影响温州地区老年女性骨质疏松症患者生存质量的多因素研究  

A Study of Multiple Factors With Quality of Life in Wenzhou Region Postmenopausal Women With Osteoporosis

作　　者：张跃进[1] 刘美琴[2] 蒋尚群[1] 吴爱琴[2] 陈小剑[2] 李宝青[2] 余清[1] 

机构地区：[1]温州医科大学,浙江温州325035 [2]温州医科大学第二附属医院,浙江温州325005

出　　处：《广东微量元素科学》2014年第3期17-23,共7页Trace Elements Science

基　　金：温州市科技计划项目(Y20120164);温州市科技计划项目(Y20060109)

摘　　要：目的为了解温州地区老年女性骨质疏松症（PostmenopausJosteoporosis，PMOP）患者的生存质量。方法随机将203例观察对象按骨质疏松症诊断标准分为骨量正常组、骨量减少组与PMOP组。测定各组观察对象的腰椎L1～4正位骨密度（Bonemineraldensity，BMD）并调查其膳食行为、运动习惯及生存质量等项目。结果年龄越大、文化程度越低、身材矮小及BMI偏低者、妊娠次数越多、产次越多者易罹患PMOP；而经常饮用牛奶、豆浆、茶，经常食用水产品、豆类、肉类、蛋类、水果、坚果及每月运动次数较多者骨密度保持良好。在校正年龄、文化程度、BMI等干扰因素之后，饮茶、食用水果、坚果类的次数与BMD呈正相关；通过此次观察尝试制定该地区汉族绝经后女性BMD的参考值范围。结论（1）从绝经开始至65岁年龄段的女性应是PMOP的重点防治对象；（2）适当锻炼并保持正常的体质指数（Bodymassindex，BMI）有利于维持腰椎BMD；（3）膳食行为、环境因素与该地区绝经后妇女的BMD有密切关系。Objective In order to understand the quality of life with postmenopausal women wire osteoporosis （Postmenopausal osteoporosis, PMOP） women patients in Wenzhou area. Methods 203 cases object were randomly observed according to the osteoporosis diagnosisthe standards are divided into normal group, bone mass loss and PMOP groups. Respectively, to detect the observed object of the lumbar spine L1 to 4 （L1-4） anteroposterior bone mineral density, and to investigate their dietary behavior, exercise habits and quality of life projects. Results The results showed that： the greater the age, educational level is the lower, short stature, and BMI lower, the more the number of pregnancies, parity, the more easily infected by PMOP. Regular consumption of milk, soy milk, tea, regular consumption of aquatic products, beans, meat, eggs, fruits, nuts and monthly movement more frequently with high bone mineral density. After adjusting for age, education level, BMI and other confounding factors, tea, edible fruits, nuts, the number was positively correlated with BMD. through the observation to the reference range of BMD value for women in local Han postmenopausal. Conclusion （1） After menopause to 65 years of age, postmenopausal female should be the key control objects; （2） the proper exercise and maintaining a normal body mass index （Body mass index, BMI ） is conducive to the maintenance of the lumbar BMD ; （3） the dietary beha in postmenopausal women is closely related to. or, environmental factors and the region of BMD

关 键 词：绝经后骨质疏松症 骨密度 生存质量 膳食行为 

分 类 号：R681[医药卫生—骨科学]