杭州市骨质疏松性髋部骨折的初步调查

A preliminary investigation of osteoporotic hip fractures in Hangzhou city

目的:初步了解杭州市骨质疏松性髋部骨折的性别构成比和病种构成比。方法:随机选择杭州市8家三级甲等医院,从各医院病案室中抽取2001年1月至2010年12月治疗的骨质疏松性髋部骨折患者的病案资料,分析骨质疏松性髋部骨折的性别构成比和病种构成比。结果:骨质疏松性髋部骨折1 941例,其中股骨颈骨折1 258例,男428例、女830例;股骨转子间骨折683例,男231例、女452例;两种骨质疏松性髋部骨折的性别构成比比较,差异无统计学意义(χ2=0.008,P=0.929)。2001—2002年,骨质疏松性股骨颈骨折123例、骨质疏松性股骨转子间骨折61例,男64例、女120例;2003—2004年,骨质疏松性股骨颈骨折222例、骨质疏松性股骨转子间骨折131例,男123例、女230例;2005—2006年,骨质疏松性股骨颈骨折229例、骨质疏松性股骨转子间骨折123例,男113例、女239例;2007—2008年,骨质疏松性股骨颈骨折307例、骨质疏松性股骨转子间骨折167例,男160例、女314例;2009—2010年,骨质疏松性股骨颈骨折377例、骨质疏松性股骨转子间骨折201例,男199例、女379例。2001—2010年,不同年份骨质疏松性髋部骨折的病种构成比比较,差异无统计学意义(χ2=0.959,P=0.916);不同年份骨质疏松性髋部骨折的性别构成比比较,差异无统计学意义(χ2=0.786,P=0.940)。结论:2001—2010年,杭州市骨质疏松性髋部骨折的病种构成比和性别构成比均无明显变化,骨质疏松性股骨颈骨折多于骨质疏松性股骨转子间骨折,女性患者多于男性患者。

Objective：To get some preliminary message of sex constituent ratio and disease constituent ratio of osteoporotic hip frac- tures in Hangzhou city. Methods ： Eight first-class hospitals were randomly selected from Hangzhou city and the medical records of patients with osteoporotic hip fractures from January 2001 to December 2010 were obtained from medical record library. The sex constituent ratio and disease constituent ratio were analyzed. Results ： One thousand nine hundred and forty-one patients were involved in this investigation, inclu- ding 1 258 patients with femoral neck fractures （428 males and 830 females）and 683 patients with intertrochanteric fractures （231 males and 452 females）. There was no statistical difference in sex constituent ratio between two kinds of osteoporotic hip fractures （x^2 = 0. 008, P = 0. 929）. From 2001 to 2002, a total of 123 patients were diagnosed as osteoporotic femoral neck fractures and 61 patients were diag- nosed as osteoporotic intertrochanteric fractures, and the patients consisted of 64 males and 120 females. From 2003 to 2004, a total of 222 patients were diagnosed as osteoporotic femoral neck fractures and 131 patients were diagnosed as osteoporotic intertrochanteric fractures, and the patients consisted of 123 males and 230 females. From 2005 to 2006 ,a total of 229 patients were diagnosed as osteoporotic femoral neck fractures and 123 patients were diagnosed as osteoporotic intertrochanteric fractures, and the patients consisted of 113 males and 239 females. From 2007 to 2008, a total of 307 patients were diagnosed as osteoporotic femoral neck fractures and 167 patients were diagnosed as osteoporotic intertrochanteric fractures,and the patients consisted of 160 males and 314 females. From 2009 to 2010, a total of 377 patients were diagnosed as osteoporotic femoral neck fractures and 201 patients were diagnosed as osteoporotic intertrochanteric fractures, and the pa- tients consisted of 199 males and 379 females. There was no statistical difference in disease constituent ratio of osteoporotic hip fractures be- tween different years from 2001 to 2010 （x^2 = 0. 959, P = 0. 916）, and there was no statistical difference in sex constituent ratio of osteopo- rotic hip fractures between different years from 2001 to 2010 （x^2 = 0. 786, P = 0. 940）. Conclusion：There were no obvious changes in dis- ease constituent ratio and sex constituent ratio of osteoporotic hip fractures in Hangzhou city from 2001 to 2010, and osteoporotic femoral neck fractures surpass osteoporotic intertrochanteric fractures in the number of patients and female patients was more than male patients.