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作 者:马俊岭[1] 黄淑贤[1] 郭海英[1] 阳晓东[1] 蒋文珍[1] 孙耀华[1] 侯钦午[1] 史勇[1] 史历[1] 张燕[1] 贺明华[1] 顾正南[1]
机构地区:[1]上海市浦东新区北蔡社区卫生服务中心,201204
出 处:《实用心脑肺血管病杂志》2010年第5期579-581,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基 金:浦东新区卫生系统医学领先人才培养项目(PWRd2008-3);上海市浦东新区科委课题(PKJ2008-Y24)
摘 要:目的了解上海北蔡镇老年人群骨密度(BMD)变化规律及骨质疏松(OP)患病率,为本地区OP的防治提供参考。方法使用美国GE公司的Lunar Prodigy Advance PA+300164型双能X线骨密度仪测定上海市浦东新区北蔡镇261例60-79岁老年人正位腰椎和左股骨近端进行BMD测定。结果随着年龄的增加髋部BMD逐渐下降,而腰部从60-64岁组、65-69组、70-74岁BMD逐渐上升,而后下降。男性组与女性组OP患病率差异有统计学意义(P〈0.05);不同年龄段OP患病率比较差异有统计学意义(P〈0.05);60-79岁老年人腰椎BMD对诊断OP贡献率为83%,髋部BMD对诊断OP贡献率为52%,两组比较差异有统计学意义(P〈0.05);60-64岁组腰椎BMD与髋部BMD对诊断OP贡献率比较差异有统计学意义(P〈0.05);65-69组岁腰椎BMD与髋部BMD对诊断OP贡献率比较差异有统计学意义(P〈0.05);70-74岁和75-79岁组腰椎BMD与髋部BMD对诊断OP贡献率差异无统计学意义(P〉0.05)。腰椎BMD对诊断OP贡献率随年龄增高而下降,髋部BMD对诊断OP贡献率随年龄增高而升高。结论上海北蔡镇老年人群OP患病率随年龄增高而增高,70-79岁女性骨质疏松的患病率最高,预防骨折的重点在老年妇女。老年人应坚持适当的体育活动,及时检查BMD,积极治疗OP,并注意防止跌倒导致的骨折发生。Objective To investigate the morbidity of osteoporosis(OP) and the changes of BMD in the aged adults in Beicai town,ShangHai,in order to provide reference materials for OP prophylaxis.Methods The investigation was conducted in 261 aged of 60-79years old humans which including 107 men,154 women.Everyone was given BMD assey of lumbar spine and total hip by GE DEXA machine.Results The hip BMD decreased along with the age increased,on the other hand,The lumbar BMD increased in the group of age of 60-64 compared with the group of 65-69 as well as the group of 70-74,then the BDM of the group of age of 75-79 decreased.There were significant differences in OP morbidity between men and women(P0.05);different ages(P0.05).The contribution rate to OP investigation of lumbar BMD in the group of age of 60-79 is 83%,the hip BMD′s is 52%,compared with two groups there were significant differences(P0.05);as to the contribution to OP investigation of lumbar BMD and hip BMD there were significant differences between two groups:the group of 60-64(P0.05),the group of 65-69(P0.05);besides,there is no significant differences in group of age of 70-74 and the group of 75-79(P0.05).The lumbar BMD′s contribution to OP investigation decreased along with the age increased,however the hip BMD′s increased along with the age increased.Conclusion The morbidity of OP in aged adults of Beicai town increased with the age increased,the highest rate is of group 70-79 years women.And the focus of fracture prophylaxis is on the aged women.the aged adults should insist on doing exercise,examining your bone density in time,therapying OP positively.avoid fracture caused by fallen down.
分 类 号:R223.7[医药卫生—中医基础理论]
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