老年人髋部骨折临床发病特点及防治的研究

Study of clinical characteristics and the prevention and treatment of senile hip fractures

目的调查本地区老年人髋部骨折患者的流行病学状况,探讨髋部骨折临床发病特点及防治意义。方法收集本地区三级医院2006年～2010年期间老年髋部骨折病例,设计调查表格进行登记研究,对老年髋部骨折患者的临床发病特点进行回顾性研究分析。结果老年人髋部骨折病例好发年龄为65～74岁,女性略多于男性,跌倒扭伤为主要骨折原因,髋部骨折发生率随年龄增长而增大,近5年发生率呈总体上升趋势(P<0.05)。结论老年人髋部骨折有其自身的流行病学特点,应根据其特点进行有效防治。

Objective To investigate the epidemic status of senile hip fractures in this area, and to explore the clinical characteristics and the significance of prevention and treatment of hip fractures. Methods All the cases with senile hip fractures in Tertiary Care Hospital in this area from 2006 to 2010 were enrolled. A survey form was designed for registration and research. The clinical characteristics of senile patients with hip fractures were analyzed retrospectively. Results Senile hip fractures mainly occurred at the age from 65 to 74 years old. Females had more fractures than males. Fall and sprain were the main causes for fractures. The incidence of hip fractures increased with aging during recent 5 years （P 〈0.05）. Conclusion Senile hip fractures have its own epidemic characteristics, and we should perform effective prevention and treatment according to the characteristics.