宁波地区515例老年髋部骨折患者的临床特征OACSTPCD

Objective To retrospectively analyze the characteristic of 515 elderly (158 cases of male, 357 ca-ses of female , 60 years old to 96 years old ) with hip fracture in Ningbo .Methods From January 2010 to December 2012 , 515 cases of elderly hip fracture were treated in Ningbo First Hospital and Ningbo Second Hospital , grouped ac-cording to the age of each 5 years as one group.The information of all patients'sex, age, causes of injury, fracture site, time of injury, treatment, concomitant diseases , hospital costs and length of stay was analyzed .Results Old people had high incidence of hip fractures in winter ( October to January ) .Old women had higher incidence of hip fractures than old men, about 2.25 times.The hip fracture of old men occurred mainly in the age of 70 to 80 years.The hip fracture of old women occurred mainly in the age of 75 to 85 years, it was 5 years later than men.236 cases of intertrochanteric frac-tures, accounted for 45.7%;279 cases of femoral neck fracture , accounted for 54.1%.Falling was a major cause of in-jury, accounted for 89.3%.The rate of surgical treatment was 78.3%, 1-year mortality rate of 3.2%.The 1-year mortality of surgical group less than conservative treatment group (9.9%) (P=0.004).Detection rate of bone density was 58.8%, which T less than -2.5 SD accounted for 48.5%.Conclusion Falling was the major cause of injury eld-erly hip fracture , osteoporosis was the intrinsic factor for elderly hip fracture .