绵阳地区中老年人骨量减少和骨质疏松患病状况分析  

Analysis of the prevalence of bone loss and osteoporosis in the middle-aged and elderly people in Mianyang region

作　　者：黄昶荃[1] 冯友[1] 程燕[1] 陈玲[1] 魏雪梅[1] 刘清秀[2] 黄颖[1] 

机构地区：[1]绵阳市第三人民医院老年综合科(骨质疏松专科),四川绵阳621000 [2]绵阳市第三人民医院妇科,四川绵阳621000

出　　处：《中国骨质疏松杂志》2016年第8期1044-1046,1067,共4页Chinese Journal of Osteoporosis

基　　金：四川省科技支撑计划(2010FZ0061);四川省科技支撑计划(2013FZ0051);四川省杰出青年培养计划(2012JQ0050)

摘　　要：目的用双能X线骨密度检测仪检测绵阳地区中老人群骨密度,了解我国中老年人群骨量减少和骨质疏松的患病率。方法对绵阳地区城市、郊区及农村5039例50岁以上人自愿者（其中男性1895例,女性3144例）进行骨密度检测,对腰椎、股骨骨密度检测,并采用世界卫生组织（WHO）标准分类：骨量正常、骨量减少和骨质疏松。结果女性骨量减少和骨质疏松患病率分别为35%和48%,其中70-79岁以上骨量减少和骨质疏松患病率分别为19%和67%,80岁以上骨质疏松患病率为100%。男性骨量减少和骨质疏松患病率分别为10%和6%,70岁以下无骨量减少和骨质疏松患病患者,70-79岁以上骨量减少和骨质疏松患病率分别为8%和6%,80岁以上骨量减少和骨质疏松患病率分别为22%和13%。不同年龄组别间骨量减少和骨质疏松的患病率差异显著有统计学意义（P〈0.01）,相同年龄组女性显著高于男性（P〈0.01）。结论绵阳地区中老年人群中骨质减少和骨质疏松患病率高,尤其是高龄女性;80岁以上女性骨质疏松患病率为100%,男性骨量减少和骨质疏松患病率为35%。Objective To study the prevalence of bone mass loss and osteoporosis in the elderly in China by measuring bone mineral density（ BMD） using dual energy X-ray absorptiometry in Mianyang. Methods BMD of the lumbar spine and the femur was detected in 5039 50-year-old and over volunteers in urban,suburban,and rural area in Mianyang（ 1895 males and 3144females）. According to World Health Organization（ WHO） standard classification,they were diagnosed as normal bone mass,osteopenia,and osteoporosis. Results In females,the incidence of osteopenia and osteoporosis was 35% and 48%,respectively.It was 19% and 67%,respectively,in those aged from 70 to 79 years old,and 100% in those aged over 80 years old. In males,the incidence of osteopenia and osteoporosis was 10% and 6%,respectively. There was no osteopenia and osteoporosis in people under 70 years of age. The incidence of osteopenia and osteoporosis was 8% and 6%,respectively,in those aged from 70 to 79 years old,and 22% and 13%,respectively,in those aged over 80 years old. The prevalence of osteopenia and osteoporosis was significantly different among different age groups（ P〈0. 01）. It was significantly higher in women than in men at the same age group（ P〈0. 01）. Conclusion The prevalence of osteopenia and osteoporosis is high in the elderly population in Mianyang region,particularly in older women. The prevalence of osteoporosis is 100% in women over 80 years old. The prevalence of osteopenia and osteoporosis in men is 35%.

关 键 词：骨量减少 骨质疏松 流行病学 

分 类 号：R681[医药卫生—骨科学]