北京市东部地区髋部骨折发病特点及防治研究
Study on the characteristics and prevention of hip fracture in eastern Beijing
  
DOI:10.3969/j.issn.1006.7108.2020.04.018
中文关键词:  髋部骨折  骨质疏松  发病特点  流行病学研究
英文关键词:hip fractures  osteoporosis  onset features  epidemiologic study
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作者单位
马仲锋1* 冯国英2 齐明2 1. 北京市通州区新华医院骨科北京 101100 2. 北京市通州区中西医结合医院骨科北京 101100 
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中文摘要:
      目的 调查北京市东部地区髋部骨折的流行病学状况,探讨髋部骨折的发病特点及防治意义。方法 收集北京市东部地区三家医院2011年至2018年髋部骨折病例1354例,设计图表进行研究,对髋部骨折的发病特点进行分析,探讨防治意义。结果 1354例髋部骨折患者,男性474例,女性880例,男女比例为1:1.86;65~74岁患者342例,占25.26%,75~84岁患者527例,占38.92%。其中股骨颈骨折592例,股骨粗隆间骨折762例,比例为1:1.29。致伤原因:跌倒1173 例,占所有髋部骨折患者的比例为86.63% ;坠落伤128例,比例为9.45% ;交通事故及其他伤53例,比例为3.91% 。跌倒为主要致伤原因。结论 髋部骨折 65~84岁高发,女性多于男性,重点是预防跌倒及骨质疏松症。
英文摘要:
      Objective To investigate the epidemiological status of hip fracture in eastern Beijing, and to discuss the characteristics of hip fracture and its prevention and treatment. Methods Data of a total of 1354 patients with hip fracture from 2011 to 2018 were collected from three hospitals in eastern Beijing, and the charts were designed for research. The characteristics of hip fracture were analyzed, and the significance of prevention and treatment was discussed. Results A total of 1354 patients had hip fractures, including 474 men and 880 women, with a ratio of 1:1.86; 342 patients were in the age group of 65-74 years, accounting for 25.26 %, and 527 patients in the age group of 75-84 years, accounting for 38.92 %. There were 592 cases of femoral neck fracture and 762 cases of intertrochanteric fracture, with a ratio of 1:1.29. Causes of injury: 1173 cases were because of falls, accounting for 86.63% of all patients with hip fracture. There were 128 cases of falling injury, and the ratio was 9.45%. There were 53 traffic accidents and other injuries, and the ratio was 3.91%. Fall is the main cause of injury. Conclusion Hip fractures are more common in women than men between the ages of 65-84 years, and emphasis should be given on falls prevention and osteoporosis.
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