CAJ | 학술논문

目的：探讨老年女性骨质疏松性股骨颈骨折的危险因素，为早期准确预测其骨质疏松股骨颈骨折提供客观依据。方法采用病例对照研究方法，选择150例年龄>60岁的骨质疏松性股骨颈骨折女性患者作为骨折组，同时在周边地区随机选取150例年龄相当的无股骨颈骨折的老年女性作为对照组。通过问卷调查的方法，调查两组年龄、初潮年龄、绝经年龄、怀孕次数、生产次数、母乳喂养时间、体重指数等妇科相关情况。采用 Logistic 回归分析的方法对影响股骨颈骨折的因素进行分析。结果对照组与骨折组的初潮年龄、绝经年龄、怀孕次数、生产次数、母乳喂养时间、体重指数比较差异均有统计学意义(P <0．05或 P <0．01)，其中老年女性骨质疏松性股骨颈骨折的发生与初潮年龄、怀孕次数、生产次数、母乳喂养时间呈正相关(P <0．05或 P<0．01)，与绝经年龄、体重指数呈负相关(P <0．01)。结论初潮晚、绝经早、孕产次数多、母乳喂养时间长、体重指数低可能是老年女性骨质疏松性股骨颈骨折的重要危险因素。
목적：탐토노년녀성골질소송성고골경골절적위험인소，위조기준학예측기골질소송고골경골절제공객관의거。방법채용병례대조연구방법，선택150례년령>60세적골질소송성고골경골절녀성환자작위골절조，동시재주변지구수궤선취150례년령상당적무고골경골절적노년녀성작위대조조。통과문권조사적방법，조사량조년령、초조년령、절경년령、부잉차수、생산차수、모유위양시간、체중지수등부과상관정황。채용 Logistic 회귀분석적방법대영향고골경골절적인소진행분석。결과대조조여골절조적초조년령、절경년령、부잉차수、생산차수、모유위양시간、체중지수비교차이균유통계학의의(P <0．05혹 P <0．01)，기중노년녀성골질소송성고골경골절적발생여초조년령、부잉차수、생산차수、모유위양시간정정상관(P <0．05혹 P<0．01)，여절경년령、체중지수정부상관(P <0．01)。결론초조만、절경조、잉산차수다、모유위양시간장、체중지수저가능시노년녀성골질소송성고골경골절적중요위험인소。
Objective To investigate the risk factors for osteoporosis in elderly women with femoral neck fracture for accurately predicting early femoral neck fracture of osteoporotic and providing an objective basis. Methods 150 os-teoporotic femoral neck fracture women older than 60 years were selected as a research group with case-control study. Age-matched 150 cases were randomly selected in the surrounding area without femoral neck fractures as a control group. Through questionnaire survey, including age, menarche age, menopause age, number of pregnancies, number of births, breast feeding time, body mass index and other gynecological relevant circumstances. Logistic regression a-nalysis was used to evaluate the effect. Results The difference of menarche age, menopause age, number of preg-nancies, number of births, breastfeeding time, body mass index between the control group and fracture group was sta-tistically significant (P < 0. 05 or P < 0. 01). Menarche age, number of pregnancies, the number of births, breast-feeding time were positively related to the femoral neck fracture (P < 0. 05 or P < 0. 01), and age at menopause, body mass index was negatively correlated (P < 0. 01). Conclusions Late menarche, early menopause, pregnancy more often, longer duration of breastfeeding, low body mass index may be important risk factors for osteoporosis in elderly women with femoral neck fracture.