老年患者骨密度與科室內股骨頸骨折的臨床相關性研究

侯朝銘　朱明雙　梁小利　楊麗萍

【摘要】 目的：探討老年股骨頸骨折患者骨密度與發生科室內股骨頸骨折的相關性，了解發生科室內股骨頸骨折的相關影響因素，從而減少科室內股骨頸骨折的發生率。方法：選取本科2009年1月-2016年12月期間17例科內股骨頸骨折患者作為觀察組，回顧性分析其臨床資料，并選取年齡、性別相同，入院原因及時間相似患者17例作為對照組，探討兩組間差異。結果：觀察組與對照組在臨床目標數據X線分級、骨密度T值、BMI指數比較結果差異均無統計學意義（P>0.05），而既往骨折次數比較差異有統計學意義（P<0.05）。結論：老年患者的骨密度與發生科室內股骨頸骨折無明顯相關性，與既往骨折次數關系密切，并受到環境因素、基礎疾病與藥物因素及其他相關因素影響。

【關鍵詞】 骨密度； 股骨頸骨折； 老年人

Study of the Relationship between Bone Mineral Density and Femur Neck Fracture in Senile Patients Inside Hospital Department/HOU Chao-ming，ZHU Ming-shuang，LIANG Xiao-li，et al.//Medical Innovation of China，2017，14（22）：115-118

【Abstract】 Objective：To determine bone mineral density and femur neck fracture in senile patients inside hospital department， in order to reduce the incidence of femoral neck fracture in senile patients.Method：Totally 17 senile patients with femoral neck fracture were selected and assigned into the experimental group from January 2009 to December 2016.Another 17 cases delivered during the same period of time and with no femoral neck fracture were randomly selected as control group.The differences of two groups were compared.Result：There were no significant difference between the experimental group and the control group in clinical data，X-ray grade，bone density of T，BMI index（P>0.05）.The number of previous fractures had statistically significant differences between two groups（P<0.05）.Conclusion：The bone mineral density of senile patients in our hospital is not significantly associated with femoral neck fracture，which is closely related to the number of previous fractures， and affected by environmental factors， underlying diseases，drug factors and other related factors.

【Key words】 Bone mineral density； Femoral neck fractures； The elderly

First-authors address：Chengdu University of TCM，Chengdu 611137，China

doi：10.3969/j.issn.1674-4985.2017.22.034

骨質疏松癥是一種以低骨量、骨組織的微結構破壞為特征，導致骨的強度降低、骨骼脆性增加和易引起骨折的全身性疾病，其最大危害在于骨折，以髖部骨折最常見，其中股骨頸骨折的發病率、死亡率及致殘率很高，且呈不斷上升的趨勢[1-2]。骨質疏松及其引起的股骨頸骨折已成為全球關注的有關公共健康的焦點和熱點。而老年性髖部骨折病例中88%與骨質疏松有關，它與骨折的關系十分復雜[3]。近年來，人口老齡化的問題在我國日顯突出，國家加大了社區衛生服務的建設，全科醫學也快速發展，醫療水平不斷提升。老年性骨折患者的總人數和發生率隨之升高[4]，在住院期間發生科室內非醫源性骨折的老年患者也在不斷增加[5]。尤其是股骨頸骨折的發生，給患者的身體和心理造成巨大的傷害，嚴重影響患者的生活質量，甚至引起生命危險，也給醫院和科室的臨床工作開展帶來困擾[6]。為此……