| 摘要: |
| ［摘要］目的 分析骨质疏松性骨折（osteoporosis-related fractures）的致残情况，引起医务人员和患者重视骨质疏松症的危害，积极预防骨折的发生．方法 电话随访477例骨质疏松性骨折患者出院后的情况，包括生活能力、生活质量，进行统计、分析．结果 （1）477例患者中，脊柱骨折88例，髋部骨折389例．电话随访88例脊柱骨折患者，骨折后半年仍感腰背部疼痛的有67例，占脊柱骨折患者的76%；骨折后1 a仍感疼痛的有48例，占脊柱骨折患者的54.5%；骨折后1 a半仍感疼痛的有29例，占脊柱骨折患者的33%．（2）髋部骨折后半年可以室外行走的有47例，占髋部骨折患者的12.08 %；可以室内行走的有199例，占髋部骨折患者的51.2%；不能行走的有143例，占髋部骨折患者的36.76%；髋部骨折后1 a可以室外行走的有61例，占髋部骨折患者的15.7%；可以室内行走的有256例，占髋部骨折患者的65.8%；不能行走的有72例，占髋部骨折患者的18.5%．（3）将可以室外行走的半年和1 a进行对比，行χ2 检验，差异无统计学意义（P＞0.05）．将可以室内行走的半年和1 a进行对比，行χ2检验，差异有统计学意义（P＜0.05）．将不能行走的半年和1 a进行对比，行χ2 检验，差异有统计学意义（P＜0.05）．结论 骨质疏松性骨折特别是髋部骨折致残率高，严重影响患者的生存质量，并且骨折后的时间是一个影响生存质量的重要变量．医务人员和患者应重视骨质疏松症，积极预防骨折的发生. |
| 关键词: ［关键词］骨质疏松性骨折 致残率 生存质量 |
| DOI： |
| 分类号: |
| 基金项目:［基金项目］云南省应用基础研究基金资助项目（2012FB160） |
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| QOL Analysis of 477 Cases of Osteoporotic Fracture Patients |
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LIN Jie
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（Dept. of Geriatric，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032，China）
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| Abstract: |
| ［Abstract］Objective To analyze the osteoporotic fracture disability case，cause the medical staff and patients to pay attention to the dangers of osteoporosis，and to prevent positively the incidence of fractures. Methods The osteoporosis-related fractures patients after discharge were followed up by telephone. The follow-up data included self-care ability and quality of life，and were statistically analyzed，so as to show the effect of fracture on the quality of life of the patients，and this should cause the attention of medical staff and patients. Results （1）In 477 patients，there were 88 cases of spinal fracture and 389 cases of hip fracture. We followed 88 cases of patients with spinal fractures by telephone，six months after fracture，67 cases remained feel back pain，accounting for 76% of the patients with spinal fractures; 48 cases remained feel back pain 12 months after fracture，accounting for 54.5% of the patients with spinal fractures; 29 cases remained feel back pain 18 months after fracture，accounting for 33% of the patients with spinal fractures. （2）Six months after hip fracture，47 cases were able to walk outdoor，accounting for 12.08% of the patients with hip fractures；199 cases were able to walk indoor ，accounting for 51.2% of the patients with hip fractures；143 cases were unable to walk，accounting for 36.76% of the patients with hip fractures; One year after hip fracture，61 cases were able to walk outdoor，accounting for 15.7%；256 cases were able to walk indoor，accounting for 65.8%；72 cases were unable to walk，accounting for 18.5%．（3）Compare outdoor walk half a year and one year, chi-square test，χ2 ＝2.107，P＝0.177，there was no statistically significant difference. Compare indoor walk half a year and one year,chi-square test, χ2 ＝17.199，P＝0.000（＜0.05），the difference was statistically significant. Compare unable to walk half a year and one year, chi-square test，χ2 ＝32.400，P＝0.000（＜0.05），the difference was statistically significant. Conclusions Osteoporotic fractures especially hip fracture resulting in high disability rate，impact on patients quality of life seriously，the time after fracture is an important variable affecting the quality of survival. Medical personnel and patients should pay attention to osteoporosis，prevention of fractures positively. |
| Key words: ［Key words］Osteoporotic fractures Disability rate Quality of life |