摘要
目的:分析探讨3个月-2岁不同性别不同年龄组儿童的超声骨密度检测结果,为临床预防儿童低骨密度提供依据。方法:对在本院儿保科门诊查体的儿童,随机抽取已排除骨代谢疾病的3个月-2岁儿童230例,采用超声骨密度仪测量胫骨中段骨密度,根据同性别、同年龄骨密度测得的Z值评分数分为正常,轻度骨强度不足,中度骨强度不足,重度骨强度不足。结果:济南地区3个月-2岁儿童骨强度Z值为(-0.0439±0.9324),骨强度不足检出率为16.08%。其中女童骨强度不足检出率(22.01%)高于男童(10.74%),比较差异有统计学意义(χ^2=5.3998,P〈0.05)。不同年龄组骨强度不足检出率:〈1岁组31.76%,1岁组9.87%,2岁组3.12%。3个月-1岁儿童骨强度不足检出率高于1岁组,比较差异有统计学意义(χ^2=11.9424,P〈0.01)。1岁组骨强度不足检出率和2岁组相比差异无统计学意义(χ^2=1.5955,P〉0.05)。结论:济南3个月-3岁儿童骨强度不足检出率不同,其中〈1岁组检出率最高,女童高于男童,超声骨密度检测对指导儿童补钙及预防小儿佝偻病有指导意义。
Objective: To analyze the ultrasonic bone mineral density testing results in different gender different in 3 months to 2 years old age group children, provide the basis for clinical prevention of children's low bone mineral density. Method: Children were attended the outpatient clinic physical examination, and 230 children with 3 months to 2 years old who had been ruled out of bone metabolic diseases were selected. Middle tibia bone density was measured by ultrasonic bone mineral density instrument, according to the same gender, age, bone mineral density of Z value evaluation scores were divided into normal, mild, moderate, severe lack of bone strength. Result: Ji'nan area for 3 months to 2 years old children's bone strength Z value was(-0.0439±0.9324). Bone strength was insufficient detection rate of 16.08%. Girls lack of bone strength detection rate(22.01%) was higher than boys(10.74%), the difference was statistically significant( χ^2=5.3998,P〈0.05). Different age groups lack of bone strength detection rate: 1 year group(31.76%), 1 year old age group(9.87%), 2 years old age group(3.12%). 3 months- 1 year old age group children lack of bone strength detection rate was higher than 1 year group, the difference was statistically significant( χ^2=11.9424,P〈0.01). 1 year old age group of inadequate bone strength detection rate and 2 groups compared with no statistical significance( χ^2=1.5955,P〈0.05). Conclusion: Ji'nan 3 months to 3 years old children's lack of bone strength detection rate is different, where 1, the highest detection rate of the group, girls were highest, ultrasonic bone mineral density testing for guiding children calcium supplements and the prevention of infantile rickets.
出处
《中国医学创新》
CAS
2015年第1期82-84,共3页
Medical Innovation of China
关键词
儿童
骨密度
胫骨
Child
Bone density
Shin bone