| 石利涛,刘彦博,杜金鹏,徐 飞,李连伟,李 广,康永浩.低钠血症与老年股骨转子间骨折的相关性研究[J].,2018,(13):2566-2570 |
| 低钠血症与老年股骨转子间骨折的相关性研究 |
| Research on the Relationship between Hyponatremia and Intertrochanteric Fracture in the Elderly |
| 投稿时间：2017-09-26 修订日期：2017-10-23 |
| DOI：10.13241/j.cnki.pmb.2018.13.035 |
| 中文关键词: 低钠血症 老年股骨转子间骨折 骨质疏松 |
| 英文关键词: Hyponatremia Intertrochanteric fracture in the elderly Osteoporosis |
| 基金项目:承德市科技支撑计划项目(201701A078） |
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| 中文摘要: |
| 摘要 目的：探讨低钠血症与老年股骨转子间骨折的相关性。方法：于2011年2月至2017年8月在承德医学院附属医院的住院患者中选取单侧新鲜闭合性股骨转子间骨折患者340例(其中老年患者(年龄≥60岁)282例)及同期住院的非骨折老年患者162例为研究对象，将其中444例老年患者进行分组，根据有无发生骨折分为骨折组和非骨折组。记录患者入院后首次抽血生化检验结果中钠离子值，比较两组患者的一般情况和低钠血症发生情况。在340例股骨转子间骨折患者中比较不同年龄段间骨折发生率、低钠血症发生率，分析低钠血症与老年股骨转子间骨折的相关性。结果：骨折组患者与非骨折组患者性别、年龄段、合并慢性疾病方面进行比较差异无统计学意义(P＞0.05)。骨折组患者低钠血症发生率明显高于非骨折组，差异有统计学意义(P＜0.05)。在年龄≥60岁患者中，骨折发生率与低钠血症发生率呈显著正相关(P＜0.05)。结论：低钠血症与老年股骨转子间骨折的发生相关，纠正低钠血症有助于预防老年股骨转子间骨折的发生。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the correlation of hyponatremia with intertrochanteric fracture in the elderly patients. Methods: 340 cases of inpatients with new unilateral closed intertrochanteric fractures [including 282 elderly patients (≥ 60 years old)] and 162 inpatients without fractures who were admitted to the hospital from February 2011 to August 2017 were selected as the subjects. Among them, 444 elderly patients were grouped into the fracture group and the non-fracture group according to the occurrence of fractures. The sodium ion value in results of the first blood biochemical detection after admission was recorded. The general situation and incidence of hyponatremia were compared between the two groups. The incidence of fractures and hyponatremia was compared between patients of different age in the 340 patients with intertrochanteric fractures. The correlation between hyponatremia and intertrochanteric fracture in the elderly was analyzed. Results: There was no significant difference between the two groups in gender, age group or chronic diseases (P>0.05). The difference of hyponatremia in the fracture group was significantly higher than that in the non-fracture group (P<0.05). In patients ≥ 60 years old, the incidence of fracture was positively correlated with the incidence of hyponatremia(P<0.05). Conclusion: Hyponatremia is associated with the incidence of intertrochanteric fractures in the elderly. Correcting hyponatremia is conductive to preventing the occurrence of intertrochanteric fractures in the elderly. |
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