西安地区50岁以上人群髋部骨折危险因素调查

目的了解西安地区50岁以上人群髋部骨折发病的危险因素，为防治髋部骨折提供依据。方法在西安地区住院的髋部骨折患者中随机抽取300名，在患者邻居或住在相近社区的人群中选取性别、年龄相匹配的300人作为对照人群，填写调查表。由专家统一质量控制和回收表格，对影响骨折发生的因素采用Logistic回归分析方法进行分析，得出髋部骨折的危险因素。结果相关分析显示髋部骨折发生的首要原因是跌倒扭伤，有既往骨折史、亲属有骨折史、吸烟、饮酒、服用糖皮质激素、患骨质疏松症和髋部骨折的发生呈正相关（P〈0．01），而肌力、视力、经常喝牛奶、经常吃豆制品、经常锻炼和髋部骨折的发生呈负相关（P〈0．01）。结论跌倒扭伤、有既往骨折史、亲属有骨折史、患骨质疏松症、肌力、视力、喝牛奶、吃豆制品、锻炼、吸烟、饮酒、服用糖皮质激素与西安地区髋部骨折的发生与有明显的相关性。

Epidemiological Investigation on Risk Factors of Hip Fracture in Adults Aged 50 or Above in Xi'an District

Objective To study the risk factors of hip fracture in adults aged 50 or above in Xi＇ an district and to supply reference for hip fracture prevention. Methods 300 in-patients with hip fracture in Xi＇ an district were randomly collected. 300 people with matched sex and age in neighborhood communities were selected as control. Both groups filled the corresponding questionaire. Experts were in charge of quality control and questionnaire recovery. Logistic regression analysis was applied and the risk factors on the hip fracture were extracted. Results The correlation analysis showed that the primary reasons of hip fracture were fall sprain. Past history or family history of fracture, smoking, drinking alcohol, taking glucocorticoid and suffering from osteoporosis had positive correlation with hip fractures （P〈0. 01）. Muscle strength, vision, often drinking milk, eating soybean products regularly, exercising regularly had negative correlation with hip fractures （P〈0. 01 ）. Conclusion There exist significant correlations of hip fracture with fall and sprain, past or family history of fracture, osteoporosis, muscle strength, vision, drinking milk, eating soybean products, exercise, smoking, drinking alcohol, taking Glucocorticoid in Xi＇an district.