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摘 要 目的：了解上海社区老年人胸腰椎压缩性骨折的患病情况及临床特点，为骨质疏松的预防和治疗提供依据。方法：于2016年在社区居民体检中招募自愿参加的65岁以上老年人510例，排除長期服用影响骨骼代谢药物、骨关节疾病以及慢性肾病患者，通过胸腰椎X线侧位摄片和专人统一读片，观察不同年龄段老年人脊椎压缩性骨折的患病率，比较不同性别和年龄的脊椎压缩性骨折节数，以及脊椎压缩性骨折的椎体分布。结果：510名调查对象中，有压缩性骨折323例，患病率高达63.33%。性别之间的患病率无明显差异（P>0.05）。不同年龄组间的患病率差异有统计学意义（χ2=6.848，P=0.033）。在压缩性骨折节数占总观察脊椎节数的比例上，男性和女性之间差异无统计学意义（P>0.05），不同年龄组之间差异具有统计学意义（χ2=11.545，P=0.003）。结论：上海某社区老年人胸腰椎压缩性骨折的患病率相对较高，脊椎压缩性骨折节数比例与年龄相关。提示上海基层医务人员应重视社区老年人骨质疏松的预防和健康教育工作。

关键词 压缩性骨折；老年人；胸腰椎；患病率

中图分类号：R683.2 文献标志码：A 文章编号：1006-1533（2017）10-0041-03

Analysis of prevalence rate of thoracolumbar compression fractures in the elderly people aged 65 years and over in a community in Shanghai

CHEN Xin1， CHEN Bianling1， WANG Jie1， LI Fangzhong1， QIU Jian1， CHENG Qun2

（1. Hongqiao Community Health Service Center of Changning District， Shanghai 200051， China； 2. Shanghai Huadong Hospital affiliated to

Fudan University， Shanghai 20004， China）

ABSTRACT Objective： To investigate the prevalence and clinical characteristics of thoracolumbar compression fractures in the elderly people in Shanghai community to provide the evidence for the prevention and treatment of osteoporosis. Methods： In 2016， 510 elderly people over the age of 65 in the physical examination who voluntarily participated in the study were recruited， excluding the patients with long-term administration of bone metabolism drugs， bone and joint diseases， and chronic kidney diseases. Through the thoracic and lumbar lateral X-ray radiography and special unified reading， the prevalence rates of vertebral compression fractures in the different age groups were observed. The number of vertebral compression fractures and vertebral distribution of vertebral compression fractures in the different genders and ages were compared. Results： Of the 510 respondents， there were 323 cases of compression fractures， and the incidence was as high as 63.33%. There was no significant difference in prevalence between the sex （P>0.05）. There were statistically significant differences in the prevalence rates among the different age groups （χ2=6.848，P=0.033）.There was no significant difference between the male and female groups in the proportion of the number of compression fracture segments in the total number of vertebral segments observed，（P>0.05）. The difference was statistically significant between the different age groups （χ2=11.545， P=0.003）. Conclusion： The prevalence rate of thoracolumbar compression fractures is far high in the elderly people in Shanghai community. The section number ratio of vertebral compression fracture is associated with the age. It is suggested that the grassroots medical staff in Shanghai should pay attention to the prevention and health education of the community elderly osteoporosis.

胸腰椎压缩性骨折是老年人常见的骨折之一，常继发于骨质疏松症，随着社会老龄化的到来，患病率呈上升趋势，严重影响老年人生活及生命质量。特别是上海作为我国首个进入老龄化社会的城市，平均寿命位居全国前列，骨质疏松症继发的胸腰椎压缩性骨折更加不容忽视。为了……