十堰地区髋部骨折1666例流行病学调查分析

An Epidemiological Investigation and Analysis of 1666 Cases of Hip Fracture in Shiyan Area

目的:调查分析髋部骨折的流行病学特征,为髋部骨折的预防及治疗工作提供理论依据和指导。方法:于十堰市人民医院进行髋部骨折诊治的单中心研究,纳入2016年1月1日-2021年12月31日期间髋部骨折病例数据信息,采集患者的年龄、性别、住院天数、致伤原因、发生季节、住院总费用等资料,分析十堰地区髋部骨折的流行病学特点。结果:⑴本研究共纳入患者1666例,其中男性639例,女性1027例,男女比为1∶1.61;患者平均年龄(71.47±13.79)岁。⑵股骨颈骨折占54.02%(900/1666),股骨转子间骨折占45.98%(766/1666)。股骨颈骨折患者的平均年龄为(69.31±14.18)岁,显著小于股骨转子间骨折患者的(74.00±12.88)岁,差异有统计学意义(P<0.05)。⑶高处坠落伤是中青年组患者最常见的致伤原因,占24.81%(67/270);跌倒是老年组患者主要的致伤原因,占87.89%(1227/1396)。⑷髋部骨折好发季节为冬季,占比28.99%(483/1666)。⑸髋部骨折的治疗方式为手术治疗的占84.57%(1409/1666)。⑹全组患者平均住院时间(17.13±13.18)d,平均住院费用(36231±20794)元。结论:髋部骨折的发生与年龄、性别、跌倒等因素密切相关,且治疗时间较长,治疗所需经济负担较大,髋部骨折的危险因素应予以重视,以进一步减少其发生。

Objective To investigate and analyze the epidemiological characteristics of hip fracture,and provide theoretical basis and guidance for the prevention and treatment of hip fracture.Methods A single-center study on the diagnosis and treatment of hip fracture was carried out in Shiyan Renmin Hospital.The data of hip fracture cases from January 1,2016 to December 31,2021 were included.The age,gender,hospitalization time,cause of injury,season of occurrence,hospitalization expenses and other data were collected to analyze the epidemiological characteristics of hip fracture in Shiyan area.Results⑴A total of 1666 patients were included in this study,including 639 males and 1027 females.The ratio of males to females was 1∶1.61.The average age of patients was(71.47±13.79)years old.⑵Femoral neck fracture accounted for 54.02%(900/1666),and intertrochanteric fracture accounted for 45.98%(766/1666).The average age of patients with femoral neck fracture was(69.31±14.18)years old,which was significantly lower than that of patients with femoral intertrochanteric fracture(74.00±12.88)years old,and the difference was statistically significant(P<0.05).⑶Height fall injury was the most common cause of hip fracture in young and middle-aged patients,accounting for 24.81%(67/270).Falls were the main cause of hip fracture in the elderly group,accounting for 87.89%(1227/1396).⑷Hip fracture was more prone in winter for 28.99%(483/1666).⑸The treatment of hip fractures was surgical treatment,accounting for 8457%(1409/1666).⑹The average hospitalization time of the whole group was(17.13±13.18)days,and the average hospitalization cost was(36231±20793)yuan.Conclusion The occurrence of hip fractures is significantly associated with age,gender,falls,and other factors,and with a longer treatment time and a greater financial burden for treatment.The risk factors of hip fractures should be taken seriously to further reduce their occurrence.