| 杜根发,林梓凌,李鹏飞,等.髋部骨折268例临床分析[J].安徽医药,2018,22(12):2339-2342. |
| 髋部骨折268例临床分析 |
| Clinical features analysis of 268 patients with hip fracture |
| 投稿时间：2017-11-30 |
| DOI： |
| 中文关键词: 髋部骨折 年龄 性别 临床特点 |
| 英文关键词: Hip fracture Age Gender Clinical Characteristics |
| 基金项目:国家自然科学基金资助项目( 81673996)；广东省科技计划项目(2016A020215141) |
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| 中文摘要: |
| 目的 通过髋部骨折临床特点分析,为髋部骨折的预防和治疗提供理论基础。 方法 采用回顾性研究方法,收集2012年1月至2013年12月在广州中医药大学第一附属医院诊断为髋部骨折的患者268例(≥50岁)为研究对象,分股骨颈组和股骨转子间骨折组,年龄分段为5组,分析两组髋部骨折类型在不同年龄段、性别、受伤侧、合并疾病等方面分布特点。 结果从50～＜90岁,总体髋部骨折数量呈增长趋势,70～＜90岁所占比例明显高于其他年龄(股骨颈骨折所占比例为61.1%,股骨转子间骨折所占比例为65.6%)(P＜0.05)。其中70～＜80岁股骨颈骨折所占比例最大(37.4%),80～＜90岁股骨转子间骨折所占比例最大(46%)。总体上发生髋部骨折的男女性别比例约为1∶2.2(P＜0.05)。总体上髋部骨折在左右侧的分布是相同的(50%)(P＞0.05)。 结论 髋部骨折患者存在明显的性别、年龄分布差异。髋部骨折数量总体上随年龄增长而增多,女性所占比例高于男性,并且年龄与性别之间存在交互作用。受伤侧无明显差异。 |
| 英文摘要: |
| Objective To provide a theoretical basis for the prevention and treatment of hip fractures by analyzing the clinical characteristics of affected patients. Methods Two hundred and sixty eight patients(≥50 years) diagnosed as hip fracture in our hospital from January 2012 to December 2013 were enrolled in our cohort study and retrospectively analyzed through assigning them into the femoral neck fracture(FNF) and the intertrochanteric femoral fracture(IFF) groups；with their age divided into 5 groups,the distribution characteristics were compared between them in terms of age,gender,affected side and complications. Results The hip fracture cases aged from 50-＜90 years followed an overall increasing trend,where those aged from 70-＜90 years exhibited the highest morbidity compared with other age groups(FNFs accounted for 61.1% and IFFs for 65.6%)(P<0.05).Of them,70-＜80 year old patients was found to have the highest FNF proportion(37.4%),while those aged between 80 and 89 years suffered most from IFF(46%).On the whole,the incidence ratio of hip fractures between males and females was 1∶2.2(P<0.05),while the side(left or right) distribution turned to be identical(P>0.05). Conclusion The hip fracture patients admitted to our hospital exhibit significant differences in gender and age distribution.In general,the cases of hip fracture are increased with age,where the female sufferers are higher than male ones with an interaction between age and gender.There is no significant difference in terms of affected side. |
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