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目的探讨老年妇女骨质疏松性髋部骨折的危险性因素,为预测老年妇女骨质疏松性髋部骨折提供依据。方法以髋部骨折老年女性患者及保健体检的老年妇女各30例为研究对象,分为病例组和对照组,其中病例组来自2002年2月～2004年2月,深圳市人民医院骨科共收治老年女性骨质疏松髋部骨折患者,对照组来自同期在该院进行社区保健体检的健康老年妇女。测量所有样本髋部骨密度(BMD)(病例组为健侧,对照组为左侧)、颈干角(NSA)、左手握拳力;根据身高体质量算出体重指数(BMI);确定个人及家族女性骨折史。通过logistic回归分析及判别分析,进行统计学处理。结果老年妇女骨质疏松性髋部骨折的危险因素为:ward区BMD、NSA、BMI、左手握拳力。结论ward区BMD、NSA、BMI、左手握拳力减弱为老年妇女骨质疏松性髋部骨折的危险性因素。
Objective To investigate the risk factors of osteoporotic hip fracture in elderly women and provide evidence for predicting osteoporotic hip fracture in elderly women. Methods A total of 30 elderly women with hip fracture and health examination of the elderly women for the study were divided into case group and control group, of which the case group from February 2002 to February 2004, Shenzhen People’s Hospital orthopedic were treated Elderly women with osteoporosis hip fracture, the control group from the same period in the hospital for community health examination of healthy elderly women. All samples were measured for hip BMD (case group, contralateral, control group left), neck acuity (NSA) and left hand fist strength; body mass index (BMI) based on height and body mass; Female fracture history. Logistic regression analysis and discriminant analysis were used for statistical analysis. Results The risk factors for osteoporotic hip fracture in elderly women were BMD, NSA, BMI and left hand fist in ward district. Conclusion The ward area BMD, NSA, BMI, left hand fist weakening is the risk factors of osteoporosis hip fracture in elderly women.