摘要
[目的]调查呼和浩特市60岁以上蒙古族人群桡骨远端骨折的流行病学特征。[方法]收集2007年3月-2015年3月呼和浩特市4所医院60岁以上742例（804侧）蒙古族桡骨远端骨折患者的临床资料,统计并分析其性别、年龄、受伤机制、骨折发生时间、骨折分型和治疗方式。[结果]近8年来蒙古族桡骨远端骨折患者发病率逐年上升,其中,女性患者明显多于男性（P〈0.05）;各年龄段分布差异有统计学意义（P〈0.05）,以70-74岁年龄段患者最多;摔倒伤是蒙古族桡骨远端骨折患者的主要受伤机制,也是女性患者的主要受伤机制,但高处坠落伤和交通伤、摔倒伤是男性患者的主要受伤机制;夏秋季是蒙古族桡骨远端骨折患者高发季节,同样是乡村居民患者的高发季节,但城市居民患者主要发生于秋冬季。Colles骨折发生率明显高于Smith骨折和Barton骨折（P〈0.05）,AO分型中以23-A3型最多见。保守治疗者明显多于手术治疗者（P〈0.05）,手法复位石膏外固定是主要治疗方式,其次为切开复位钢板内固定。[结论]60岁以上蒙古族桡骨远端骨折患者具有一定的分布特点。对于老年女性蒙古族患者应积极预防低能量摔倒伤导致的桡骨远端骨折,老年男性患者应主要预防高处坠落伤和交通伤、摔倒伤;对于蒙古族乡村居民患者夏、秋季是预防高峰,城市居民患者秋冬季是预防高峰;老年人群应特别注意预防骨质疏松症。
[Objective]Most of the epidemiological studies of distal radius fractures are on Han ethnic population,but it is rare in Mongolian ethnic population in recent years,thus,this paper aims to investigate the epidemiological features on Mongolian ethnics group over 60 years old in Hohhot.[Method]Clinical data of distal radial fractures in 742（ 804 sides） Mongolian patients over the age of 60 were collected from four hospitals in Hohhot from March 2007 to March 2015.The gender,age,mechanism of injury,fracture time,fracture classifications and treatment approaches were recorded.SPSS13.0 software was used for statistic analysis.[Result]The incidence of both male and female Mongolian patients with distal radius fractures increased year by year in the past eight years,among them,fracture happened in female more than in male,with significant difference（ P〈0.05）.Incidence of fracture differed in various distributions of age groups,with significant difference（ P〈0.05）,patients with the age of 66-75 years showed the highest fracture rate.Fall injury was major reason and mechanism of distal radius fractures,and was also major reason and mechanism of injury in female patients,whereas high dropping injury,traffic injury and fall down injury were main reasons and mechanism of injury in male patients.Summer and autumn were high fracture-related season for Mongolian population,and was also for rural residents,but fracture from urban residents occurred mainly in the autumn and winter.Colles fracture incidence was significantly higher than Smith fractures and Barton fractures（ P〈0.05）,23-A3-type was the most common in AO classification.Conservative treatment was more common than surgery treatment,with significant difference（ P〈0.05）,manual reduction and plaster immobilization was the main form of treatment,followed by open reduction and plate fixation.[Conclusion]Distal radius fracture in Mongolian ethnic patients over 60 years old in Hohhot has certain characteristics of the distribution.Elderly female patients of Mongolian should actively prevent low-energy fall down injury resulting distal radius fractures,elderly male patients should prevent primarily high falling injury,traffic injuries,and fall down injury.Summer and autumn are peak prevention seasons for Mongolian patients of rural residents,meanwhile autumn and winter are the peak prevention seasons in urban patients.Both male and female patients should pay special attention to the prevention of osteoporosis.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2015年第20期1863-1868,共6页
Orthopedic Journal of China
关键词
桡骨远端骨折
流行病学
调查研究
老年
distal radial fractures
epidemiology
investigation studies
elder people
