首页|某医院跌倒致髋骨、股骨、胫骨骨折老年患者流行病学特征及护理要点

某医院跌倒致髋骨、股骨、胫骨骨折老年患者流行病学特征及护理要点

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目的:分析并比较不同类型骨折老年患者流行因素的差异。方法:对 2018 年 10 月—2019 年 10 月中国人民解放军联勤保障部队第九一〇医院骨科收治的 4 396 例因跌倒致骨折的老年患者进行回顾研究。描述并比较不同类型骨折患者流行病学因素(性别、骨折部位、年龄、分型等)的差异。结果:4 396 例患者中,髋骨骨折 2 208 例、股骨骨折 1 382 例、胫骨骨折 1 104 例。髋骨骨折患者骨折部位、年龄、骨折分型比较,差异有统计学意义(P<0。05),以左侧(占 54。12%)、71~80 岁(占 41。30%)、31-B型(占 53。58%)患者为主。股骨骨折患者性别、骨折部位、年龄、AO分型比较,差异有统计学意义(P<0。05),以女性(占 55。28%)、左侧(占 53。98%)、71~80 岁(占 45。15%)、AO分型 31-A2型(占 58。47%)患者为主。胫骨骨折患者骨折部位、年龄、Schatzker分型比较,差异有统计学意义(P<0。05),以左侧(占56。43%)、71~80 岁(占 47。46%)、Schatzker分型Ⅱ型(占 23。91%)患者为主。结论:因跌倒致骨折的老年患者多集中在71~80 岁,且主要发生于左侧,髋骨骨折骨折分型以 31-B为主,股骨骨折分型主要以 31-A2 为主,胫骨骨折分型主要以Ⅱ型和Ⅲ型为主。
Epidemiological Characteristics and Nursing Highlights of Elderly Patients with Hip,Femur and Tibia Fractures Caused by Falls in a Hospital
Objective:To analyze and compare the difference of the prevalence factors in elderly patients with different types of fractures.Method:A retrospective study was conducted on 4 396 elderly patients with fractures caused by falls admitted to the orthopedics department of the hospital.Describing and comparing the differences in epidemiological factors(gender,fracture site,age,type)among patients with different types of fractures.Result:Among the 4 396 patients,there were 2 208 hip fractures,1 382 femoral fractures and 1 104 tibial fractures.There were statistically significant differences in the fracture site,age and fracture type composition of hip fracture patients(P<0.05),and the patients with left side(54.12%),71~80 years old(41.30%)and 31-B type(53.58%)were dominant.There were statistically significant differences in comparation of gender,fracture site,age and AO type composition of patients with femoral fracture(P<0.05),and the majority of patients were female(55.28%),left(53.98%),71~80 years old(45.15%),and AO type 31-A2(58.47%).Patients with fracture of tibial fracture type,age,Schatzker points of difference was statistically significant(P<0.05),the left side(56.43%),71~80(47.46%),Schatzker type Ⅱ type(23.91%)patients.Conclusion:To fracture of elderly patients are mostly by the fall in 71-80,and mainly in the left,hip fracture classification is given priority to with 31-B,femur fracture classification are mainly composed of 31-A2,tibia fracture classification mainly Ⅱ type and Ⅲ type.

HipFemurTibiaFallFractureEpidemiological characteristics

高喜、唐小燕、李萍、陈荣治、郑移真

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中国人民解放军联勤保障部队第九一〇医院 福建泉州 362000

髋骨 股骨 胫骨 跌倒 骨折 流行病学特征

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(21)