老年医学与保健2018，Vol.24Issue(2)：188-190,3.
老年骨质疏松性骨折临床特点及随访调查研究
Clinical Features and Follow-up Studies of Senile Osteoporotic Fractures
摘要
Abstract
Objective To investigate the clinical features and the prognosis of the elderly over 60 years old with osteoporotic fractures.Methods Clinical data of 651 patients (at the age of 60 years old and over) with osteoporotic fractures hospitalized in Huashan Hospital during the period from Jan,2010 to Dec.,2014 were collected,including fracture types,age,sex and injury causes and statistical analysis was made;telephone follow-up was performed on survival,death causes,cognition and daily living ability among the patients having been operated on for over 3 years,ad their condition was compared with that before operation.Result A total of 651 elderly fractures were collected;the average age of disease onset was (76.90±9.05) years old with the sex ratio of 1∶2.72 (M/F),and no statistical difference was found in onset age between the male and the female (t=1.413,P=0.158);hip fracture took up the biggest proportion in occurrence (68.82％);the average onset age of intertrochanteric fracture was older than that of femoral neck fracture (FFNF),the difference was of statistical significance (P＜0.001);89.15％ of the cases were combined with other diseases,among the more diseases the cases combined with,the less operations were performed and the longer the duration of hospitalization was;most fractures occurred in winter (25.79 ％);self falling down was main cause in the cases (73.11％) and over half of the fractures took place at home (60.48 ％);the ratio of hip fracture involved in the left was higher than that in the right while that of humeral fractures was just the opposite;the ratio of wrist fractured in the left was same with that in the right;thoracic vertebral fractures mainly occurred in T12 and T11 while lumbar vertebral fracture in L1 and L2;cognition and daily living ability of the cases with hip fractures decreased most obviously and the death rate within 3 years after operation was the highest;lung infection was the key death cause;the fracture recurrence in cases with intertrochanteric fracture was the highest.Conclusions The female elderly are more prone to having osteoporotic fractures;hip fractures are the most common and mainly involved in the left;the average onset age of intertrochanteric fracture is higher than that of FFNF;hip fractures lead to greatest harm to the survival and quality of life and has the highest death rate within 3 years;lung infection places first in death causes;combination with more diseases means less opportunity for surgery and prolonged hospitalization duration.关键词
骨质疏松性骨折/老年/临床特点/随访Key words
osteoporotic fracture/elderly/clinical features/follow-up引用本文复制引用
甘露,张玉,朱敏,郑熙..老年骨质疏松性骨折临床特点及随访调查研究[J].老年医学与保健,2018,24(2):188-190,3.基金项目
上海市卫生系统重要疾病配合攻关项目(2013ZYIB0801) （2013ZYIB0801）
