乌鲁木齐社区维吾尔族和汉族人群足跟骨密度的筛查  

Screening for heel bone density of the Uygur and Han populations in a Urumqi community

作　　者：张凯迪 郭艳英[2] 赵红丽[2] 王新玲[2] 木尼拉.阿不都乃依木 艾合买提江.吐乎提 热孜万古丽.乌斯曼[2] ZHANG Kaidi;GUO Yanying;ZHAO Hongli;WANG Xinling;MUNILA· Abudunaiyimu;AIHEMAITIJIANG-Tuhuti;REZIWANGULI· Wusiman(IXingjiang Medical University, Urumqi, Xinjiang 830054, Chin;Department of Endocrinology, The People＇s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang 830001, China)

机构地区：[1]新疆医科大学,乌鲁木齐830054 [2]新疆维吾尔自治区人民医院内分泌科,乌鲁木齐830001

出　　处：《新疆医学》2018年第3期301-303,323,共4页Xinjiang Medical Journal

基　　金：乌鲁木齐市科学技术局项目(G161310003)

摘　　要：目的对乌鲁木齐某社区维吾尔族与汉族成年人骨质疏松的初步筛查。方法利用2013年5月在乌鲁木齐某社区甲状腺疾病流行病学调查的资料,选取其中资料完整并行足跟定量超声(QUS)检查的1759例纳入本次研究,年龄18~84岁,平均(46.8±14.3)岁;其中维吾尔族779人(男/女:211/568),汉族980人(男/女:316/664)。按民族、性别、年龄分组,比较各组骨量的差异。结果 (1)两民族间骨量正常(T≥-1.0)(维56.0%、汉56.5%,χ~2=0.056、P=0.814)、骨量减少(-2.5<T<-1)(维41.1%、汉38.9%,χ~2=0.877、P=0.349)、骨质疏松(T≤-2.5)(维3.0%、汉4.6%,χ~2=3.138、P=0.076)的检出率差异无统计学意义;女性骨质疏松检出率高于男性(女4.7%、男1.9%,χ~2=7.844、P=0.005)。(2)维、汉人群随着年龄的增加骨质疏松检出率均呈增高趋势(维吾尔族趋势χ2=39.249、P<0.000,汉族趋势χ~2=47.225、P<0.000)。结论乌鲁木齐某社区维、汉人群骨质疏松检出率无明显差异,随着年龄增长骨质疏松检出率逐渐增高;女性高于男性(3)定量超声与双能X线吸收法筛查骨量减少有较好的相关性,定量超声可以作为骨质疏松症的早期筛查工具应用于社区。Objective To study the primary screening of osteopomsis in Uygur and Han populations in a Urumqi community.Methods Thyroid disease epidemiologieal data in Urumqi in May 2013 were used,1759 cases[aged from 18 to 84,average age（46.8 ＋ 14.3 years）;779 cases from the Uygur（male / female：211/568）,980 eases from the Han（male / female：316/664）]with complete data were selected to this study.According to ethnic,gender,age,and compared the differences in bone mass.Results（1）between the two ethnic groups with normal bone density（Uygur 56.0%,Han 56.5%,χ2=0.056,P=-0.814）,reduced bone mass（-2.5〈T〈-1）（Uygur 41.1%,Hart 38.9%,χ2=0.877,P =0.349）,osteoporesis（T≤-2.5）（Uygur 3.0%,Han 4.6%,χ2=3.138,P=0.076）,the difference in detection rate was not statistically significant;female osteoporosis detection rate is higher than that of the male（female 4.7%,1.9% male,χ2=7.844,P =0.005）.（2）The detection rate of osteopomsis increased with age in both Uygur and Han populations（Uygur trend χ2=39.249,P 〈 0.000,Han trend χ2=47.225,P 〈 0.000）.Conclusion There was no significant difference in the prevalence of osteoporosis among Uygur and Han Nationality in Urumqi.The prevalence rate of osteoporosis was gradually increased with age,and females are more liable to suffer from osteoporosis.

关 键 词：定量超声 骨质疏松 维吾尔族 汉族 

分 类 号：R589.9[医药卫生—内分泌]