摘要
目的:应用循证医学探讨福利院中老年骨折的特点(原因、好发部位、骨折时骨骼的状态)。方法:在循证医学指导下对福利院369名老年人中3年间发生骨折的病人进行X线摄片和骨密度、骨生化代谢指标测定。结果:369人中有73人骨折,其中50人患中度以上骨质疏松症;骨生化测定仅骨钙素与骨密度呈正相关;骨折常见于髋、腕和脊柱等部位。结论:骨质疏松为老年骨折的主要原因,骨密度下降提示骨折的可能性增高;髋、腕和脊柱是老年骨折好发部位。
Objective：To study the trait of old fracture use EBM in welfare center（cause;frequently- occurring position;from）. Methods：Using X- ray;bone mineral density index and bone biochemistry measure 369 cases of old fracture who have been fracture in three years through means of Evidence - based medicine. Results： 73 cases of them have fracture, 50 old fractures were secondary degree osteoporosis, ostecalain is in proportion to bone mineral density, frequently- occurring positions were hip; wrist and vertebral column. Conclusions： Osteoporosis is principal reason of old fracture, Descent of bone mineral density represents that possibility of old fracture is heighten, hip; wrist and vertebral column are frequently - occurring position.
出处
《中国民康医学》
2006年第6期161-163,共3页
Medical Journal of Chinese People’s Health
关键词
循证医学
老年骨折
骨密度
骨质疏松
evidence- based medicine
old fracture
bone mineral density
osteoporosis
