摘要
目的了解江门地区正常人群骨密度的变化特点，分析骨密度及骨质疏松变化规律，提高对骨质疏松症诊断的可预测性和可靠性。方法采用分层整群抽样方法，使用法国产双能X线骨密度仪对江门地区2454人进行检测，其中男1236例，女1218例。分别做股骨上端及第2～4腰椎椎体测量。年龄20～89岁，按10岁为一个年龄组进行统计分析。结果男、女股骨上端、第2～4腰椎椎体骨密度峰值均在30～39岁，峰值后随年龄增加而骨密度下降，女性下降较男性显著。江门地区男性50～89岁骨质疏松患病率为27．94％，女性50～89岁骨质疏松患病率为42．14％，两者之间差别有显著性意义（P〈0．01）。结论江门地区骨质疏松症的患病情况与国内其他地区基本一致，早期干预在骨质疏松症的预防中占有重要地位，全科医生应该肩负起帮助社区人群早期干预骨质疏松的责任。
Objective To explore the feature of bone mineral density （BMD） changes in normal population, so as to improve the diagnostic reliability and predictability of osteoporosis. Methods BMD of proximal end of femur and I2～L4 lumbar vertebrae was measured in 2454 citizens （1236 males, 1218 females, aged 20～89 years old, and grouped by a ten - year interval） by stratified cluster sampling method and using dual - energy X - ray BMD absorptiometry （made in France）. Results Peak value of BMD of proximal end of femur and L2～L4 lumbar vertebrae was found in men and women in 30～39 age - group, BMD decreased with age increasing, especially in women. Osteoporosis morbidity in 50～89 years group was 27.94% for men, and 42.14% for women, the difference between men and women was significant （P 〈 0.01）. Conclusion The rate of osteoporosis of Jiangmen accords with other inland areas. The early intervention is important to prevent osteoporosis.
出处
《中国全科医学》
CAS
CSCD
2006年第5期395-397,共3页
Chinese General Practice
基金
暨南大学医学院2003年度课题资助项目(003054)
2003年江门市科技计划项目
