中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
22期
41-41,42
,共2页
骨质疏松%骨折后再骨折%临床风险因素
骨質疏鬆%骨摺後再骨摺%臨床風險因素
골질소송%골절후재골절%림상풍험인소
Osteoporosis%Fracture after fracture%Clinical risk factors
目的：分析骨质疏松骨折后再骨折的临床风险因素。方法收集2012年01月至2013年01月本院收治的120例骨质疏松患者临床资料，按照患者发生骨折与再骨折情况，将患者分为骨折组与再骨折组，各60例，使用多元Logistic模型分析两组患者骨质疏松骨折后再骨折的临床风险因素。结果再骨折组患者的年龄明显高于骨折组，女性比例高于骨折组，平卧位到站立位转换间隔时间长于骨折组，再骨折组前次发生骨折部位位于椎体或股骨的人数明显比骨折组多，差异显著，具有统计学意义（P＜0.05）。结论骨质疏松骨折后再骨折的临床风险因素主要有糖尿病、高血压以及烟酒史等，特别针对发生椎体、髋部骨折的骨质疏松老年人，应该给予患者采取个体化、针对性的治疗方案与健康教育、复训训练等，有利于不断降低骨质疏松性骨折患者再次骨折的发生率，改善患者预后情况，提高患者生命满意程度。
目的：分析骨質疏鬆骨摺後再骨摺的臨床風險因素。方法收集2012年01月至2013年01月本院收治的120例骨質疏鬆患者臨床資料，按照患者髮生骨摺與再骨摺情況，將患者分為骨摺組與再骨摺組，各60例，使用多元Logistic模型分析兩組患者骨質疏鬆骨摺後再骨摺的臨床風險因素。結果再骨摺組患者的年齡明顯高于骨摺組，女性比例高于骨摺組，平臥位到站立位轉換間隔時間長于骨摺組，再骨摺組前次髮生骨摺部位位于椎體或股骨的人數明顯比骨摺組多，差異顯著，具有統計學意義（P＜0.05）。結論骨質疏鬆骨摺後再骨摺的臨床風險因素主要有糖尿病、高血壓以及煙酒史等，特彆針對髮生椎體、髖部骨摺的骨質疏鬆老年人，應該給予患者採取箇體化、針對性的治療方案與健康教育、複訓訓練等，有利于不斷降低骨質疏鬆性骨摺患者再次骨摺的髮生率，改善患者預後情況，提高患者生命滿意程度。
목적：분석골질소송골절후재골절적림상풍험인소。방법수집2012년01월지2013년01월본원수치적120례골질소송환자림상자료，안조환자발생골절여재골절정황，장환자분위골절조여재골절조，각60례，사용다원Logistic모형분석량조환자골질소송골절후재골절적림상풍험인소。결과재골절조환자적년령명현고우골절조，녀성비례고우골절조，평와위도참립위전환간격시간장우골절조，재골절조전차발생골절부위위우추체혹고골적인수명현비골절조다，차이현저，구유통계학의의（P＜0.05）。결론골질소송골절후재골절적림상풍험인소주요유당뇨병、고혈압이급연주사등，특별침대발생추체、관부골절적골질소송노년인，응해급여환자채취개체화、침대성적치료방안여건강교육、복훈훈련등，유리우불단강저골질소송성골절환자재차골절적발생솔，개선환자예후정황，제고환자생명만의정도。
Objective To analyze the clinical risk factors of re fracture osteoporosisfracture. Methods From 2012 2013 01 months to 01 months in the hospital treated 120 cases of patients with osteoporosis in patients with clinical data, according tofracture and re fracture, the patients were divided into fracture group and fracture group, each of 60 cases, using the multivariate Logistic model analysis of clinical risk factors for fracture two groups of patients with osteoporotic bone fracture after the. Results The age of the patients was significantly higher than that in the fracture group and fracture group, the proportion of women is higher than that of fracture group, supine to standing position transformation time interval is longer than thefracture group, then the previous occurrence of fracture group number in vertebralor femoral fracture than fracture group, significant differences, with statistical significance (P<0.05). Conclusion The clinical risk factors for fracture ofosteoporotic fracture after diabetes, hypertension and smoking are history,especially in the vertebrae, hip fractures in osteoporotic elderly people, should be given to patients with individualized, targeted therapy and health education, trainingand retraining, to continuously reduce osteoporotic fracture rate of the patients withre fracture, improve the prognosis of patients, improve patient satisfaction with life.
