齐齐哈尔地区股骨头坏死危险因素分析

目的：探讨齐齐哈尔地区股骨头坏死的危险因素。方法根据病例对照研究的方法原则,于2014年10月一2016年3月,在该院骨科连续收集股骨头坏死患者200例作为病例组,在普外科收集年龄、性别与病例组相匹配的阑尾炎患者200例,作为对照组,收集病例组和对照组的年龄性别等一般资料,吸烟饮酒行为因素,疾病史,血糖血脂等指标,通过对比分析股骨头坏死的危险因素。结果经分析发现,在齐齐哈尔地区,饮酒、服用激素药物、外伤是股骨头坏死的危险因素。同时,吸烟也是该病的危险因素,OR(95%CI）=1.72(1.16,2.56)；高胆固醇血症增加了股骨头坏死的发病风险,OR(95%CI)=1.60(1.03,2.47)。 Logistic多元回归分析后结果显示,吸烟、高胆固醇血症、饮酒、服用激素药物、外伤仍为股骨头坏死的危险因素。结论吸烟、高胆固醇血症、饮酒、服用激素药物、外伤为股骨头坏死的危险因素,提示：戒烟、限酒、合理使用激素、控制血脂及减少外伤可能是预防股骨头坏死的有效办法。

Analysis the Risk Factors of Femoral Head Necrosis in Qigihar

Objective To investigate the risk factors of femoral head necrosis in Qigihar area. Methods According to case-control study methods and principles, in October 2014 to 2016 in March, in the Department of Orthopaedics, the hospital continuously collected 200 cases of femoral head necrosis patients as case group, in the Department of general surgery in-cluded age, gender and case group match of 200 cases of patients with appendicitis, as control group, collect the case group and the control group of age and sex, smoking and drinking behavior factors, history of disease, blood glucose and blood lipid indexes. Through comparative analysis of femoral head necrosis of risk factors. Results After analysis, it was found that drinking, taking hormone drugs and trauma were the risk factors of femoral head necrosis in Qigihar area. At the same time, smoking is also a risk factor for the disease, OR(95%CI)=1.72(1.16,2.56);the high cholesterol blood disease increases the risk of femoral head necrosis, OR (95%CI)=1.60 (1.03,2.47). Logistic multiple regression analysis showed that smoking, high cholesterol, alcohol consumption, taking hormone drugs, trauma is still the risk factors of femoral head necrosis. Con-clusion Smoking, hypercholesterolemia, drinking, and taking hormone drugs, traumatic femoral head necrosis of risk factors, tip: quit smoking, limit alcohol, rational use of hormone, to control blood lipids and reduce trauma may be prevention of femoral head necrosis of the effective way.