Abstract: ［Abstract］ Objective To investigate the fracture characteristics of 2003 elderly people （age≥50）. Methods 2003 cases of elderly people （age≥50） in our hospital from Jan. 2012 to Dec. 2016 were selected, and their clinical data were statistically analyzed. Results The incidence of fractures in male and female over the age of 60 increased with age. The incidence in female from 60 old to 80 years old was higher than that in men, and the incidence of 50 years old group and 90 year old was quite similar, and that in male was slightly higher than that in female. The male operative rates in all age groups were significantly reduced, the differences were statistically significant, while the female operative rate was not significant decreased. Incidence of female with diabetes in all ages was increased significantly, the difference was statistically significant, while male with diabetes were not increased in different age group. Compared with male diabetic patients in the 60?79 age, incidence of fractures in female diabetic patients had statistically significant differences. The incidence of hip fracture, vertebral fracture and distal radius fracture were the top three incidence sites. In addition to vertebral fractures, the incidence of other parts was significantly higher in women than that in men. In the past 5 years, the incidence of total fracture of the people in our hospital has been increasing year by year, with significant difference in statistics. Conclusion In our survey, age, sex, and diabetes in the elderly population were closely related to the occurrence of fracture in our hospital；female, diabetes, age were important risk factor of fracture.

Key words: incidence, people over 50 years of age, fracture

摘要： ［摘要］目的 通过分析珠海市人民医院50岁以上人群的骨折发病率、各年龄段骨折的特点及骨折好发部位等，从骨折发病率的角度侧面了解中老年人群骨折发病的临床特点。方法 收集2012年1月至2016年12月间在我院因骨折住院的50岁以上患者共计2003例，进行相应的统计分析。结果 60岁以上的男女骨折发病率均随年龄增长；60~80岁组骨折发病率中，女性高于男性；50岁组及90岁组骨折发病率相当，男性略高于女性。各年龄段男性骨折手术率明显降低，具有统计学差异，而女性的手术率不具有差异，其中，各年龄段男女骨折手术率性别差异无统计学意义。各年龄段女性合并糖尿病的骨折发生率明显升高，具有统计学差异，而男性合并糖尿病的骨折发生率无统计学差异，60~79岁年龄段男女合并糖尿病的骨折发生率的差异具有统计学意义。发病部位中，发病率前三位分别是髋部骨折、椎体骨折、桡骨远端骨折，除了脊柱椎体骨折外，其他部位骨折的发病率中女性明显高于男性。5年来，本院人群总体骨折发病率呈逐年上升，具有统计学差异。结论 年龄、性别、糖尿病与本院中老年人群骨折的发生密切相关，女性、糖尿病、高龄是骨折发生的主要因素。

关键词: 50岁以上人群, 骨折, 发病率