由外周骨和中枢骨骨密度测量值估算老年妇女的骨质疏松发生率  

Osteoporosis incidence of the old women estimated by the determination of bone density of the peripheral and central bone masses

作　　者：王莉华[1] 王洪复[1] 励杏娣[1] 翁世芳[1] 黄克[1] 

机构地区：[1]上海医科大学老年医学研究中心放射医学研究所骨代谢研究室

出　　处：《中国老年学杂志》1999年第2期93-94,共2页Chinese Journal of Gerontology

基　　金：上海市卫生局科学发展基金

摘　　要：目的应用骨密度测定方法，估算老年妇女的骨质疏松发生率。方法应用ＧＭＹ－１型单光子骨密度仪和ＤＰＸ－Ｌ型双能Ｘ线骨密度仪测量桡骨和腰椎前后位骨密度，以骨密度低于峰值或成人均值－２．０ｓ为骨质疏松的骨量诊断标准，估算上海市老年妇女骨质疏松的发生率。结果３０～３９岁６２４名女性桡骨骨密度值分析的峰值为７５６．０±７３．７ｍｇ／ｃｍ２，对４０～７９岁１３３１名桡骨骨密度测量值估算的６０～６９岁和７０～７９岁骨质疏松发生率分别为３１．０％和６６．７％。３０～３９岁５６名女性Ｌ２～Ｌ４骨密度均值为１１６８．７±１３１．６ｍｇ／ｃｍ２，４０～７９岁７０１名Ｌ２～Ｌ４骨密度值估算的６０～６９岁和７０～７９岁骨质疏松发生率为５２．１％和６６．７％。结论对腰椎骨密度的检测是早期发现妇女骨质疏松的主要方法。Bone mass of radius and lumbar were measured by SPA and DPX L densitometry,the incidence of osteoporosis were estimated by the criteria of the peak of average BMD in adults minus 2.0 standard deviations.The results showed that the incidence of osteoporosis estimated from the BMD of radius at the aged of 60～90 and 70～79 were 31.0% and 66.7% respectively and that from that BMD of lumber were 52.1% and 66.7%。

关 键 词：骨密度 骨质疏松 妇女 老年人 发病率 

分 类 号：R681[医药卫生—骨科学]