中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2014年
4期
446-448
,共3页
髋部骨折%患病率%流行病学
髖部骨摺%患病率%流行病學
관부골절%환병솔%류행병학
Hip fraction%Incidence rate%Epidemiology
目的 分析髋部骨折患者发病情况及其流行病学分布特征.方法 调查杭州市2012年1-12月所有省市级医院收治的髋部骨折患者临床资料,统计分析髋部骨折患者的性别、年龄、骨折部位和骨折诱因等相关数据.结果 共纳入研究髋部骨折患者877例,其中男性516例(58.84％),女性361例(41.16％);年龄(62.1±11.2)岁;髋部骨折患病率为10.0/10万,男性为11.2/10万,女性为8.8/10万,男性患病率明显高于女性,差异有统计学意义(f=4.281,P=0.033).髋部骨折患者数量居前3位的年龄段分别为71～ 82岁(344例,39.22％)、61～70岁(196例,22.35％)和51 ～ 60岁(185例,占21.09％).患者中股骨颈骨折显著多于股骨粗隆间骨折,差异有统计学意义(x2=21.423,P＜0.001);男性发病构成比高于女性,差异有统计学意义(分别为x2=12.816,P＜0.001;f=13.773,P＜0.001).造成髋部骨折前3位的因素分别为跌倒、坠落和车祸,其构成比分别为64.88％、20.07％和10.49％.结论 年龄是发生髋部骨折的重要因素.老年人群髋部骨折以股骨颈骨折为主,多以跌倒引发.
目的 分析髖部骨摺患者髮病情況及其流行病學分佈特徵.方法 調查杭州市2012年1-12月所有省市級醫院收治的髖部骨摺患者臨床資料,統計分析髖部骨摺患者的性彆、年齡、骨摺部位和骨摺誘因等相關數據.結果 共納入研究髖部骨摺患者877例,其中男性516例(58.84％),女性361例(41.16％);年齡(62.1±11.2)歲;髖部骨摺患病率為10.0/10萬,男性為11.2/10萬,女性為8.8/10萬,男性患病率明顯高于女性,差異有統計學意義(f=4.281,P=0.033).髖部骨摺患者數量居前3位的年齡段分彆為71～ 82歲(344例,39.22％)、61～70歲(196例,22.35％)和51 ～ 60歲(185例,佔21.09％).患者中股骨頸骨摺顯著多于股骨粗隆間骨摺,差異有統計學意義(x2=21.423,P＜0.001);男性髮病構成比高于女性,差異有統計學意義(分彆為x2=12.816,P＜0.001;f=13.773,P＜0.001).造成髖部骨摺前3位的因素分彆為跌倒、墜落和車禍,其構成比分彆為64.88％、20.07％和10.49％.結論 年齡是髮生髖部骨摺的重要因素.老年人群髖部骨摺以股骨頸骨摺為主,多以跌倒引髮.
목적 분석관부골절환자발병정황급기류행병학분포특정.방법 조사항주시2012년1-12월소유성시급의원수치적관부골절환자림상자료,통계분석관부골절환자적성별、년령、골절부위화골절유인등상관수거.결과 공납입연구관부골절환자877례,기중남성516례(58.84％),녀성361례(41.16％);년령(62.1±11.2)세;관부골절환병솔위10.0/10만,남성위11.2/10만,녀성위8.8/10만,남성환병솔명현고우녀성,차이유통계학의의(f=4.281,P=0.033).관부골절환자수량거전3위적년령단분별위71～ 82세(344례,39.22％)、61～70세(196례,22.35％)화51 ～ 60세(185례,점21.09％).환자중고골경골절현저다우고골조륭간골절,차이유통계학의의(x2=21.423,P＜0.001);남성발병구성비고우녀성,차이유통계학의의(분별위x2=12.816,P＜0.001;f=13.773,P＜0.001).조성관부골절전3위적인소분별위질도、추락화차화,기구성비분별위64.88％、20.07％화10.49％.결론 년령시발생관부골절적중요인소.노년인군관부골절이고골경골절위주,다이질도인발.
Objective To analyze the epidemiological features of hip fraction,and to improve the intervention program on this disease.Methods To investigate the clinical data of the patients with hip fraction who were treated at local hospitals,from Jan.to Dec.,2012.Information regarding sex,age,site and cause of the fracture was analyzed.Results 877 cases were treated at the local hospitals; including 516 males (58.84％) and 361 females (41.16％).The overall incidence of hip fraction was 10.0/100 000,with 11.2/100 000 in males and 8.8/100 000 in females.The incidence was higher in males than that in females (x2=4.281,P=0.033).Age distribution of the patients was:344 cases in age 71-82 (39.22％),196 cases in age 61-70 (22.35％) and 185 cases in age 51-60 (21.09％).Transcervical fracture appeared more than intertrochanter fracture of femur (x2=21.423,P＜0.001),with males more than females in both fractures on femur (x2=12.816,P＜0.001 ; x2=13.773,P＜0.001).The top 3 factors causing hip fractions would contain tumble (64.88％),falling (20.07％) and traffic accident (10.49％).Conclusion Incidence of hip fraction would increase with age with tumble as the major cause to it.
