12例.单因素分析显示两组患者在年龄、性别、骨折类型、合并内科疾病数目、ASA评分方面的差异具有统计学意义(P均<0.05).多因素Logistic回归分析结果显示,年龄(OR=1.046,95%CI:1.022~1.070)、女性(OR=1.474,95%CI:1.011~2.148)及合并内科疾病数目(OR=1.211,95%CI:1.113~1.318)是既往有低能量骨折史患者的独立危险因素.结论椎骨、髋部和肋骨骨折是最常见的老年髋部骨折患者既往低能量骨折类型.年龄、女性及合并内科疾病数目是老年髋部骨折患者既往发生低能量骨折的独立危险因素.Objective To analyze the characteristics and risk factors of previous low-energy fractures in elderly patients with hip fractures admitted to our hospital.Methods The data for this study was collected from 596 hip fracture patients admitted to Zhongda Hospital Affiliated to Southeast University between January 2018 and December 2021.Out of these patients,there were 404 females and 192 males.Based on the history of low-energy fracture before hip fracture,the patients were divided into two groups:a low-energy fracture group and a non-low-energy fracture group.A comparison was made between the two groups in terms of gender.age,fracture type,BMI.number of combined medical diseases.ASA score,and other characteristics.Results The study included a total of 596 patients,with 368 patients having no history of low-energy fractures and 228 patients with low-energy fractures.Among the patients with low-energy fractures,there were l18 vertebral fractures.69 hip fractures,57 rib fractures,19 radial fractures,14 humerus fractures,and 12 patella fractures.Univariate analysis revealed significant differences in age,gender,fracture type,number of combined medical diseases.and ASA score between the two groups(P<0.05 for all).The results of multivariate Logistic analysis indicated that age(OR=1.046,95%CI:1.022-1.070),female sex(OR=1.474,95%CI:1.011-2.148),and the number of comorbid medical diseases(OR=1.211,95%CI:1.113-1.318)were independent risk factors for patients with a history of low-energy fractures.Conclusions Our findings provide evidence that vertebral,hip,and rib fractures were the three most common previous low-energy fractures in elderly patients with hip fractures.We identified age,female gender,and number of medical diseases as independent risk factors for prior low-energy fractures in this population.

关 键 词：髋骨折 骨质疏松症 危险因素 

分 类 号：R683[医药卫生—骨科学]