2008年至2012年河北医科大学第三医院老年踝关节损伤的流行病学研究
Epidemiological analysis of elderly ankle injury in the Third Hospital of Hebei Medical University from 2008 through 2012
杨延江 1董天华 1杜晨光 1杨宗酉 1陈伟 1吕红芝 1刘磊 1孙家元 1王海立 1殷兵 1刘勃 1刘松 1张英泽1
作者信息
- 1. 050051石家庄，河北医科大学第三医院创伤急救中心，河北省骨科研究所，河北省骨科生物力学重点实验室
- 折叠
摘要
目的：分析2008年至2012年期间河北医科大学第三医院老年踝关节损伤的流行病学特征。方法对2008年1月至2012年12月河北医科大学第三医院收治的646例老年踝关节损伤患者的资料进行回顾性分析，记录患者的性别、年龄以及骨折部位等数据。根据年龄分为3个年龄段：60～69岁，70～79岁，≥80岁，总结5年间老年踝关节损伤的流行病学特征。结果共收集646例老年踝关节损伤患者，男231例（35.76%）、女415例（64.24%），男女比为1︰1.80；损伤高发年龄段为60～69岁（62.38%）；44-A型损伤303例（46.90%），44-B型损伤249例（38.55%），44-C型损伤94例（14.55%）。44-A型和44-B型损伤女性所占比例高于男性，44-C型损伤男性高于女性，男女患者AO分型间差异有统计学意义（χ2=31.440，P＜0.001）。60～69岁以及80岁以上的老年患者，各分型男女构成差异有统计学意义（P＜0.001，P=0.007）。结论老年踝关节损伤高发年龄段为60～69岁，女性多于男性，损伤高发类型为44-A型。
Abstract
ObjectiveTo analyze the epidemiological features and trends of elderly ankle injury from 2008 through 2012 in the Third Affiliated Hospital of Hebei Medical University. MethodsThe clinical data were collected from elderly patients with ankle injury who had been treated between January 2008 and December 2012 in our hospital. The characteristic information of this injury was collected in terms of gender, age and fracture type based on AO classification. The patients were assigned into four groups according to age group, age 60-69 years, 70-79 years, and over 90 years. ResultsA number of 646 elderly patients with ankle injury were collected, including 231 males and 415 females. The total male/female ratio was 1:1.80. The ankle injury predominated in an age group of 69 to 79 years (62.38%). There were 303 cases (46.90%) of type 44-A, 249 ones (38.55%) of type 44-B and 94 ones (14.55%) of type 44-C. The differences in gender distribution and AO fracture type distribution were statistically significant (χ2=31.440,P<0.001). The differences in gender distribution in each fracture type were statistically significant in the 60-69 age group and more than 80 years old group (P<0.001, P=0.0070.ConclusionThe peak age of adult malleolar injury was from 60 to 69 years. There were more female patients than male. 44-A was the most common fracture type based on AO classification system.
关键词
老年人/踝损伤/流行病学/性别分布/年龄分布Key words
Aged/ankle Injuries/Epidemiology/Sex distribution/Age distribution引用本文复制引用
基金项目
河北省卫生厅医学科学研究重点课题指令性计划项目(20150284)
出版年
2015
NETL
NSTL
维普
万方数据