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目的研究老年性骨质疏松骨折后再骨折的临床风险。方法选取医院收治的骨质疏松患者50例,对其一般资料、时间、类型、骨密度进行测定,依照骨折与再骨折情况将患者分为初次骨折组22例,再骨折组28例,结合Charlson及T值分析,为骨质疏松后再骨折风险进行系统化分析。结果无论是骨质疏松初次骨折还是骨质疏松后再骨折,均以女性患者居多,2组比较差异无统计学意义(P>0.05)。再骨折组Charlson合并症指数为0~2时比例明显多于初次骨折组(P<0.05)。在骨折部位方面,初次骨折组与再骨折组分布相近,多集中于椎体和股骨。以卧位转站位时间作为评估损伤程度,再骨折组转换时间>15s比例显著高于初次骨折组(P<0.05)。结论由于骨质疏松骨折后再骨折具有较多的临床风险,患者发生骨折后应及时采取治疗措施,并加以预防,尽可能降低再骨折发生几率。
Objective To study the clinical risk of re-fractures after senile osteoporotic fractures. Methods Fifty patients with osteoporosis admitted to our hospital were enrolled and their general data, time, type and bone mineral density were measured. According to the fracture and re-fracture, the patients were divided into primary fracture group (n = 22) and fracture group (n = 28) And T-value analysis for the systematic analysis of the risk of further fracture after osteoporosis. Results Both the primary fracture of osteoporosis and the subsequent fracture after osteoporosis were mostly female patients. There was no significant difference between the two groups (P> 0.05). In the second fracture group, the Charlson comorbidity index was significantly higher than that of the first fracture group at 0-2 (P <0.05). In the fracture site, the first fracture group and the second fracture group distribution similar to the more concentrated in the vertebral body and femur. The time of transposition in the supine position was taken as the evaluation of the degree of injury. The proportion of conversion time> 15s in the fracture group was significantly higher than that in the primary fracture group (P <0.05). Conclusion Because fractures after osteoporosis fracture have more clinical risks, the patients should take prompt treatment measures after fracture, and to prevent, as much as possible to reduce the incidence of re-fractures.