2006 - 2007年芬兰老年人面部骨折的病因
Etiology of facial fractures in elderly Finns during 2006-2007.
作者信息
Toivari Miika, Helenius Miia, Suominen Anna Liisa, Lindqvist Christian, Thorén Hanna
机构信息
Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital and Helsinki University, Helsinki, Finland.
Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital and Helsinki University, Helsinki, Finland.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Nov;118(5):539-45. doi: 10.1016/j.oooo.2014.06.016. Epub 2014 Jul 3.
OBJECTIVE
The purpose of the present study was to clarify the trauma mechanisms and resulting facial fractures in geriatric patients and to compare them with those of younger adults.
STUDY DESIGN
A cohort of 117 geriatric patients was compared with 136 patients aged 20 to 50 years. The statistical significance of differences between the age groups was evaluated with χ(2) tests.
RESULTS
Falls on the ground were significantly more frequent among geriatric patients (P < .001), whereas assault was more frequent in controls (P < .001). Accident rates in geriatric patients were significantly higher during the winter months (P = .04). Fractures of the midface in general (P = .001) and of the nasal bone (P = .004) and orbit (P = .015) in particular were more frequent in geriatric patients.
CONCLUSIONS
Age-related factors and preexisting medical problems predispose the elderly to falls and subsequent fractures. Footwear traction devices are recommended during the cold season. Orbital fractures should be strongly suspected in the elderly.
目的
本研究旨在阐明老年患者的创伤机制及由此导致的面部骨折情况，并将其与年轻成年人进行比较。
研究设计
将117名老年患者与136名年龄在20至50岁之间的患者进行队列比较。采用χ(2)检验评估年龄组之间差异的统计学意义。
结果
老年患者中摔倒在地的情况明显更为常见（P <.001），而对照组中遭受攻击的情况更为常见（P <.001）。老年患者在冬季的事故发生率明显更高（P =.04）。总体而言，老年患者中面中部骨折（P =.001），尤其是鼻骨骨折（P =.004）和眼眶骨折（P =.015）更为常见。
结论
与年龄相关的因素和既往存在的医疗问题使老年人更容易摔倒及随后发生骨折。在寒冷季节推荐使用鞋类牵引装置。应高度怀疑老年人存在眼眶骨折。
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