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作 者:毛未贤[1] 张萌萌[1] 马倩倩[1] 高远[1] 尹纪伟[1] 宋世凯[1] MAO Weixian ZHANG Mengmeng MA Qianqian GAO Yuan YIN Jiwei SONG Shikai(Osteoporosis Treatment Center of Jilin Province, the Fourth Hospital of Jilin University, Changchun 130011, China)
机构地区:[1]吉林省骨质疏松诊疗中心(吉林大学第四医院),长春130011
出 处:《中国骨质疏松杂志》2016年第9期1083-1086,共4页Chinese Journal of Osteoporosis
摘 要:目的调查吉林省长春地区4613例25~79岁女性腰椎正位L1-L4 TOTAL骨密度(BMD),分析长春地区女性骨质疏松患病率,研究女性腰椎BMD与年龄、绝经年限、体重指数的相关关系。方法采用美国Hologic公司Discovery WA型骨密度仪检测受试者腰椎正位L1-L4 TOTAL骨密度。将4613例受试者腰椎BMD检测结果按5岁为一年龄段分组,应用SPSS19.0统计学分析软件进行分析。腰椎BMD和骨质疏松患病率与年龄、绝经年限、体重指数的相关性采用直线相关分析。结果30岁以后,随着年龄增长,腰椎BMD值呈下降趋势,骨质疏松患病率升高,年龄与腰椎BMD呈负相关,与OP患病率呈正相关;随绝经年限延长,BMD值降低,OP患病率升高,绝经年限与腰椎BMD呈负相关,与OP患病率呈正相关。低体重指数组,腰椎BMD值最低,OP患病率最高;随体重指数增加,腰椎BMD增加,骨质疏松患病率降低,体重指数与腰椎BMD呈正相关,与骨质疏松患病率呈负相关。结论年龄、绝经年限、体重指数是骨密度的重要影响因素,增龄、绝经年限延长与低体重指数是骨质疏松发生的危险因素。Objective To investigate bone mineral density(BMD) of the total lumbar spine L1-L4 of 4613 25~79-year-old females in Changchun,Jilin,to analyze the incidence of osteoporosis,and to study the correlation among lumbar spine bone BMD,age,menopausal year,and body mass index(BMI).Methods BMD of the total lumbar spine L1-L4 was detected using a detector(Discovery-WA,Hologic,USA).The BMD results of 4613 cases were grouped according to a 5-year age division.Data were statistically analyzed using a SPSS 19.0 software.Results Lumbar spine BMD decreased along with age after 30 years old,and the incidence of osteoporosis increased.The age was negatively correlated with lumbar spine BMD,and positively correlated with the incidence of osteoporosis.With the prolong of menopausal years,BMD decreased,and the incidence of osteoporosis increased.The menopausal year was negatively correlated with lumbar spine BMD and positively correlated with the incidence of osteoporosis.In the low BMI group,the lumbar spine BMD was the lowest,and the incidence of osteoporosis was the highest.With the increase of BMI,the lumbar spine BMD increased,and the incidence of osteoporosis reduced.BMI was positively correlated with the lumbar spine BMD and was negatively correlated with incidence of osteoporosis.Conclusion Age,menopausal year,and BMI were important influential factors of BMD.Aging,delay of menopausal year,and lower BMI were the risk factors of osteoporosis.
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