上海地区骨质疏松性骨折的发病特点研究（附5923例分析）

目的 通过分析上海地区中老年人发生骨质疏松性骨折的部位、性别、年龄等,阐明该地区骨质疏松性骨折的发病特点,为骨质疏松性骨折的防治提供理论依据.方法 回顾2000年1月至2005年12月在我院因脆性骨折就诊的中老年患者5923例,按患者性别、年龄、骨折部位等进行归纳、分析及总结.结果 60岁以上女性骨折发生数明显多于男性,其中,常见部位骨折最高发生率的年龄分别为：桡骨远端骨折为70岁;股骨颈骨折为75岁;股骨粗隆间骨折为80岁.各年龄组女/男数据比较：60岁以后各年龄段的女/男值与总计中的女/男值1.96相比差异显著（P＜0.05）,表明按年龄段划分有统计学意义,60岁以后女性发生骨折的几率明显高于男性.结论 60岁以后女性骨折发生率明显多于男性,桡骨远端骨折、股骨颈骨折、股骨粗隆间骨折发病高峰的年龄各有不同,应在骨质疏松性骨折的防治中引起重视,并区别对待.

An epidemiological study on osteoporotic fracture in Shanghai

Objective By the analysis of the sites,gender,age of the middle-aged and elder people with osteoporotic fractures in Shanghai, we hope to elucidate the epidemiological characteristics of osteoporotic fractures in Shanghai which can provide theoretical basis for the prevention of osteoporotic fracture.Methods We analyzed 5923 fracture cases treated in our hospital from 2000.1 to 2005.12 by fracture sites, gender, age etc. Results Number of cases in female of over 60 years old was significantly higher than that in male, among the total, the ages with highest morbidity in the following fracture types are:70 in wrist fracture,75 in femoral neck fracture,80 in femoral inter-trochanter fracture. The female/male ratio in each age group showed that morbidity of fractures among female of over 60 years old is significantly higher than that in male (P<0.05) which confirmed that it's statistically significant to analyze by age.Conclusions Fracture morbidity among female of over 60 years old is significantly higher than that in male. The ages with highest morbidity are different in wrist fracture, femoral neck fracture and femoral inter-trochanter fracture. This should be paid more attention to and treated spearately in the prevention and treatment of osteoporotic fractures.