2008—2012年河北医科大学第三医院老年骨折流行病学特征分析

Epidemiological analysis of geratic fractures in the Third Affiliated Hospital to Hebei Medical University from 2008 to 2012

目的 分析河北医科大学第三医院老年骨折的流行病学特征。方法 回顾性收集2008 年1 月至2012 年12 月河北医科大学第三医院诊治的老年（＞ 60 岁）骨折患者，统计各骨折部位构成情况，并分析其随年龄、性别变化趋势。结果 共收集老年骨折10 937 例，占全部骨折的17.87%。男性3 676 例（33.61%），女性7 261 例（66.39%），男女比例1 ︰ 1.98，其中61 ～ 65 岁男女比例最高（1 ︰ 1.62），71 ～ 75 岁最低（1 ︰ 2.32），61 ～ 65 岁骨折患者最多。骨折部位以胸腰椎（28.24%）最多，其次为股骨近端（21.94%）和尺桡骨远端（12.06%）。其中女性以胸腰椎骨折（31.65%）最多，其次为股骨近端骨折（20.85%）和尺桡骨远端骨折（14.81%）；男性则以股骨近端骨折（24.10%）最多，其次为胸腰椎骨折（21.52%）和足部骨折（7.21%）。股骨近端骨折以61 ～ 65 岁构成比最低（10.32%），随年龄升高而升高，至86 岁以上最高（52.01%）。胸腰椎骨折以71 ～ 75 岁构成比最高（33.30%），86 岁以上最低（18.29%）。尺桡骨远端骨折以61 ～ 65 岁构成比最高（14.17%），随年龄降低而降低，至86 岁以上最低（7.05%）。其他部位（除常见骨折部位之外）61 ～ 65 岁构成比最高（49.93%），86 岁以上最低（22.65%）。结论 老年骨折患者女性多于男性，胸腰椎骨折、股骨近端骨折和尺桡骨远端骨折占比较高，且随年龄升高，股骨近端骨折占比逐渐升高，尺桡骨骨折、其他骨折占比逐渐降低。

Objective To investigate the epidemiological characteristics of fractures in elderlypatients at the Third Hospital of Hebei Medical University. Methods The elderly patients (>60 years) offractures admitted at the Third Hospital of Hebei Medical University were collected in this retrospectivestudy.The proportion of each fracture site were statistic and its trends with age and gender were analyzed.Result A total of 10 937 elderly fractures were collected, accounting for 17.87% of all fractures. Therewere 3 676 fractures of males and 7 261 females, with sex ratio of 1:1.98 (M/F). The highest sex ratio (M/F) was aged 61-65 years (1:1.62), while the lowest one was aged 71-75 years (1:2.32). The most amountof fractures were aged 61-65 years, The fracture site of most proportion were thoracolumbar (28.24%),the following were proximal femur (21.94%) and distal radius and ulna (12.06%). In females, the mostproportion were 31.65% of thoracolumbar fractures, the following were 20.85% of proximal femur fracturesand 14.81% of distal radius and ulna fractures. In males, the most proportion were 24.10% of proximalfemur fractures, the following were 21.52% of thoracolumbar fractures and 7.21% of foot fractures. The lowest proportion of proximal femur fractures was aged 61-65 years (10.32%), while increased with age,and the most proportion was aged over 86 years (52.01%). The most proportion of thoracolumbar fractureswas aged 71-75 years (33.30%) and the lowest one was aged over 86 years (18.29%). The most proportionof distal radius and ulna fractures was aged 61-75 years (14.17%) and the oldest age was over 86 years(7.05%). The most proportion of other sites of fractures was aged 61-75 years (49.93%) and the lowest onewas aged over 86 years (22.65%). Conclusions Females were more pron to fractures than males in theelderly patients. The most frequent fractures were thoracolumbar fractures, proximal femur fractures anddistal radius and ulna fractures. With aging, the proportion of proximal femur fractures increased, while theproportion of distalradius and ulna fractures and other sites of fractures were decreased.