住院骨质疏松性骨折患者危险因素与干预措施

Risk factors of osteoporotic fractures in hospitalized patients and relevant interventions

目的探讨住院老年骨质疏松骨折发生的危险因素，为指导骨质疏松性骨折的预防提出干预措施。方法选择2010年5月～2012年5月在我院住院的203例老年骨质疏松症患者为研究对象，根据患者是否出现骨折分为老年骨质疏松性骨折组和老年骨质疏松症无骨折组，采用白编问卷的方法收集符合条件的患者的临床资料。采用多因素Logistic回归分析骨质疏松性骨折患者的危险因素。结果骨密度是骨质疏松症并发骨折的保护因素，而年龄、低钙饮食、跌倒、脆性骨折史及骨折家族史是发生老年骨质疏松性骨折的危险因素。结论老年骨质疏松症并发骨折受多种因素影响，可从饮食、体育锻炼及药物等多方面进行干预。

Objective To investigate the risk factors of osteoporotic fractures in hospitalized elderly patients, in order to provide interventions for the prevention of osteoporotic fractures. Methods A total of 203 elderly osteoporosis patients, who were hospitalized in our hospital from May 2010 to May 2012, were selected. All the patients were divided into osteoporotic fracture group and non osteoporotic fracture group according to the appearance of osteoporotic fractures Clinical data of eligible patients were collected using a self-made questionnaire. The risk factors of osteoporotic fractures were analyzed using multivariate logistic regression analysis. Results Bone mineral density was a protective factor of osteoporotic fractures. Whereas, age, low calcium diet, falls, fragility fracture history, and family history of osteoporotic fractures were risk factors of senile osteoporotic fractures. Conclusion Senile osteoporotic fractures are influenced by various factors, and can be intervened from diet, exercise, and medication, etc.