老年髋部骨折的致伤原因及危险因素分析

目的 分析老年患者髋部骨折的常见致伤原因及危险因素.方法 回顾性分析2008～2012年在我院进行治疗的老年髋部骨折患者815例患者的临床资料,分析性别、年龄、并发症与骨折的关系,分析常见致伤因素、高危因素等.结果 两组患者均以70～79岁患者的比例最高,男女患者不同年龄段分布情况比较差异显著(P＜0.01).男性和女性均以股骨颈骨折的发病比例较高,但女性患者的发病率更高,与男性比较(P＜0.01).跌倒导致的髋部骨折比例最高,其次为车祸.股骨颈骨折和转子间骨折中不同致伤原因分布情况比较差异有统计学意义(P＜0.01).危险因素中,骨质疏松的比例最高.两组不同危险因素分布情况比较差异有统计学意义(P＜0.01).结论 老年髋部骨折主要的致伤因素是跌倒,而骨质疏松是主要的危险因素.

Analysis of risk factors of senior hip fracture

Objective To analyz risk factors of senior hip fracture. Methods Retrospective analyzed clinical data of 815 cases with senior hip fracture. Relationship of age, gender, complications with fracture were analyzed. Morbidity factors, risk factors were analyzed. Results Morbidity of cases aged 70 to 79 was most in two groups. Age distribution in male group and female group had significant difference （P〈0.01）. Morbidity of fracture of neck of femur of female group was higher than male group（P〈0.01 ）. Falling was the most common morbidity factors, and next was traffic. Mor bidity factors distribution between fracture of neck of femur and intertrochanteric fracture had significant difference（P〈 0.01 ）. Osteoporosis was the most common risk factors. Risk factors distribution between two groups had significant difference （P〈0.01）. Conclusion The most main morbidity factor of senior hip fracture is falling down, and the most main risk factor is osteoporosis.