不同区域武警官兵人体骨密度检测情况分析  

Analysis on human bone mineral density in the armed police officers and soldiers from different areas

作　　者：毕珣[1] 段晓彦[2] 陈锋[3] 郑林林[1] 赵安妮[1] 

机构地区：[1]武警后勤学院附属医院健康管理中心,天津300162 [2]武警后勤学院科研部,天津300309 [3]武警后勤学院附属医院科研科,天津300162

出　　处：《武警后勤学院学报（医学版）》2016年第10期795-798,共4页Journal of Logistics University of PAP（Medical Sciences）

基　　金：武警后勤学院附属医院科研基金项目(FYZ201607)

摘　　要：【目的】根据武警部队任务特点,对不同区域官兵进行健康状况检测与调查,在健康常规体检项目下,增加了官兵骨质健康状况检测内容,以期了解部队官兵骨质健康状况和潜在隐患。为改善健康状态,提高生命质量,减少伤病发生提供科学参考依据。【方法】采取整群定向分组及随机抽样方法。将调研区域分为4组:1组四川、西藏;2组海南、云南;3组黑龙江、内蒙古;4组新疆、青海。并在四级区域中随机抽取某武警支队、机动师、特勤部队等13个基层单位一线官兵进行骨密度检测。检测方法使用美国Alara公司Metriscan骨密度仪,获得骨密度检测样本量685人次,均为男性官兵,年龄分布在18~46岁。诊断标准根据WHO的规定,T值>-1是正常范围;T值在-1^-2.5为骨质减少,T值<-2.5为骨质疏松。本次研究T值以-1为基准值,筛选出骨量峰值<-1的官兵骨质健康状况的分析。利用SPSS软件进行数据分析,率的比较采用Fisher精确检验,定量资料采用方差分析,年龄和骨密度的分类采用聚类分析。【结果】4组13个基层单位685名一线官兵骨密度检测情况,其中486人正常,占70.9%;骨质减少185人,占27.0%;骨质疏松14人,占2.0%。不同地区官兵骨密度检测情况比较,1组与3组、1组与4组骨密度T值比较均P<0.05。4个组8个省份中包含(高原、高寒、高温、高湿)不同地域特点,官兵骨密度检测情况为,各省份比较P<0.05。对685名官兵年龄和骨密度T值两个指标进行聚类分析,年龄(20.01±1.51)岁时,骨密度T值最低(-0.66±0.96),随着年龄增大,(26.55±2.37)岁青年军官,T值达到高峰(0.21±1.03),随着年龄继续增大,(35.48±2.20)岁时,T值又下降到(-0.09±1.11),而年龄(43.53±3.24)岁时,T值进一步下降到(-0.12±1.43)。【结论】部队是特殊集训群体,骨量减少易发生训练伤的对象多为(20.01±1.51)岁战士,此阶段战士的骨生长处于旺盛阶段,尤其是青春期,是人�【Objective】To inspect and investigate the health status of officers and soldiers from different areas, according to the task characteristics of the police force; increase the bone health test for officers and soldiers in routine health checkups in order to learn the bone health status and pitfalls, and provide scientific references for improving the health status and quality of life, as well as reducing the risks of injury.【Methods】By cluster directional grouping and random sampling method, the research areas were divided into 4groups： group 1（Sichuan and Tibet）, group 2（Hainan and Yunnan）, group 3（Heilongjiang and Inner Mongolia） and group 4（Xinjiang and Qinghai）. The officers and soldiers from 13 grass-roots units including armed police detachment, mobile division and special forces in the four areas were randomly selected to test bone mineral density. Metriscan bone mineral density instrument by Alara company was used for the detection. There were 685 testing samples. All were male. The age range was from 18 to 46. According to the diagnostic criteria of WHO, the value of T greater than-1 was the normal range;the value of T between-1 --2.5 was osteopenia; the value of T less than-2.5 was osteoporosis. The value of T equal to-1 was the benchmark value of this study. The bone health of officers and soldiers with peak bone mass less than-1 was analyzed. SPSS statistical software was used to analyze the data. The rates were compared by Fisher＇s exact test. The quantitative data were analyzed by variance analysis, the classification of age and bone mineral density was performed by cluster analysis.【Results】Among the 685 bone-mineral-density samples in the four groups from 13 grass-roots units,there were 486 normal ones, accounting for 70.9%; 185 samples with osteopenia, accounting for 27.0%; 14 samples with osteoporosis,accounting for 2.0%. According to the officers and soldiers from different areas, the T values of bone mineral density were significant different between group 1 and

关 键 词：骨密度检测 骨质健康 干预措施 

分 类 号：R821.2[医药卫生—临床医学]