老年人中与车辆相关的创伤性骨折中的性别差异:一个横截面观察性研究
Wenfeng Han1, Hongwen Gu1, Yu Li1
1Department of Orthopedics, General Hospital of Northern Theater Command of Chinese PLA, Shenyang, Liaoning, China.
Medicine
|August 5, 2025
概括
老年男性遭受更多的活跃运输伤害和轴骨骨折,而女性遭受更多的行人伤害和上肢骨折. 这凸显了对性别特异性创伤护理策略的需求.
科学领域:
- 创伤外科 手术 创伤外科
- 老年医学 老年医学
- 整形外科 整形外科 整形外科
背景情况:
- 与车辆相关的创伤性骨折 (V-TFs) 是老年人群的一个重大问题.
- 了解V-TF的基于性别的差异对于有针对性的预防和治疗至关重要.
研究的目的:
- 在老年患者中调查与车辆相关的创伤性骨折 (V-TFs) 临床特征的基于性别的差异.
- 为了比较人口结构因素,损伤机制,骨折模式和V-TFs的男性和女性老年患者之间的结果.
主要方法:
- 从2013年至2019年期间接受V-TF治疗的456名老年患者 (≥60岁) 的病历回顾分析.
- 系统地比较男性和女性队列之间的人口统计数据,受伤类型,骨折位置和创伤后并发症.
主要成果:
- 男人吸烟,饮酒,作为司机发生机动车事故 (MVA) 和骑自行车撞车/摔倒的比例更高. 女性患高血压,骨质疏松症和行人-MVAs的患病率更高.
- 男人更频繁地持续了椎骨折,头骨,骨和肋骨骨折. 女性的腰骨,肘骨和半径骨折率更高.
- 男性在受伤后昏迷 (CAI) 和手术部位感染的比率更高.
结论:
- 在老年人中的V-TF中存在显著的性别差异.
- 男性老年患者更容易受到活跃的运输伤害和轴骨骨折,而女性更容易受到与行人有关的伤害和上肢骨折.
- 调查结果强调,在老年创伤护理中需要针对性别的预防策略和临床管理协议.
相关概念视频
01:29Bone Disorders
3.9K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.9K
01:27Fractures: Bone Repair
3.7K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.7K
01:09Changes in the Appendicular Skeleton with Age
2.2K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
2.2K