CAJ | 학술논문

目的：分析髋部骨折住院患者的发病特征，为防治策略提供理论依据。方法回顾性收集天津医院2005年1月至2010年12月收治住院的年龄大于50周岁髋部骨折患者病历资料，共计5563例。男2144例，女3419例；采集患者个人特征、受伤原因、受伤时间、骨折类型、治疗方式以及治疗费用等信息，并进行发病特征描述。应用SPSS 11．0软件对数据进行统计学分析。结果（1）髋部骨折患者多为60岁以上老年人，占83．74％，女性患者显著多于男性患者。（2）在2005－2010年间，各年髋部骨折患者的构成比在12．06％～21．12％之间。从趋势看，2005年最低，2009年最高。（3）在50～79岁这一年龄阶段，股骨颈骨折显著多于转子间骨折，90岁以上年龄组转子间骨折显著多于股骨颈骨折。（ 4 ）致伤原因以摔倒最为多见，占77．98％。（5）髋部骨折春季的发病数最低，而冬季最高。从月份看，7月发病数最低，而10月发病数最高。（6）对髋部骨折患者主要以手术治疗为主，占56．97％。（7）平均每年的住院治疗费用及年住院总费用均呈上升趋势。结论髋部骨折多见于60岁以上患者，女性患者数显著多于男性，医疗费用逐年递增。
목적：분석관부골절주원환자적발병특정，위방치책략제공이론의거。방법회고성수집천진의원2005년1월지2010년12월수치주원적년령대우50주세관부골절환자병력자료，공계5563례。남2144례，녀3419례；채집환자개인특정、수상원인、수상시간、골절류형、치료방식이급치료비용등신식，병진행발병특정묘술。응용SPSS 11．0연건대수거진행통계학분석。결과（1）관부골절환자다위60세이상노년인，점83．74％，녀성환자현저다우남성환자。（2）재2005－2010년간，각년관부골절환자적구성비재12．06％～21．12％지간。종추세간，2005년최저，2009년최고。（3）재50～79세저일년령계단，고골경골절현저다우전자간골절，90세이상년령조전자간골절현저다우고골경골절。（ 4 ）치상원인이솔도최위다견，점77．98％。（5）관부골절춘계적발병수최저，이동계최고。종월빈간，7월발병수최저，이10월발병수최고。（6）대관부골절환자주요이수술치료위주，점56．97％。（7）평균매년적주원치료비용급년주원총비용균정상승추세。결론관부골절다견우60세이상환자，녀성환자수현저다우남성，의료비용축년체증。
Objective To describe the epidemiological characteristics of the hip fracture of the in-patients, and to provide a scientific basis for the prevention and treatment of the hip fracture.Methods This study involved 5563 patients aging over 50 with hip fractures, who were admitted to the Tianjin Hospital from January 2005 to December 2010, including 2144 males and 3419 females.The demographic data, the time and causes of injury, fracture types, treatment, and in-patient expenditures were collected and reviewed retrospectively.A SPSS 11.0 software was used for statistical analysis.Results Most patients with hip fractures were over 60 years old, accounting for 83.74% of all the patients.And the female patients were significantly more than male patients.From 2005 to 2010, the proportions of the hip fracture in each year varied from 12.06% to 21.12%, with the lowest incidence in 2005 and the highest incidence in 2009.In patients aging from 50 to 79 years old, the incidence of the femoral neck fracture was higher than that of the intertrochanteric fracture, while in patients aging over 90 years old, the incidence of the intertrochanteric fracture was higher than that of the femoral neck fracture.Fall was the leading cause (77.98%) of the hip fracture. The highest incidence of the hip fracture occurred in winter, while the lowest incidence was observed in spring.October was the epidemic peak period, while July was the lowest.Surgery was the predominant management for the hip fracture, accounting for 56.97%.The direct cost of acute treatment of the fragile hip fracture increased year by year.Conclusion The hip fracture is more common among patients aging over 60 years, especially in female patients.And the in-patient expenditure of the hip fracture has grown year by year.