深圳城区成年人峰值骨密度和骨质疏松患病率的调查  

Investigation of peak bone mass of residents and osteoporosis morbidity on adult people in Shenzhen district

作　　者：吴伏娜[1] 钟紫茹[1] 韩全水[2] 林小岚[2] 

机构地区：[1]暨南大学医学院附属第二医院,深圳市人民医院老年病科,深圳518020 [2]暨南大学医学院附属第二医院,深圳市人民医院体检科,深圳518020

出　　处：《临床内科杂志》2004年第8期548-550,共3页Journal of Clinical Internal Medicine

摘　　要：目的　调查深圳城区健康人群峰值骨密度 (PBM )和骨质疏松患病率 ,以期为深圳地区骨质疏松症防治工作提供理论依据。方法　三年调查期间体检的健康成年人 747名 ,年龄 2 0～70岁 ,每 5岁一个年龄段分为 10组 ;用双能X光骨密度仪测量骨密度并得到峰值骨密度 (PBM )值。结果　男性各部位PBM值出现在 2 5～ 2 9岁 ,女性除Ward’s部位PBM值出现在 3 0～ 3 4岁外 ,其余部位PBM值均出现在 3 5～ 3 9岁。骨质疏松患病率 :女性 5 0岁为 2 3 % ,60～ 70岁为 67% ;男性 60～70岁为 5 4%。深圳城区女性髋部PBM高于南宁 (P <0 .0 1)和广州 (P <0 .0 5 )而与北京相近 ,腰部PBM低于北京、南京 (P <0 .0 5 )而高于南宁 (P <0 .0 1)。男性PBM腰部和髋部低于北京 (P <0 .0 5 ,P <0 .0 1) ,高于南宁 (P <0 .0 1) ,与广州、南京相似。结论　 1.女性骨质疏松症于绝经后五年出现高峰 ;老年时期骨质疏松症又达一个高峰 ,且老年女性骨质疏松患病率明显高于老年男性。2 .Objective To investigate peak bone mass and osteoporosis morbidity on healthy people in residents of Shenzhen district.Methods Bone mineral density of 747 healthy city subjects, during 3-year-investigation whom had healthy examination,20-70 years old and lived in Shenzhen more than 10 years,was measured randomly,by dual-energy X-ray absorption-metry (DEXA),the subjects were divided into 10 groups by every five years.Results The PBM of lumbar vertebral and femoral neck,and ward’s triangle showed in 25-29 years old group for males and in 35-39 group for females,except ward’s triangle in 30-34 group.The morbidity of osteoporosis was 23% in 50 years old,67% in 60～70 years old in females and 54% in males.The PBM was higher than Nanning(P<0.01),Guangzhou(P<0.05),and the same as Beijing in hip,and was higher than Nanning(P<0.01) but lower than Beijing and Nanjing(P<0.05) in lumbar vertebral in females.The PBM was higher than Nanning(P<0.01),and lower than Beijing(P<0.05 or P<0.01)) and similar to the neighbor Guangzhou,Nanjing in lumbar vertebral and hip in males.Conclusion 1.The morbidity of osteoporosis reaches its first peak level in 50 years old in female and second peak level in the olds.2.Prevention of osteoporosis ought to start from youths in elevation of PBM.

关 键 词：峰值骨密度 骨质疏松 患病率 

分 类 号：R58[医药卫生—内分泌]