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The Epidemiology Analysis Of Fractures In2454Elderly People In Xinjiang

Posted on:2015-03-11Degree:MasterType:Thesis
Country:ChinaCandidate:R Y ZhangFull Text:PDF
GTID:2254330428974172Subject:Surgery
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Objective With the development of an aging in the society, there hasbeen an aging society in the late20th century in our country. By the end of the20th century in the fifth census, the population of upper60years in ourcountry has been more than130million, accounting for about11%of thepopulation in our country. The elderly, especially postmenopausal womenoften accompanied by degenerative bone mass and bone microstructureregression, lots of old people are with osteoporosis. Low energy damageusually lead to fracture, the fracture features is different from the young andmiddle-aged people. Xinjiang is located in the northwestern of China, theelderly fracture characteristics are different from other domestic regions. Inorder to understand senile fracture damage characteristics and damagemechanism in xinjiang, the study random surveyed and analyzed2454patientsin five hospitals, provide a reference for the prevention, diagnosis andtreatment of senile fracture.Methods The data of2454patients with ankle injury are collectedthrough the PACS system and case reports checking system, and analyzed.Gathering the demographic information, medical record data, fracture X rayfilm, etc. Recorded the patient’s age, sex, side of fracture; Using medicalrecord query system to investigate causes, etc. Fracture classification usingAO classification analysis, and according to Denis classification evaluationcharacteristics of spinal injury. The quality was responsible for qualificationorthopaedic chief physician and a radiology archiater. The data was statisticalanalysed by two statistical practitioners using SPSS(SPSS, IL, USA). Thedifference between gender and age distribution was using nonparametric tests.The difference between age groups and AO type using square test. P<0.05wasconsidered have a significance. Results2454patients with ankle injuries are included in the retrospectivestudy. There are more women than men in the group and no difference in side.The age distribution is positive skewness. The largest proportion of patientswas between61and70years old group. Statistical analysis showed that theage distribution was statistically difference in gender. There were no statisticalsignificant differences in side. The number of thoracolumbar vertebralfractures,distal radius fractures and hip fractures was in the top three. Thesefractures were given priority to with compression fractures, fractures of type Aand fractures of type C, respectively. The falls are the major cause of injury.Conclusion The senile fracture in Xinjiang is given priority to withspinal fractures, accounting for49.07%. The second was the distal radiusfractures, accounting for11.02%. And the third was proximal femoralfractures, accounting for6.97%. Most of fractures were caused by low energydamage,61.21%of the patients were caused by fall. This prompted the elderlypatients with fracture in xinjiang were seriously influenced by osteoporosis.Compared to men, the number of female patients was lager, the ages offracture was younger, and the characteristics of osteoporotic fracture is moreobvious. So, in order to prevent fracture, the elder should do more exerciseand add dietary nutrition. Active prevention and treatment should be given forsenile osteoporosis.
Keywords/Search Tags:Epidemiology analysis, fracture, elder people, AOclassification, osteoporosis
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