Kerr H, Capell H
Centre for Rheumatic Diseases, Glasgow Royal Infirmary, 84 Castle Street, Glasgow.
Health Bull (Edinb). 2000 Sep;58(5):421-3.
To audit the management of females presenting to Accident and Emergency department with a diagnosis of low impact Colles fracture.
Telephone questionnaire of 50 patients who attended A & E in 1998 with diagnosis of Colles fracture
Glasgow Royal Infirmary within North Glasgow catchment area.
Women between 45-79 years of age who attended Accident and Emergency Department in 1998 with a diagnosis of low impact Colles fracture.
Mean age was 63 years (range 44-78): ninety percent were post menopausal and 40% of the total group were smokers. Twenty six percent had a positive family history of osteoporosis, 24% had undergone hysterectomy and 88% took no part in any load bearing exercise. Ten percent (n = 5) were on treatment (1 alendronate, 3 etidronate with calcium, 1 hormone replacement therapy)
A significant proportion of our study population have multiple risk factors for osteoporosis which are not being addressed. Raising awareness in orthopaedic surgeons, family doctors and patients is urgently required.
审核急诊科收治的诊断为低暴力柯莱斯骨折的女性患者的管理情况。
对1998年就诊于急诊科且诊断为柯莱斯骨折的50例患者进行电话问卷调查。
北格拉斯哥服务区域内的格拉斯哥皇家医院。
1998年就诊于急诊科且诊断为低暴力柯莱斯骨折的45至79岁女性。
平均年龄为63岁（范围44 - 78岁）；90%为绝经后女性，总样本中有40%为吸烟者。26%有骨质疏松症家族史阳性，24%接受过子宫切除术，88%未参加任何负重锻炼。10%（n = 5）正在接受治疗（1例使用阿仑膦酸盐，3例使用依替膦酸盐加钙，1例使用激素替代疗法）。
我们研究人群中有很大比例存在未得到处理的骨质疏松症多重危险因素。迫切需要提高骨科医生、家庭医生和患者的认识。
