中国医药
中國醫藥
중국의약
China Medicine
2015年
12期
1746-1750
,共5页
孟康%陈妍%王虹%曹沛鸿%何锦泉
孟康%陳妍%王虹%曹沛鴻%何錦泉
맹강%진연%왕홍%조패홍%하금천
髋部骨折%急性心肌梗死%危险因素
髖部骨摺%急性心肌梗死%危險因素
관부골절%급성심기경사%위험인소
Hip fracture%Acute myocardial infarction%Risk factors
目的 探讨老年髋部骨折患者住院期间急性心肌梗死(AMI)的发生风险.方法 纳入2010年10月至2013年10月天津市天津医院老年骨质疏松性髋部骨折患者(髋部骨折组)和同期非骨质疏松性非髋部骨折患者(非髋部骨折组).比较2组患者住院期间AMI的发生率,分析骨折患者发生AMI的危险因素.结果 髋部骨折组和非髋部骨折组各纳入患者315例,住院期间AMI的发生率髋部骨折组高于非髋部骨折组[8.3％ (26/315)比2.5％ (8/315)],差异有统计学意义(P＜0.05);AMI患者中非ST段抬高型心肌梗死比例高于ST段抬高型心肌梗死[67.6％ (23/34)比32.4％ (11/34)],差异有统计学意义(P＜0.05).校正年龄、性别、合并疾病等危险因素后,髋部骨折为骨折患者住院期间发生AMI的独立危险因素(比值比:3.605,95％置信区间:1.391 ～9.345,P=0.008).结论 髋部骨折是骨折患者住院期间发生AMI的独立危险因素.
目的 探討老年髖部骨摺患者住院期間急性心肌梗死(AMI)的髮生風險.方法 納入2010年10月至2013年10月天津市天津醫院老年骨質疏鬆性髖部骨摺患者(髖部骨摺組)和同期非骨質疏鬆性非髖部骨摺患者(非髖部骨摺組).比較2組患者住院期間AMI的髮生率,分析骨摺患者髮生AMI的危險因素.結果 髖部骨摺組和非髖部骨摺組各納入患者315例,住院期間AMI的髮生率髖部骨摺組高于非髖部骨摺組[8.3％ (26/315)比2.5％ (8/315)],差異有統計學意義(P＜0.05);AMI患者中非ST段抬高型心肌梗死比例高于ST段抬高型心肌梗死[67.6％ (23/34)比32.4％ (11/34)],差異有統計學意義(P＜0.05).校正年齡、性彆、閤併疾病等危險因素後,髖部骨摺為骨摺患者住院期間髮生AMI的獨立危險因素(比值比:3.605,95％置信區間:1.391 ～9.345,P=0.008).結論 髖部骨摺是骨摺患者住院期間髮生AMI的獨立危險因素.
목적 탐토노년관부골절환자주원기간급성심기경사(AMI)적발생풍험.방법 납입2010년10월지2013년10월천진시천진의원노년골질소송성관부골절환자(관부골절조)화동기비골질소송성비관부골절환자(비관부골절조).비교2조환자주원기간AMI적발생솔,분석골절환자발생AMI적위험인소.결과 관부골절조화비관부골절조각납입환자315례,주원기간AMI적발생솔관부골절조고우비관부골절조[8.3％ (26/315)비2.5％ (8/315)],차이유통계학의의(P＜0.05);AMI환자중비ST단태고형심기경사비례고우ST단태고형심기경사[67.6％ (23/34)비32.4％ (11/34)],차이유통계학의의(P＜0.05).교정년령、성별、합병질병등위험인소후,관부골절위골절환자주원기간발생AMI적독립위험인소(비치비:3.605,95％치신구간:1.391 ～9.345,P=0.008).결론 관부골절시골절환자주원기간발생AMI적독립위험인소.
Objective To investigate the risk of acute myocardial infarction (AMI) during hospitalization in elderly patients with hip fracture.Methods Elderly Patients with osteoporotic hip fracture (hip fracture group)and non-osteoporotic non hip fracture (non hip fracture group) from October 2010 to October 2013 were enrolled.The incidence of AMI were compared between groups, the risk factors of AMI during hospitalization in fracture patients were analyzed.Results There were 315 patients in each group.The incidence of AMI in hip fracture group was significantly higher than that in non-hip fracture group [8.3％ (26/315) vs 2.5％ (8/315)] (P ＜0.05);the proportion of non ST segment elevation myocardial infarction was higher than that of ST segment elevation myocardial infarction [67.6％ (23/34) vs 32.4％ (11/34)] (P ＜ 0.05).After adjustment of relative factors such as age, gender and combined disease, hip fracture was independent risk factor of AMI in fracture patients (OR=3.605, 95％CI: 1.391-9.345, P=0.008).Conclusion Hip fracture is an independent risk factor of AMI during hospitalization in patients with fracture.
