Shao Jiashen, Jin Zhucheng, Liu Bo, Zhu Yanbin, Liu Song, Chen Wei, Zhang Yingze
Department of Orthopaedics, the Third Hospital of Hebei Medical University, Shijiazhuang Hebei, 050051, P.R.China.
Department of Orthopaedics, the Third Hospital of Hebei Medical University, Shijiazhuang Hebei, 050051,
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 Oct 15;33(10):1287-1290. doi: 10.7507/1002-1892.201804058.
To investigate epidemiological characteristics of geriatric hip fractures between 2010 and 2011 in Hebei province.
The digital radiography image data and basic information of patients above 60 years old with hip fractures (femoral neck fracture, femoral intertrochanteric fracture, and femoral head fracture) in 5 hospitals of Hebei province between January 2010 and December 2011 were analyzed retrospectively. All the data including patients' gender, age, and AO types were abstracted and analyzed to investigate the epidemiologic characteristics of geriatric hip fractures in Hebei province.
A total of 4 207 hip fracture patients above 60 years old were included, accounting for 59.61% of all patients with hip fractures and 26.24% of all fractures patients over 60 years old in the same period. There were 1 703 (40.48%) males and 2 504 (59.52%) females (M∶F=1∶1.47). The patients ranged in age from 61 to 99 years, with an average of 75.4 years; the majority of patients aged 70-79 years (43.97%) and the minority of the patients aged 90-99 years (2.02%); women of all ages were more than men, but the difference was not significant ( >0.05). According to AO classification, there were 2 118 cases (50.34%) of type 31-A, 2 004 case (47.63%) of type 31-B, and 85 cases (2.02%) of type 31-C. Except for the type 31-A1, 31-A3, and 31-C1 of 60-69 age group, and the type 31-A3 of 80-89 age groups, women were significantly more than men.
There are more women than men in hip fractures in Hebei province, and 70-79 age group is the high-risk age group of geriatric hip fractures. Among them, intertrochanteric comminuted fractures are common types.
探讨2010年至2011年河北省老年髋部骨折的流行病学特征。
回顾性分析2010年1月至2011年12月河北省5家医院60岁以上髋部骨折（股骨颈骨折、股骨转子间骨折和股骨头骨折）患者的数字X线摄影图像数据及基本信息。提取并分析包括患者性别、年龄及AO分型等所有数据，以研究河北省老年髋部骨折的流行病学特征。
共纳入4207例60岁以上髋部骨折患者，占同期所有髋部骨折患者的59.61%，占同期所有60岁以上骨折患者的26.24%。男性1703例（40.48%），女性2504例（59.52%）（男∶女 = 1∶1.47）。患者年龄范围为61至99岁，平均75.4岁；多数患者年龄在70 - 79岁（43.97%），少数患者年龄在90 - 99岁（2.02%）；各年龄段女性均多于男性，但差异无统计学意义（>0.05）。根据AO分型，31 - A型2118例（50.34%），31 - B型2004例（47.63%），31 - C型85例（2.02%）。除60 - 69岁年龄组的31 - A1、31 - A3和31 - C1型，以及80 - 89岁年龄组的31 - A3型外，女性均显著多于男性。
河北省髋部骨折患者中女性多于男性，70 - 79岁年龄组是老年髋部骨折的高危年龄组。其中，转子间粉碎性骨折是常见类型。
