吉林市绝经后女性骨质疏松发病情况调查  

THE INCIDENCE OF OSTEOPOROSIS IN POSTMENOPAUSAL WOMEN SURVEY OF JILIN CITY

作　　者：薛昊罡[1] 冷冰[1] 马恩元[1] 蒋维海[1] 崔双[1] 单广宇[1] 苗婷婷[1] 

机构地区：[1]北华大学第一临床医院骨外科,吉林132011

出　　处：《现代预防医学》2011年第20期4135-4137,共3页Modern Preventive Medicine

摘　　要：[目的]通过对吉林市部分地区绝经后女性进行调查，研究绝经后骨质疏松的发病率，发病因素，探讨其对女性身体健康的危害。[方法]调查自2010年2月～2011年2月，选择我市45岁以上绝经后妇女960位，年龄49。89岁，平均年龄68．8岁，绝经后4～43年，平均25．2年。调查组成员均为由我院专业医生，对所有调查对象进行面对面问卷调查，并进行全面体格检查。选择DEXA（Lunar，US）骨密度仪测量左侧股骨颈近端骨密度。[结果]①调查显示随着年龄的增长，绝经后女性骨质疏松的发病率逐渐增高，从45—r50岁的3．03％逐渐增加到80岁以上的55．0％。其中。60～65岁绝经后女性骨质疏松的发病率比55-60岁明显增高，有统计学差异（P〈0．05）.（2）绝经后骨质疏松患者骨密度均值为（0．531±0．076）g／cm2，明显低于未发生骨质疏松的绝经后女性（0．596±0．083g／cm2），两者间有统计学差异（P〈0．05）。绝经后骨质疏松女性骨折发生部位中以前臂远端最多见，股骨粗隆间骨折位于第2位，其他常见的部位还有椎体和股骨颈。[结论]随着年龄的增长，绝经后骨质疏松的发病率逐渐增高，严重影响的女性的健康。应该采取积极的预防和治疗措施。[ Objective] To investigate the situation of postmenopausal women in parts of Jilin City, and research the in- cidence of postmenopausal osteoporosis, and its hazards to females. [ Methods] From February 2010 to February 2011, 960 postmenopausal women over the age of 45 in our city were chosen. They were aged from 49 years to 89 years, mean 68.8 years, 4-43 years after menopause, with an average of 25.2 years. Investigation team members were professional doctors from our hospital, Face to face survey were conducted, and a comprehensive medical examination was also conducted. Bone mineral density was measured on the left proximal femoral neck using DEXA （Lunar, US）. [Results] （1） Survey shows that with age, the in- cidence of osteoporosis in postmenopausal women incidence increased gradually, gradually increased from 3.03% （45-50 years old） to 55.0% （over 80 years old）. Among them, the incidence rate ratio of osteoporosis in （60-65） years old postmenopausal women was significantly increased than （55-60） years old. There were significant differences （P〈 0.05）. （2） The mean bone mineral density in postmenopausal osteoporosis patients was 0.531±0.076g/cm2, was significantly lower than postmenopausal women who without osteoporosis （0.596 ± 0.083g/cm2）. There were significant differences between the two groups （P 〈 0.05）. In postmenopausal women with osteoporosis, fracture sites in the distal forearm were the most common, and intertrochanteric fractures in the second. There were other common site of vertebral and femoral neck. [Conclusion] With age, the incidence of postmenopausal osteoporosis gradually increased. It seriously affected the health of women, and should take active preventive and treatment measures.

关 键 词：骨质疏松 绝经 调查 

分 类 号：R681[医药卫生—骨科学]