877例髋部骨折患者发病情况及其流行病学特征分析

杨洋; 林向进

Abstract

杨洋,林向进.877例髋部骨折患者发病情况及其流行病学特征分析[J].Chinese journal of Epidemiology,2014,35(4):446-448

877例髋部骨折患者发病情况及其流行病学特征分析

Epidemiological features of 877 cases with hip fraction

Received:December 24, 2013

DOI：10.3760/cma.j.issn.0254-6450.2014.04.023

KeyWord: 髋部骨折患病率流行病学

English Key Word: Hip fraction\ Incidence rate Epidemiology

FundProject:2008年浙江省医药卫生科学研究基金(20088058)

Author Name	Affiliation	E-mail
Yang Yang	Department of Orthopedics, the First Affiliated Hospital of Zhejiang University, Hangzhou 310006, China
Lin Xiangjin	Department of Orthopedics, the First Affiliated Hospital of Zhejiang University, Hangzhou 310006, China	dochj@163.com

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Abstract:

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l一12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(62.1-4-11.2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(x²=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%)、6l一70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问骨折,差异有统计学意义(x²=21.423,P2=12.816,P2=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。

English Abstract:

0bjective To analyze the epidemiological features ofhip 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 lpeal hospitals.from Jan.to Dec.,2012.Information regarding sex.age.site and cause of the fracture was analyszed.Results 877 cases were仃eated at the lpeal hospitals:including 516 males(58.84%)and 361 females(41.16%).The overall incidence of hip fraction was 10.0/100 000.wim 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 ofthe patients was:344 cases in age 7l-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 offemar(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 traffic accident(10.49%).Conclusion Incidence ofhip fraction would increase with age with tumble as the major cause to it.

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