|
| 高龄髋部骨折后二次骨折的危险因素分析 |
| Analysis of the risk factors of secondary fractures after hip fractures in aged people |
| 投稿时间：2012-11-02 |
| DOI： |
| 中文关键词: 高龄 髋部骨折 二次骨折 危险因素 |
| 英文关键词:aged Hip fracture Secondary fracture Risk factors |
| 基金项目: |
|
| 摘要点击次数: 1072 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 分析高龄髋部骨折后二次骨折的相关因素,为预防再次骨折提供依据.方法 对2003年5月-2011年3月在保定市第二中心医院手术治疗的高龄髋部骨折患者327例进行随访,19例患者发生二次骨折,分析比较再骨折组与未骨折组的年龄、性别、卧床时间、Singh指数、抗骨质疏松治疗情况、生活环境(城市/农村)和合并症.结果 再发同侧股骨骨折5例,对侧髋部骨折14例,再骨折组与未骨折组比较年龄及性别均无明显差异,但再骨折组卧床时间长、Singh指数≤Ⅲ级患者比例高、农村患者比例高、抗骨质疏松药物应用率低、脑卒中及呼吸系统疾病所占比例较高,两组存在统计学差(P＜0.05).结论 农村患者髋部骨折术后二次骨折风险较高,术后卧床时间长、未规律应用抗骨质疏松药物、低Singh指数、合并脑卒中及呼吸系统疾病均为二次骨折的高危因素. |
| 英文摘要: |
| Objective To analyze the related factors of secondary fractures after the hip fractures in aged people, in order to provide basis for the prevention of secondary fractures. Methods Three hundred and twenty-seven aged patients with hip fractures, who received operation in the Second Central Hospital of Baoding from May 2003 to March 2011, were followed-up. Among them, 19 patients had secondary fractures. Age, gender, the duration in bed, Singh index, status of anti-osteoporosis treatment, living environment (city or country), and the complications were compared between patients with or without secondary fractures. Results Five patients had ipsilateral secondary femoral fractures. Fourteen patients had contralateral secondary hip fractures. Age and gender in both groups had no significant difference. But in re-facture group, the duration in bed was longer. The rate of patients with Singh index ≤ III grade was higher. The rate of patients living in the country was higher. The rate of applying anti-osteoporosis drugs was lower. The rate of patients with stroke and respiratory diseases was higher. And the difference between two groups was significant (P<0.05). Conclusion Patients living in the countryside have higher risks of secondary fractures after the operation for the hip fractures. Long duration in bed after the operation, irregular use of anti-osteoporosis drugs, low Singh indexes, and combined with stroke and respiratory diseases are high risk factors of secondary fractures. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|