对儿童结骨脱落骨折的风险因素分析
Yiwei Wang1, Peng Huang2, Minjie Fan1
1Department of Orthopaedics surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210000, Jiangsu Province, China.
International orthopaedics
|July 11, 2023
概括
儿童的小腿结核突裂骨折 (TTAF) 与高BMI,高血糖和低有关. 膝关节疼痛史可能表明双边TTAF,这表明这种罕见的损伤的特定风险因素.
科学领域:
- 儿科整形外科 儿科整形外科
- 运动医学 运动医学
- 内分泌学 在内分泌学.
背景情况:
- 结核突裂骨折 (TTAFs) 是不常见的儿科伤害.
- 双边TTAF特别罕见,需要对相关风险因素进行调查.
研究的目的:
- 为了确定与儿童TTAF相关的因素.
- 为了比较单边和双边TTAF之间的风险因素概况.
- 为减少TTAF发生的战略提供信息.
主要方法:
- 对64名儿科TTAF患者和年龄/性别匹配的对照进行了回顾性分析.
- 通过医疗记录和问卷收集数据.
- 单变数和多变数逻辑回归分析,包括内分泌功能子组分析.
主要成果:
- 对TTAF的独立风险因素包括高体重指数 (BMI),高血糖和低水平.
- 亚组分析显示,TTAF患者和对照人群之间雌激素,孕和胰岛素水平存在显著差异.
- 膝关节疼痛史与双边TTAF有显著的关联.
结论:
- 高BMI,高血糖和低是儿童TTAF的独立危险因素.
- 潜在的内分泌相关风险因素包括雌激素降低,孕激素升高和胰岛素耐药性.
- 膝关节疼痛史可以作为双边TTAF的指标.
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