986例老年髋部骨折住院患者骨质疏松诊断、治疗情况分析

Analysis on osteoporosis diagnosis and treatment of 986 elderly inpatients with hip fracture

目的通过对呼和浩特地区老年人髋部骨折病例的回顾性研究,揭示本地区老年髋部骨折患者的骨质疏松症诊断、治疗情况,为加强老年髋部骨折后抗骨质疏松治疗提供依据。方法收集2005年1月至2008年12月老年髋部骨折986例,设计调查表进行相关因素的登记,对髋部骨折患者骨质疏松的诊断、治疗情况进行动态分析。结果老年髋部骨折骨质疏松诊断例数有逐年递增趋势,但仍有大量漏诊。虽然抗骨质疏松治疗病例逐年增加,但有明显的盲目性和随意性。结论呼和浩特地区骨科医生骨质疏松诊疗水平存在不足,需要加强骨科医生的继续教育,进而采取更积极的态度,选择合理的抗骨质疏松治疗方案。

Objective By a retrospective study among the elderly hip fracture in Huhhot area,we hope to elucidate- the circumstances of osteoporosis diagnosis and treatment in this area which can provide theoretical basis for anti-osteoporosis therapy. Methods We collected 986 elderly hip fracture cases treated in six tertiary hospitals from January 2005 to December 2008. We filled the corresponding information in hip fracture survey form and analyzed the trends of osteoporosis diagnosis and treatment in hip fracture. Results We found that cases of osteoporosis diagnosis were in increased trend during last four years. But there were lots of misdiagnosed cases. Although cases of anti-osteoporosis therapy were increasing, there exist significant blindness and at will. Conclusions The ability of osteoporosis treatment of orthopaedic surgeons in tertiary hospitals in Huhhot was insufficient. The continuing education for orthopaedic surgeons in hospitals should be strengthened to realize that surgeons will hold a more active attitude, choose reasonable anti-osteoporosis therapy plan.