成都市1920例骨痛女性骨密度的研究  

AN INVESTIGATION OF BMD OF 1920 WOMEN WITH BONE PAIN IN CHENGDU.

作　　者：李金祥[1] 马锦富[1] 吴进[1] 王文志[1] 赖盛梅[1] 

机构地区：[1]华西医科大学附四院,成都610041

出　　处：《现代预防医学》2000年第1期83-85,共3页Modern Preventive Medicine

摘　　要：目的 :对有骨痛症状的 192 0例女性患者 ,进行不同年龄组段骨密度 (BMD)的测定 ,寻找骨痛与骨量丢失的关系。为具有骨痛症状的女性骨质疏松 (OP)的早期诊治提供依据。方法 :采用 DPX— L型 DEXA进行不同年龄组段 BMD的测定 ,与 BMD峰值进行比较 ;计算其均值、变化 ;用方差分析与χ2 检验对比受试组与对照组的骨量丢失状况。结果 :骨痛患者的 L2 - 4 和股骨近端 BMD最高值出现在 30～ 39岁年龄组段 ,该值 - 2 .0 S后的数据落在 6 0～ 79岁之间 ,证明以 BMD峰值 - 2 .0 S作为女性国人诊断标准的合理性。各部位 BMD的丢失均随增龄而增高 ,人体 BMD丢失最敏感的部位在 Ward区域。受试组 BMD的骨量丢失与不同地区比较呈明显增高 (P<0 .0 1) ;凡有骨痛的患者多有骨量的降低。Objective:To investigate BMD changes of 1920 women with bone pain,the bone mineral density(BMD) at different age groups were measured to find out the relationship between bone pain and bone mass loss and to provide the basis of the earlier diagnosis for osteoporosis.Methods:The BMD were measured by DEXA of DPX-L and compared with peak BMD.The mean,variety of BMD was calculated.The bone mass loss between control group and comparison group is matched though the analysis of variance and chi square test.Result:the highest value of BMD on L 2-4 and proximal femur occurred in the age group of 30～39,and the data of the peak BMD -2 0s is the age groups of 60~79 and indicates the rationality of the peak BMD -2 0s as diagnostic standard for Chinese women.The loss of bone mass at different areas is increased with aging and the most sensitive part of the bodys BMD loss is located at wards area.The bone mass loss in control group comparing with other districts is distinct increase( P <0 01).All of the patients with bone pain have the decrease of bone mass.

关 键 词：骨痛症状 女性 骨密度 

分 类 号：R681.02[医药卫生—骨科学]