Yang Yang, Lin Xiangjin
Department of Orthopedics, the First Affiliated Hospital of Zhejiang University, Hangzhou 310006, China.
Department of Orthopedics, the First Affiliated Hospital of Zhejiang University, Hangzhou 310006, China. Email:
Zhonghua Liu Xing Bing Xue Za Zhi. 2014 Apr;35(4):446-8.
To analyze the epidemiological features of hip fraction, and to improve the intervention program on this disease.
To investigate the clinical data of the patients with hip fraction who were treated at local hospitals, from Jan. to Dec., 2012. Information regarding sex, age, site and cause of the fracture was analyzed.
877 cases were treated at the local hospitals; including 516 males (58.84%) and 361 females (41.16%). The overall incidence of hip fraction was 10.0/100 000, with 11.2/100 000 in males and 8.8/100 000 in females. The incidence was higher in males than that in females (χ² = 4.281, P = 0.033). Age distribution of the patients was: 344 cases in age 71-82 (39.22%), 196 cases in age 61-70 (22.35%) and 185 cases in age 51-60 (21.09%). Transcervical fracture appeared more than intertrochanteric fracture of femur (χ² = 21.423, P < 0.001), with males more than females in both fractures on femur (χ² = 12.816, P < 0.001; χ² = 13.773, P < 0.001). The top 3 factors causing hip fractions would contain tumble (64.88%), falling (20.07%) and traffic accident (10.49%).
Incidence of hip fraction would increase with age with tumble as the major cause to it.
分析髋部骨折的流行病学特征，以改进该病的干预方案。
调查2012年1月至12月在当地医院接受治疗的髋部骨折患者的临床资料。分析有关性别、年龄、骨折部位和原因的信息。
当地医院共治疗877例患者；其中男性516例（58.84%），女性361例（41.16%）。髋部骨折的总体发病率为10.0/10万，男性为11.2/10万，女性为8.8/10万。男性发病率高于女性（χ² = 4.281，P = 0.033）。患者的年龄分布为：71 - 82岁344例（39.22%），61 - 70岁196例（22.35%），51 - 60岁185例（21.09%）。经颈骨折比股骨转子间骨折更常见（χ² = 21.423，P < 0.001），股骨的这两种骨折均为男性多于女性（χ² = 12.816，P < 0.001；χ² = 13.773，P < 0.001）。导致髋部骨折的前3个因素依次为跌倒（64.88%）、坠落（20.07%）和交通事故（10.49%）。
髋部骨折的发病率随年龄增长而增加，跌倒为主要原因。
