583例髋部骨折的致伤因素分析

目的]通过分析髋部骨折病例资料，了解髋部骨折的致伤因素，为预防髋部骨折提供依据。方法]查阅四川大学华西医院2000—2005年期间所有髋部骨折住院病例，根据致伤因素等分组讨论。结果]50岁及50岁以上患者致伤因素以跌倒为主，其发病女性较男性多见。50岁以下患者其病因以暴力为主；老年髋部骨折主要致伤因素为骨质疏松和跌倒，同时老年痴呆、心脑血管意外事件、偏瘫、帕金森氏病等内科性疾病与环境因素也大大增加了其发病的风险。结论]不同程度的骨质疏松和跌倒是老年髋部骨折最主要的致伤因素，因此作者应重视老年骨质疏松、跌倒等致伤因素的防治。

Analysis of the causes of the 583 cases of hip fracture

Objective ] To study the tendency of hip fracture by analyzing morbidity factors to provide an basis for preventing the fracture. Method] All of the case records of hip fractures treated at west china hospital between 2000-1 and 2005-12 were checked and 583 inpatients were selected for analysis. Result] The major injury cause was fall in the old and female was more susceptible. High energy injury was the major cause in younger 50. Osteoporosis and fall contributed best to the hip fracture in elderly. Concomitant disease and environmental factors increased the risk. Conclusion] Osteoporosis and fall contribute most to the hip fracture in elderly, accordingly, to prevent fall and osteoporosis is vital to the old.