应用循证医学探讨福利院中老年骨折的特点

目的：应用循证医学探讨福利院中老年骨折的特点（原因、好发部位、骨折时骨骼的状态）。方法：在循证医学指导下对福利院369名老年人中3年间发生骨折的病人进行X线摄片和骨密度、骨生化代谢指标测定。结果：369人中有73人骨折，其中50人患中度以上骨质疏松症；骨生化测定仅骨钙素与骨密度呈正相关；骨折常见于髋、腕和脊柱等部位。结论：骨质疏松为老年骨折的主要原因，骨密度下降提示骨折的可能性增高；髋、腕和脊柱是老年骨折好发部位。

To study the trait of old fracture use EBM in welfare center

Objective:To study the trait of old fracture use EBM in welfare center(cause;frequently-occurring position;from).Methods:Using X-ray;bone mineral density index and bone biochemistry measure 369 cases of old fracture who have been fracture in three years through means of Evidence-based medicine.Results:73 cases of them have fracture,50 old fractures were secondary degree osteoporosis,ostecalain is in proportion to bone mineral density.frequently-occurring positions were hip;wrist and vertebral column.Conclusions:Osteoporosis is principal reason of old fracture,Descent of bone mineral density represents that possibility of old fracture is heighten,hip;wrist and vertebral column are frequently-occurring position.