老年女性桡骨远端骨折后再骨折的危险因素分析及预防建议(1)
[摘要] 目的 分析老年女性橈骨远端骨折后再骨折的危险因素并制订预防建议。 方法 回顾性分析2015年4月～2017年4月石家庄市第三医院创伤一科接收的160例老年女性桡骨远端骨折患者的资料，根据再骨折发生情况分为发生组(45例)和未发生组(115例)，应用单因素和多因素Logistic回归分析法明确影响老年女性桡骨远端骨折后再骨折的危险因素。 结果 两组高血压、冠心病、糖尿病、骨折类型、合并下尺桡关节脱位、合并尺骨茎突骨折、治疗方式、外固定时间、残留关节面不平整、血清磷(P)、钙(Ca)、降钙素(CT)及Ⅰ型胶原氨基端前肽(PINP)水平患者的构成比比较差异无统计学意义(P > 0.05)，发生组年龄>80岁、骨水泥渗漏、骨质疏松、未进行抗骨质疏松治疗、25-OH-D<8.0 ng/mL患者的构成比与未发生组比较显著较高(P < 0.05)，且均是导致骨折后再骨折的独立危险因素(P < 0.05)。 结论 引起老年女性桡骨远端骨折后再骨折的危险因素较多，临床需高度重视并强化预防措施。
[关键词] 老年人；桡骨远端骨折；再骨折；危险因素；预防
[中图分类号] R683.42 [文献标识码] A [文章编号] 1673-7210(2019)04(c)-0069-04
Analysis of risk factors and prevention of secondary fracture of distal radius fracture in elderly women
LI Yan CHANG Junying MU Weilu JIA Dongzhao WANG Yanzhi XING Zhaoguo GAO Yang
The First Department of Traumatology， the Third Hospital of Shijiazhuang City， Heibei Province， Shijiazhuang 050000， China
[Abstract] Objective To analyze the risk factors of secondary fracture of distal radius fractures in elderly women and to make recommendations. Methods Clinical data of 160 elderly patients with distal radius fractures received by the First Department of Traumatology， the Third Hospital of Shijiazhuang City from April 2015 to April 2017 were respectively analyzed. According to the occurrence of re-fracture， they were divided into occurrence group (45 cases) and non-generation group (115 cases). The risk factors for the secondary fracture of distal radius fractures in elderly women were determined by single factor and multivariate Logistic linear regression analysis. Results There were no differences in the rates of hypertension， coronary heart disease， diabetes， type of fracture， combined distal radioulnar joint dislocation， ulna styloid process fracture， treatment， external fixation time， residual articular surface unevenness， serum phosphorus (P)， calcium (Ca)， calcitonin (CT ) and type Ⅰ collagen amino terminal propeptide (PINP) levels of the patients between the two groups (P > 0.05). The rates of age > 80， bone cement leakage， osteoporosis， no anti-osteoporosis treatment， 25-OH-D < 8.0 ng/mL of the occurrence group were significantly higher than those of the non-occurrence group (P < 0.05)， which were the independent risk factors for secondary fracture of distal radius fractures (P < 0.05). Conclusion There are many risk factors for secondary fracture of distal radius fractures in elderly women， clinical needs to attach great importance to and strengthen preventive measures., 百拇医药(李炎 常军英 穆卫庐)
[关键词] 老年人；桡骨远端骨折；再骨折；危险因素；预防
[中图分类号] R683.42 [文献标识码] A [文章编号] 1673-7210(2019)04(c)-0069-04
Analysis of risk factors and prevention of secondary fracture of distal radius fracture in elderly women
LI Yan CHANG Junying MU Weilu JIA Dongzhao WANG Yanzhi XING Zhaoguo GAO Yang
The First Department of Traumatology， the Third Hospital of Shijiazhuang City， Heibei Province， Shijiazhuang 050000， China
[Abstract] Objective To analyze the risk factors of secondary fracture of distal radius fractures in elderly women and to make recommendations. Methods Clinical data of 160 elderly patients with distal radius fractures received by the First Department of Traumatology， the Third Hospital of Shijiazhuang City from April 2015 to April 2017 were respectively analyzed. According to the occurrence of re-fracture， they were divided into occurrence group (45 cases) and non-generation group (115 cases). The risk factors for the secondary fracture of distal radius fractures in elderly women were determined by single factor and multivariate Logistic linear regression analysis. Results There were no differences in the rates of hypertension， coronary heart disease， diabetes， type of fracture， combined distal radioulnar joint dislocation， ulna styloid process fracture， treatment， external fixation time， residual articular surface unevenness， serum phosphorus (P)， calcium (Ca)， calcitonin (CT ) and type Ⅰ collagen amino terminal propeptide (PINP) levels of the patients between the two groups (P > 0.05). The rates of age > 80， bone cement leakage， osteoporosis， no anti-osteoporosis treatment， 25-OH-D < 8.0 ng/mL of the occurrence group were significantly higher than those of the non-occurrence group (P < 0.05)， which were the independent risk factors for secondary fracture of distal radius fractures (P < 0.05). Conclusion There are many risk factors for secondary fracture of distal radius fractures in elderly women， clinical needs to attach great importance to and strengthen preventive measures., 百拇医药(李炎 常军英 穆卫庐)