表1 老年脆性骨折患者衰弱的单因素分析 (n=207)
因素 | 总体(n=207) | 无衰弱 (n =59) | 衰弱 (n = 48) | F/c2 | P | |
年龄/岁 | 78.21 ± 9.69 | 71.80 ± 8.81 | 78.69 ± 7.92 | 85.10 ± 9.10 | 33.06 | <0.001 |
性别 |
|
|
|
| 7.208 | 0.027 |
男性 | 64(30.92) | 23 (35.94) | 22 (34.38) | 19 (29.68) |
|
|
女性 | 143(69.08) | 36 (25.17) | 78 (54.55) | 29 (20.28) |
|
|
居住地 |
|
|
|
| 1.379 | 0.502 |
市区 | 173(83.57) | 52(30.06) | 81(46.82) | 40(23.12) |
|
|
乡镇 | 34(16.43) | 7 (20.59) | 19 (55.88) | 8 (23.53) |
|
|
是否独居 |
|
|
|
| 20.02 | <0.001 |
否 | 142(68.60) | 49 (34.51) | 72 (50.70) | 21 (14.79) |
|
|
是 | 65(31.40) | 10 (15.38) | 28 (43.08) | 27 (41.54) |
|
|
文化程度 |
|
|
|
| 8.583 | 0.198 |
小学及以下 | 127(61.35) | 28 (22.05) | 65 (51.18) | 34 (26.77) |
|
|
初中 | 36(17.39) | 12 (33.33) | 16 (44.44) | 8 (22.22) |
|
|
高中或中专 | 25(12.08) | 11 (44.00) | 11 (44.00) | 3 (12.00) |
|
|
大专及以上 | 19(9.18) | 8 (42.11) | 8 (42.11) | 3 (15.79) |
|
|
婚姻状况 |
|
|
|
| 20.31 | <0.001 |
无配偶 | 48(23.19) | 4 (8.33) | 23 (47.92) | 21 (43.75) |
|
|
有配偶 | 159(76.81) | 55 (34.59) | 77 (48.43) | 27 (16.98) |
|
|
人均月收入 |
|
|
|
| 1.647 | 0.439 |
<5 000元 | 101(48.79) | 29 (28.71) | 45 (44.55) | 27 (26.73) |
|
|
≥5 000元 | 106(51.21) | 30 (28.30) | 55 (51.89) | 21 (19.81) |
|
|
医疗付费方式 |
|
|
|
| 0.927 | 0.629 |
职工医保 | 116(56.04) | 34 (29.31) | 58 (50.00) | 24 (20.69) |
|
|
居民医保/其他 | 91(43.96) | 25 (27.47) | 42 (46.15) | 24 (26.37) |
|
|
BMI(kg/m²) |
|
|
|
| - | <0.001 |
低体重(<18.5) | 19(9.18) | 0 (0.00) | 12 (63.16) | 7 (36.84) |
|
|
正常(18.5~23.9) | 124(59.90) | 48 (38.71) | 50 (40.32) | 26 (20.97) |
|
|
超重(24.0~27.9) | 50(24.15) | 9 (18.00) | 31 (62.00) | 10 (20.00) |
|
|
肥胖(≥28) | 14(6.76) | 2 (14.29) | 7(50.00) | 5 (35.71) |
|
|
骨折部位 |
|
|
|
| 13.91 | 0.031 |
脊椎 | 54(26.09) | 18 (33.33) | 27 (50.00) | 9(16.67) |
|
|
髋部 | 102(49.28) | 20 (19.61) | 52 (50.98) | 30 (29.41) |
|
|
上肢 | 13(6.28) | 8 (61.54) | 4 (30.77) | 1 (7.69) |
|
|
下肢(不含髋部) | 38(18.36) | 13 (34.21) | 17 (44.74) | 8 (21.05) |
|
|
睡眠情况 |
|
|
|
| 16.45 | <0.001 |
较差 | 110(53.14) | 20(18.18) | 55 (50.00) | 35 (31.82) |
|
|
较好 | 97 (46.86) | 39 (40.21) | 45 (46.39) | 13 (13.40) |
|
|
合并慢病种类 |
|
|
|
| 23.42 | <0.001 |
<3种 | 136(65.70) | 53 (38.97) | 60 (44.12) | 23 (16.91) |
|
|
≥3 | 71(34.30) | 6 (8.45) | 40 (56.34) | 25 (35.21) |
|
|
抑郁 |
|
|
|
| 20.56 | <0.001 |
否 | 181(87.44) | 59 (32.60) | 88 (48.62) | 34 (18.78) |
|
|
是 | 26 (12.56) | 0 (0.00) | 12 (46.15) | 14 (53.85) |
|
|
焦虑 |
|
|
|
| 24.53 | <0.001 |
否 | 142(68.60) | 54(38.03) | 65 (45.77) | 23 (16.20) |
|
|
是 | 65(31.40) | 5 (7.69) | 35 (53.85) | 25(38.46) |
|
|
营养不良风险 |
|
|
|
| 45.31 | <0.001 |
无风险 | 173(83.57) | 54(31.21) | 94(54.34) | 25(14.45) |
|
|
有风险 | 34(16.43) | 5(14.71) | 6 (17.65) | 23 (67.65) |
|
|
注:-: Fisher 精确检验 |
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