CAJ | 학술논문

背景：髋部骨折成为中老年人群发病、死亡和产生巨额医疗费用的主要原因之一。随着人口老龄化的加剧，老年髋部骨折患者数量与日俱增。 　　目的：通过对上海市长宁区中老年人群髋部骨折发病率的调查分析，探究骨折的分布情况。 　　方法：通过上海市长宁区公共卫生信息中心以及申康医联中心对于长宁区户籍人口在各大医院就诊记录资料的收集，查询2008年7月至2013年6月ICD-10码髋部骨折(股骨颈骨折以及股骨转子间骨折)的就诊记录，获得患者相关信息。通过长宁区疾控中心资料调取，取得长宁区2010及2011年人口分布情况。计算长宁区人口髋部骨折的粗发病率及不同年龄、不同性别人群(以50岁以上，每5年为一个年龄段)的粗发病率。 　　结果与结论：上海市长宁区50岁以上人群髋部骨折标准化发病率为197.04/10万，其中男性为88.51/10万，女性为304.73/10万，女性年标准化发病率高于男性(P<0.05)。髋部骨折的粗发病率在70岁以上急剧上升，且女性升高幅度明显高于男性。提示髋部骨折发病率与年龄、性别及骨质疏松密切相关。
배경：관부골절성위중노년인군발병、사망화산생거액의료비용적주요원인지일。수착인구노령화적가극，노년관부골절환자수량여일구증。 　　목적：통과대상해시장저구중노년인군관부골절발병솔적조사분석，탐구골절적분포정황。 　　방법：통과상해시장저구공공위생신식중심이급신강의련중심대우장저구호적인구재각대의원취진기록자료적수집，사순2008년7월지2013년6월ICD-10마관부골절(고골경골절이급고골전자간골절)적취진기록，획득환자상관신식。통과장저구질공중심자료조취，취득장저구2010급2011년인구분포정황。계산장저구인구관부골절적조발병솔급불동년령、불동성별인군(이50세이상，매5년위일개년령단)적조발병솔。 　　결과여결론：상해시장저구50세이상인군관부골절표준화발병솔위197.04/10만，기중남성위88.51/10만，녀성위304.73/10만，녀성년표준화발병솔고우남성(P<0.05)。관부골절적조발병솔재70세이상급극상승，차녀성승고폭도명현고우남성。제시관부골절발병솔여년령、성별급골질소송밀절상관。
BACKGROUND:Hip fracture has become one of the main reasons for morbidity, death and heavy medical costs in the elderly. With aging, the incidence of hip fractures in the elderly is increased day by day. OBJECTIVE:To investigate and analyze the incidence and distribution of hip fractures in middle-aged and old population from Changning District of Shanghai, China. METHODS:Medical records of patients with hip fracture ICD-9 CODE (femoral neck fracture and intertrochanteric fracture) admitted from July 2008 to June 2013 were col ected at the Changning District Public Health Information Center and Shanghai Shen Kang Medical Al iance Center. Population distributions of Changning District in 2010 and 2011 were provided by the Disease Control Center of Changning District. Then, the crude morbidity of hip fracture was calculated in terms of different ages and genders. For patients aged over 50 years, every 5 years served as an age group. RESULTS AND CONCLUSION:The incidence rate of hip fractures in the population aged over 50 years was 197.04/100 000, 88.51/100 000 in male and 304.73/100 000 in female. The annual standardized incidence rate of hip fracture was higher in female than male (P<0.05). The crude incidence rate of hip fracture was increased dramatical y in the population over 70 years, especial y in females. It indicates that the incidence rate of hip fractures is closed related to age, gender and osteoporosis.