本文選題：骨質(zhì)疏松　切入點：診治現(xiàn)狀　出處：《昆明醫(yī)科大學(xué)》2017年碩士論文

【摘要】：[目的]調(diào)查髖部脆性骨折患者診治現(xiàn)狀,探討髖部脆性骨折患者發(fā)生再骨折的危險因素,為骨質(zhì)疏松性骨折及再次骨折的預(yù)防提供臨床依據(jù)。[方法]2013年1月至2013年12月期間昆明市區(qū)10所公立醫(yī)院因髖部脆性骨折住院的患者,3年后所有研究對象均使用統(tǒng)一調(diào)查表進(jìn)行電話隨訪,隨訪有效430例,電話隨訪患者目前生存情況、診治現(xiàn)狀,調(diào)查患者是否行骨密度檢測診斷骨質(zhì)疏松,出院后骨質(zhì)疏松治療情況及患者對于藥物的依從性;其中發(fā)生再次骨折的58例為病例組,未發(fā)生再次骨折的372例為對照組,分析各種相關(guān)因素對發(fā)生再次骨折的影響,包括年齡、性別、合并的內(nèi)科疾病種類、是否行骨質(zhì)疏松治療。采用SPSS 21.0版軟件包,運用卡方檢驗、t檢驗、二元logistic回歸分析等統(tǒng)計方法,辨別和檢驗這些因素與骨質(zhì)疏松性再次骨折的關(guān)系。[結(jié)果]1、髖部脆性骨折患者骨密度檢測率為15.8%,骨質(zhì)疏松診斷率為28.8%,骨質(zhì)疏松治療率為39.9%,抗骨質(zhì)疏松治療率為2.5%;2、髖部脆性骨折患者骨折后3年內(nèi)再骨折率為13.5%;經(jīng)卡方檢驗、t檢驗、二元logistic回歸分析等統(tǒng)計學(xué)方法得出:髖部脆性骨折患者發(fā)生再次骨折的主要危險因素有:女性、合并糖尿病、合并神經(jīng)系統(tǒng)疾病(P0.05,OR1)。[結(jié)論]臨床醫(yī)生對于髖部脆性骨折后骨質(zhì)疏松的重視度不夠,診斷率及治療率均低,其中抗骨質(zhì)疏松治療率僅2.5%;本研究發(fā)現(xiàn):女性、合并糖尿病、神經(jīng)系統(tǒng)疾病為髖部脆性骨折患者再次骨折的主要危險因素。
[Abstract]:[objective] to investigate the status of diagnosis and treatment of fragile hip fracture, to explore the risk factors of refracture in patients with fragile hip fracture, and to provide clinical basis for the prevention of osteoporotic fracture and refracture.[methods] from January 2013 to December 2013, all patients with brittle fracture of hip in 10 public hospitals in Kunming city were followed up by telephone with unified questionnaire three years later. 430 patients were followed up effectively.The current survival, diagnosis and treatment of the patients were followed up by telephone. Whether the patients were diagnosed by bone mineral density (BMD), the treatment of osteoporosis after discharge and the compliance of the patients with drugs were investigated. Among them, 58 cases with refracture occurred in the case group.372 cases with no refracture were used as control group. The influence of various related factors on the occurrence of refracture was analyzed, including age, sex, the types of internal diseases associated with it, and the treatment of osteoporosis.Using the software package SPSS 21.0, using chi-square test / t test and binary logistic regression analysis to identify and test the relationship between these factors and osteoporosis refracture.[results] 1. The bone mineral density (BMD) detection rate, osteoporosis diagnosis rate, osteoporosis treatment rate, anti-osteoporosis treatment rate and refracture rate in patients with fragile hip fracture were 15.8, 28.8, 39.9 and 2.5 respectively, and the rate of refracture within 3 years after fracture in patients with fragile fracture of hip was 13.5%.Binary logistic regression analysis and other statistical methods showed that the main risk factors for refracture in patients with fragile hip fracture were: female, complicated with diabetes, and complicated with nervous system disease (P0.05 OR1).[conclusion] the clinicians pay less attention to osteoporosis after brittle hip fracture, the diagnostic rate and treatment rate are low, and the anti-osteoporosis treatment rate is only 2.5%.Nervous system disease is the main risk factor for refracture in patients with fragile hip fracture.
【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R683

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本文編號：1725458