目的 探讨成人肱骨近端骨折的危险因素以提高人群肱骨近端骨折的预防效果.方法 以2010-2016年四川大学华西医院收治的142例肱骨近端骨折患者作为骨折组,1:1纳入同期同性别同年龄的健康人群作为对照组,采集所有患者一般情况、受伤原因、骨折类型等因素,通过SPSS19.0统计软件进行单因素和多因素Logistic分析.结果 成人肱骨近端骨折占所有骨折的1.16%,69.01% 的患者超过50岁.单因素分析显示骨折组中独居,有吸烟史、饮酒史和既往有四肢骨折史,糖尿病、高血压、骨质疏松症、神经系统疾病史,或体质量指数>25 kg/m2的人数明显高于对照组,提示为成人肱骨近端骨折的危险因素;多因素分组分析结果显示,男性患者的文化程度(高等教育)为保护因素,女性患者的绝经时间较早为危险因素.结论 肱骨近端骨折主要危险因素是独居、吸烟、糖尿病、高血压,男性患者高等教育文化程度为保护因素,女性患者绝经时间早为女性肱骨近端骨折的危险因素.%Objective To investigate the risk factors of proximal humeral fractures in adults and to improve the prevention effect of proximal humerus fractures.Methods From 2010 to 2016,142 proximal humeral ftracture patients in West Hospital,Sichuan University were selected as fracture group,and 142 healthy people of the same gender and age in the same period were selected as control group.Gathering factors such as the general situation,cause of injury,fracture type,using the SPSS19.0 statistics software to carry on the single factor and multiple factors such as Logistic analysis.Results The constituent ratio of proximal humeral frac-tures in adults ftracture was 1.16%,and 69.01% of patients were over 50 years old.Single factor analysis re-sults showed that cases living alone,With drinking and smoking history,history of limb fractures,diabetes,hy-pertension,osteoporosis,nervous system disease and body mass index more than 25 kg/m2in the fracture group were significantly higher than those in the control group,suggesting these were the risk factors for proximal humeral fractures of the adult.The results of the group multifactorial analysis showed that the cul-tural degree of male patients(education)was the protective factor,and the postmenopausal time of women was a risk factor.Conclusion Living alone,history of smoking,diabetes,hypertension were high risk factors on incidence of proximal humeral fractures.In men,the high level of education culture was a protective factor, and postmenopausal time of women was a risk factor.
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