摘要
目的探讨300例围绝经期妇女骨量丢失减少现状及防范策略。方法选取于2016年1月-2016年12月间平顶山市妇幼保健院收治的300例围绝经期妇女作为研究对象,检测骨密度,按年龄、体重指数(BMI)将患者各分为3组,分析不同年龄与不同BMI分组骨密度值对骨量变化的影响,并于2018年1月-2018年12月再次进行骨密度检测,比较不同年龄分组患者骨质疏松症变化情况。结果样本中,骨量正常者167例(55.67%),骨量丢失减少者81例(27.00%),骨质疏松者52例(17.33%);不同年龄组骨量丢失情况以及骨量减少发生率随年龄的增加而增长(P<0.05),不同BMI组骨量丢失情况以及骨量减少发生率比较差异无统计学意义(P>0.05);在未经任何方式干预的情况下,2016年诊断为骨量丢失减少的患者2年后有38例(28.57%)诊断为骨质疏松。结论围绝经期妇女骨量丢失减少发生率为27.00%,骨质疏松发生率为17.33%,骨量丢失减少随患者年龄增加而增加,与BMI无明显相关性,骨量丢失减少会发展成为骨质疏松症,应对围绝经期妇女加强宣教,对骨量丢失减少及时进行监测、干预,控制骨质疏松症发生。
Objective To investigate the status quo of bone loss and prevention strategies in 300 perimenopausal women.Methods 300 cases of perimenopausal women admitted to the hospital from January to December, 2016 were selected as the research objects. Bone mineral density was measured. The patients were divided into three groups according to age and BMI. The influence of bone mineral density on bone mineral density was analyzed in different age groups and BMI groups. Bone mineral densi-ty was measured again from January to December, 2018, and osteoporosis in different age groups was compared.Results Among 300 perimenopausal women,167(55.67%)had normal bone mass,81(27.00%)had bone loss reduction,52(17.33%)had osteoporosis,and the incidence of bone loss and bone loss increased with age(P<0.05). There was no significant difference in the incidence of bone loss and bone loss between different BMI groups(P>0.05). Without any intervention,38(28.57%)of the patients diagnosed as osteoporosis in 2016 were diagnosed 2 years later.Conclusion The incidence of bone loss in perimenopausal women is 27.00% and that of osteoporosis is 17.33%. The reduction of bone loss increases with the age of the patients,but there is no obvious correlation with BMI. The reduction of bone loss will develop into osteoporosis. It is necessary to strengthen the education of perimenopausal women,monitor and intervene the reduction of bone loss in time,and control the occurrence of osteoporosis.
作者
唐晓红
TANG Xiao-hong(Pingdingshan Maternal and Child Health Hospital,Pingdingshan,Henan,467000,China)
出处
《黑龙江医学》
2020年第5期673-675,共3页
Heilongjiang Medical Journal
关键词
围绝经期
骨量丢失
防范策略
Perimenopause
Loss of bone mass
Preventive strategy
