贵阳地区老年髋部骨折流行病学调查分析

Epidemiological Investigation and Analysis of Hip Fracture in the Elderly in Guiyang

目的分析贵阳地区老年髋部骨折流行病学特点,为贵阳地区老年髋部骨折诊治与预防提供参考。方法回顾性分析2015年6月~2019年12月贵阳市第四人民医院接诊的1352例老年髋部骨折患者临床资料,对老年髋部骨折可能的危险因素进行单因素分析,并采用多元线性Logistic回归分析老年髋部骨折发生的高危因素。结果1352例老年髋部骨折患者中男女比例为1∶1.5,70~80岁为高发年龄段,骨折以股骨颈骨折为主、股骨粗隆间骨折次之,跌倒为主要致伤原因;不同年龄、性别、骨折类型、骨折部位、致伤原因、骨质疏松史、合并疾病比较,差异有统计学意义(P<0.05);多元线性Logistic回归分析显示,年龄、骨质疏松史、跌倒、脑梗死后遗症为贵阳地区老年髋部骨折发生高危因素。结论年龄、骨质疏松史、跌倒、脑梗死后遗症与老年髋部骨折密切相关,以上高危因素应予以重视,加强骨质疏松防治,进一步减少老年髋部骨折事件的发生。

Objective To analyze the epidemiological characteristics of hip fractures in the elderly in Guiyang,and provide references for the diagnosis,treatment and prevention of hip fractures in the elderly in Guiyang.Methods The clinical data of 1352 elderly hip fracture patients admitted to Guiyang Fourth People's Hospital from June 2015 to December 2019 were retrospectively analyzed.The possible risk factors of elderly hip fracture were analyzed by single factor analysis,and multivariate linearity was adopted.Logistic regression analysis of high-risk factors for hip fracture in the elderly.Results The male to female ratio in 1352 elderly patients with hip fracture was 1:1.5.The age of 70-80 years was the most common age group.Femoral neck fractures were the main fractures,intertrochanteric fractures followed,and falls were the main cause of injury;different ages,gender,fracture type,fracture site,cause of injury,history of osteoporosis,and combined diseases,the difference was statistically significant(<0.05);multiple linear Logistic regression analysis showed that age,history of osteoporosis,falls,brain sequelae of infarction is a high risk factor for hip fractures in the elderly in Guiyang.Conclusion Age,history of osteoporosis,falls,and sequelae of cerebral infarction were closely related to hip fractures in the elderly.The above high-risk factors should be paid attention to.Osteoporosis prevention and treatment should be strengthened to further reduce the incidence of hip fractures in the elderly.