【摘要】 目的:调查分析杭州市50岁以上人群(2010年杭州人口870.04万人)2000年～2005年间和2006年～2010年间的骨质疏松性髋部骨折发病率及其流行病学特点,分析比较不同阶段、不同性别发病率的差异。方法:随机选取杭州市8所三级甲等医院的病案室收集的骨质疏松性髋部骨折的(主要包括股骨颈骨折和股骨粗隆部骨折)病例记录,排除了非骨质疏松性髋部骨折及非本市户口的病例等因素,对50岁及以上年龄组的发病情况进行分析比较。结果:2000年～2005年间和2006-2010年间的骨质疏松性髋部骨折发病率依为119.1和137.73(1/10万,下同);50岁以上骨质疏松性髋部骨折总发病率为58.7,国际标化后发病率为61.7,女性国际标化后发病率为80.62,男性的国际标化后发病率为45.4,女性的发病率明显高于男性的发病率(P<0.05)。结论:杭州市2000年～2010年间50岁以上人群骨质疏松性髋部骨折的发病率女性明显高于男性;10年间骨质疏松性髋部骨折的骨折类型有性别差异(P<0.005),手术治疗方式远高于保守治疗(P<0.005)。男性骨质疏松性髋部两类型骨折的平均年龄差有统计学意义(P<0.05)。秋、冬季是骨质疏松性髋部骨折一年四季中发病人数最高的季节。更多还原

【Abstract】 Objective:To investigate the incidence and epidemiological features of osteoporotic hip fracture in persons over 50 years old in Hangzhou area(8700400 people in 2010) from 2000 to 2005 and from 2006 to 2010,and to analyze the difference of incidence in different gender and age.Methods:Excluding the cases of non-osteoporotic hip fractures and not in Hangzhou city,the cases of osteoporotic hip fractures randomly collected from 8 grade III-A hospitals in Hangzhou were compared to analyze the incidence in patients over 50 years old.Results:The incidence of osteoporotic hip fracture was 119.1/100000 during 2000 and 2005 while 137.73/100000 during 2006 and 2010.The total incidence of hip fracture in patients over 50 years old was 58.7/100000,and the international standardized incidence was 61.7/100000.The international standardized incidence of osteoporotic hip fracture was 80.62/100000 in female and 45.4/100000 in male,and the difference was significant between male and female(P<0.05).Conclusion:Compared among patients over 50 years old,the incidence of osteoporotic hip fracture in female was higher than that in male during 2000 and 2010 in Hangzhou.There was gender difference in osteoporotic hip fracture type during the 10 years(P<0.005).The patients underwent surgery were more than those underwent conservative therapy(P<0.005).There was age-related difference between two types of osteoporotic hip fracture in male(P<0.005).Autumn and winter were the seasons with higher incidence rate of osteoporotic hip fracture.更多还原