老年女性桡骨远端骨折后再骨折的Logistic危险因素分析

Logistic risk factor analysis of the re-fracture after distal radius fracture of the elderly women

目的分析引起老年女性桡骨远端骨折后再骨折的危险因素。方法选取2014年1月至2017年10月在我院治疗的老年女性桡骨远端骨折后再骨折患者120例(观察组),年龄60~97岁,平均年龄(82.22±8.15)岁;体质量指数(body mass index,BMI):18.80~22.20,平均19.54±2.11;骨折诱因:跌倒87例、重力21例、其它原因12例;老年女性桡骨远端骨折患者215例(对照组),年龄60~92岁,平均(76.61±9.20)岁;BMI:18.54~22.04,平均20.03±2.40;骨折诱因:跌倒156例、重力39例、其它原因20例;收集两组年龄、腰椎骨密度(bone mineral density,BMD)T值、骨折诱因等资料。结果观察组年龄为(82.22±8.15)岁,明显高于对照组(76.61±9.20)岁(P=0.000);观察组腰椎BMD T值为-3.12±0.46,明显低于对照组-2.64±0.55(P=0.000);观察组抗骨质疏松治疗、常饮牛奶的比例分别为29.17%和10.83%,明显低于对照组62.33%和21.40%(P=0.000,0.015);观察组糖皮质激素使用、高血压、糖尿病、单独居住的比例分别为37.50%、45.83%、25.83%和48.33%,明显高于对照组13.95%、27.91%、11.16%和20.47%(P=0.000、0.000、0.000和0.000);Logistic回归分析结果显示:年龄、腰椎BMD T值、单独居住和糖尿病是老年女性桡骨远端骨折后再骨折的危险因素(OR=2.599、3.174、4.116和3.053,P=0.001、0.000、0.000和0.000),而抗骨质疏松治疗是保护因素(OR=0.356,P=0.000)。结论老年女性桡骨远端骨折后再骨折的危险因素包括年龄、腰椎BMD T值、糖尿病及单独居住,而抗骨质疏松治疗是保护因素。

Objective To analyze risk factors of the re-fracture after distal radius fracture of the elderly women.Methods Elderly female patients with re-fracture after distal radius fracture were selected as the observation group from January 2014 to October 2017.Observation group(n=120):the average age(82.22±8.15)years(range:60-97 years);the average body mass index(19.54±2.11)kg/m2(range:18.80-22.20 kg/m2);87 patients of falls,21 patients of gravity,12 patients of others.Control group(n=215):the average age(76.61±9.20)years(range:60-92 years);the average body mass index(20.03±2.40)kg/m2(range:18.54-22.04 kg/m2);156 patients of falls,39 patients of gravity,20 patients of others.Age,lumbar bone mineral density(BMD)T value,fracture inducement,and other clinical data were collected.Results The age of the patients in the observation group(82.22±8.15 years)was significantly higher than that of the control group(76.61±9.20 years)(P=0.000).The lumbar BMD T value of the observation group(-3.12±0.46)was significantly lower than that of the control group(-2.64±0.55)(P=0.000).The proportions of anti-osteoporosis treatment and regular milk drinking of the observation group(29.17%,10.83%)were significantly lower than that of the control group(62.33%,21.40%)(P=0.000,0.015).The proportions of glucocorticoid use,hypertension,diabetes,and living alone of the observation group(37.50%,45.83%,25.83%,48.33%)were significantly higher than that of the control group(13.95%,27.91%,11.16%,20.47%)(P=0.000,P=0.000,P=0.000,P=0.000).Logistic regression analysis showed that the age,lumbar BMD T value,living alone and diabetes were risk factors of the re-fracture after distal radius fracture in the elderly women(OR=2.599,3.174,4.116,3.053;P=0.001,0.000,0.000,0.000),while anti-osteoporosis therapy was a protective factor(OR=0.356,P=0.000).Conclusions Risk factors of the re-fracture after distal radius fracture in the elderly women include age,lumbar BMD T value,diabetes and living alone.Anti-osteoporosis therapy is a protective factor.