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| 上海市社区老年人骨质疏松性骨折的风险评估 |
| Risk assessment of osteoporotic fractures in the elderly in Shanghai communities |
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| DOI：10.3969/j.issn.1006.7108.2016.07.007 |
| 中文关键词: 骨质疏松；骨折；FRAX 危险因素 |
| 英文关键词:Osteoporosis Fracture FRAX Risk factors |
| 基金项目:上海市黄浦区卫生局科研项目（HKW201424) |
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| 中文摘要: |
| 目的 应用FRAX工具评估上海市社区老年人骨质疏松性骨折的风险。方法 收集1300例上海市社区老年人的临床资料并进行回顾性分析，应用FRAX工具计算10年内骨折发生风险，应用统计学分析不同危险因子与FRAX计算的骨折风险的相关性。结果 研究对象10年内发生主要部位骨质疏松性骨折发生风险为（6. 0±3.6)% ,髋部骨折的发生风险为（2.8 ± 2.4)%。主要部位骨质疏松性骨折风险及髋部骨折风险均随着年龄增长而增加。相关性研究结果显示，跌倒与10年主要部位和髋部骨折发生风险具有显著相关性（r=0. 134，P <0. 01 ;r= 0. 124，P <0. 01)。结论FRAX工具可用于评估上海市社区老年人骨质疏松性骨折的风险，建议在老年人健康体检时应用FRAX工具进行骨折风险评估。 |
| 英文摘要: |
| Objective To predict the osteoporotic fracture risk in the elderly in Shanghai communities using FRAX tool. Methods Clinical data of 1300 cases in Shanghai communities were collected for the retrospective analysis. FRAX tool was used to calculate risk of the major osteoporotic fractures. The relationship between different risk factors and the fracture risk predicted by FRAX was analyzed. Results The risk of 10-year major osteoporotic fractures was (6. 0 ± 3. 6)%，and the risk of hip fractures was
(2.8 ± 2. 4)% , The risk of the major osteoporotic fracture and hip fracture increased with age. Correlation analysis showed that in addition to the risk factors involved in the FRAX tool, fall was significant correlated with 10-year probability of major fracture and hip fracture (r = 0. 134, P < 0. 01;r = 0, 124, P < 0. 01，respectively). Conclusion FRAX tool can be applied to predict the osteoporotic fracture risk in the elderly in Shanghai communities. We recommend that it should be included in routine health check-up. |
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