[1]汪海滨 马勇.老年病人骨质疏松骨折后再骨折研究的Meta分析[J].中国中医骨伤科杂志,2016,24(03):37-39.
　WANG Haibin MA Yong.Meta Analysis in the Study of Bone Fracture in Elderly Patients with Osteoporosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(03):37-39.
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老年病人骨质疏松骨折后再骨折研究的Meta分析
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年03期
页码:
37-39
栏目:
文献研究
出版日期:
2016-03-03

文章信息/Info

Title:
Meta Analysis in the Study of Bone Fracture in Elderly Patients with Osteoporosis
文章编号:
1005-0205(2016)03-0037-03
作者:
汪海滨1 马勇2
1.东南大学附属南京江北人民医院骨科(南京,210048)
2.南京中医药大学第一临床医学院
Author(s):
WANG Haibin1 MA Yong2
1.Department of Orthopedics,Nanjing Jiangbei People's Hospital,Affiliated to South-East University,Nanjing 210048,China;
2.The First Clinical College,Nanjing University of Traditional Chinese Medicine,Najing 210046,China.
关键词:
老年;  骨质疏松;  再骨折;  相关因素
Keywords:
elderly;  osteoporosis;  re-fracture;  related factors
分类号:
R683
文献标志码:
A
摘要:
目的:本研究通过Meta分析方法(The Meta-analysis)系统评价国内外已发表的有关老年患者骨质疏松再骨折的研究,分析与老年患者骨质疏松再骨折发生的相关因素,为临床防治提供指导,采取针对性的治疗锻炼方案,避免再次骨折的发生。方法:通过计算机检索2000年1月至2014年11月国内外文献数据库,包括中国生物医学数据库(CBM)、中国学术期刊全文数据库(CNKI)、维普中文科技期刊等; 国外文献库EBSCO、MEDLINE及手工检索骨科期刊《中国骨伤》,《骨与关节损伤杂志》等。根据纳入和排除标准,对检索到的相关文献进行质量评价,对符合要求的文献进行Meta分析,最后得出结论。结果:本次系统评价通过国内外文献数据库检索,共纳入10篇符合有求的文献,根据相关文献表明,曾发生髋部骨折、运动协调能力下降、女性、BMD T<-2.5、高龄和曾发生脊柱骨折等因素与老年骨质疏松骨折后再骨折发生的相关性较高。结论:老年骨质疏松患者发生再骨折与性别、骨折部位、高龄等因素有关,对初次骨折疏松骨折的患者要进行风险评估,采取有效措施治疗骨质疏松,给予针对性的指导和训练,避免再次骨折的发生。
Abstract:
Objective:To analyze the related factors of osteoporosis fracture in elderly patients through the Meta-analysis,then provide guidance for clinical prevention and treatment and avoid the reoccurrence of fracture.Methods:The domestic and foreign literature database from January 2000 to November 2014 was searched,including CBM,CNKI,VIP,EBSCO,MEDLINE,Chinese journal of orthopaedics and traumatology and Chinese journal of bone and joint injury.According to the inclusion and exclusion criteria,the quality evaluation of the relevant literature was carried out,and the Meta analysis was conducted to analyze literature meeting the requirements,and finally came to the conclusion.Results:Through the literature database search at home and abroad,10 of the literature in accordance with the requirements were included in this system.There was a high correlation between the occurrence of hip fracture,motor coordination ability,female,BMD T<-2.5,old age,the occurrence of spinal fracture and osteoporotic fracture.Conclusion:There was a relationship between gender,fracture location,old age and elderly patients with osteoporosis re fracture.We should assess the risk of osteoporotic fracture in patients with primary fracture,take effective measures to treat osteoporosis,give targeted guidance and training,and avoid the occurrence of re fracture.

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更新日期/Last Update: 2016-03-15