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中华老年骨科与康复电子杂志 ›› 2021, Vol. 07 ›› Issue (01) : 4 -8. doi: 10.3877/cma.j.issn.2096-0263.2021.01.002

所属专题: 骨科学 文献

老年骨科流行病学

2015至2019年河北医科大学第三医院老年踝关节骨折的流行病学特征分析
张弢1, 俞光荣2, 朱燕宾1, 秦士吉1, 张英泽1,()   
  1. 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,国家卫生健康委骨科智能器材实验室
    2. 200065 上海,同济大学附属同济医院足踝外科
  • 收稿日期:2020-12-05 出版日期:2021-02-05
  • 通信作者: 张英泽
  • 基金资助:
    河北省高等学校自然科学青年拔尖人才项目(BJ2016036)

Asingle center analysis for the epidemiological characteristics of eldly ankle fractures from Third Hospital of Hebei Medical University from 2015 to 2019

Tao Zhang1, Guangrong Yu2, Yanbin Zhu1, Shiji Qin1, Yingze Zhang1,()   

  1. 1. Department of Orthopaedic Surgery, the Third Hospital of HebeiMedical University, Orthopedic Research Institution of Hebei Province, Key Laboratory of Orthopedic Biomechanics of Hebei Province, NHC Key Laboratory of Intelligent Orthopeadic Equipment, Shijiazhuang 050051, China
    2. Department of Foot and Ankle Surgery, Tongji Hospital of Tongji University, Shanghai 200065, China
  • Received:2020-12-05 Published:2021-02-05
  • Corresponding author: Yingze Zhang
引用本文:

张弢, 俞光荣, 朱燕宾, 秦士吉, 张英泽. 2015至2019年河北医科大学第三医院老年踝关节骨折的流行病学特征分析[J/OL]. 中华老年骨科与康复电子杂志, 2021, 07(01): 4-8.

Tao Zhang, Guangrong Yu, Yanbin Zhu, Shiji Qin, Yingze Zhang. Asingle center analysis for the epidemiological characteristics of eldly ankle fractures from Third Hospital of Hebei Medical University from 2015 to 2019[J/OL]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2021, 07(01): 4-8.

目的

回顾2015至2019年就诊于河北医科大学第三医院的老年踝关节骨折的临床及影像学资料,分析老年踝关节骨折的流行病学特征。

方法

利用医学影像计算机存档系统及电子病历查询系统对患者相关数据进行提取。分析老年踝关节骨折年龄分布、性别分布、侧别分布、体重指数,AO分型等特征。

结果

本研究共纳入376例老年踝关节骨折患者,患者年龄60~95岁,平均(66.33±6.01)岁,其中男性153例(40.69%),女性223例(59.31%),男女性别比为1∶1.46。60~69岁年龄组骨折占比最高(78.19%)。依据不同性别分组的老年踝关节骨折患者,其侧别构成具有统计学差异。根据AO/OTA分型,44-A型167例(44.41%),44-B型157例(41.76%),44-C型52例(13.83%)。患者平均体重指数(BMI)为24.86 kg/m2(16.04 kg/m2~36.65 kg/m2)。所有患者中,合并糖尿病患者55例(14.63%),合并高血压患者112例(29.79%)。

结论

老年踝关节骨折60~69岁年龄段占比最高,女性骨折风险高于男性。男性踝关节骨折发病右侧多于左侧。

Objective

From 2015 to 2019, aged people with ankle fractures admitted to the Third Hospital of Hebei Medical University were collected, whose clinical and imaging data were retrospectively analyzed to evaluate the epidemiological characteristics of ankle fractures in the elderly.

Methods

The data of patients were summarized by using Picture Archiving and Communication System (PACS) and Hospital Information System (HIS). The characteristics of age distribution, sex distribution, side distribution, Body Mass Index (BMI) and AO classification of ankle fractures in the elderly patients were analyzed.

Results

A total of 376 elderly patients with ankle fracture were included in this study, aged 60 to 95 years old, with an average of (66.33±6.01) years old, including 153 males (40.69%) and 223 females (59.31%), with a male-female ratio of 1:1.46. The highest incidence of fracture was in the age group of 60 to 69 years old (78.19%). There was statistical difference in the side distribution among different gender groups of elderly patients with ankle fracture. According to AO/OTA classification, there were 167 cases (44.41%) of 44-A, 157 cases (41.76%) of 44-B, and 52 cases (13.83%) of 44-C. The mean BMI of the patients was 24.86 kg/m2 (16.04 kg/m2 to 36.65 kg/m2). Among all the patients, 55 patients (14.63%) had a history of diabete and 112 patients (29.79%) were diagnosed with hypertension.

Conclusion

The highest incidence of fracture was in the age group of 60 to 69 years old, and the risk of fracture in women is higher than that in men. Anklef ractures are more likely to occur on the right side in men.

表1 不同年龄老年踝关节骨折患者的性别分布特点[例(%)]
表2 不同性别老年踝关节骨折患者患者的受伤侧别分布特点[例(%)]
表3 老年踝关节骨折患者不同年龄段AO分型分布[例(%)]
表4 不同年龄段老年踝关节骨折患者依据AO分型的性别分布特点[例(%)]
图1 376例老年踝关节骨折患者致伤因素分布特征
图2 376例老年踝关节骨折患者依据不同体重指数分组分布图
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