医务人员412名骨密度特点及分析  

Characteristics and Analysis of Bone Mineral Density of 412 Medical Staff

作　　者：桑艳红[1] 焦培林 甄月巧[1] SANG Yan-hong;JIAO Pei-lin;ZHEN Yue-qiao(The Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第五附属医院,郑州450052

出　　处：《医药论坛杂志》2021年第4期74-78,共5页Journal of Medical Forum

摘　　要：目的通过对郑州大学第五附属医院医务人员骨密度体检结果的分析,了解本院职工骨质疏松的流行情况,分析影响骨密度的危险因素。方法选取郑州大学第五附属医院2017年6月~8月412名在职和退休的40岁以上医务人员,采用双能X线骨密度仪(DXA)测定腰椎(L1-4)、股骨颈、大转子区的骨密度,结合年龄、性别、生活习惯等因素进行分析研究。按年龄、性别,每10岁作为1个年龄段。结果 (1)骨质疏松总患病率为18.2%,共75人,男性21人,女性54人。具体如下:40~50岁17人,同年龄组占比8.8%,其中男性5人,女性12人;51~60岁38人,同年龄组占比20.4%,其中男性14人,女性24人;>60岁:20人,同年龄组占比60.6%,其中男性5人,女性15人;(2)骨质正常132人,总占比32%,具体如下:40~50岁:81人,同年龄组占比42%,其中男性11人,女性70人;51~60岁:49人,占比26%,其中男性10人,女性39人;>60岁:2人,占比6%,其中男性2人,女性0人;(3)骨量减少组205人,总占比49.8%。具体如下:40~50岁:95人,其中男性20人,女性75人,同年龄组(下同)占比49.2%;51~60岁:99人,其中男性26人,女性73人,占比53.2%;>60岁:11人,其中男性6人,女性5人,占比33.3%。结论骨质疏松总患病率18.2%,并且随年龄增加呈逐渐上升趋势;骨量减少总患病率为49.8%,在相应年龄阶段发生率男女无明显差别;在<60岁人群中,男性骨质疏松症的患病率大于女性同年龄组;大于60岁老年人群中骨质疏松比例在各年龄阶段最高,女性尤其明显。Objective Through the analysis of bone mineral examination results of bone mineral density of medical staff in our hospital, to understand the prevalence of osteoporosiss in our hospital, analysis of risk factors affecting bone mineral density.Methods From June to August 2017,412 active and retired medical personel over 40 years old were selected, The bone mineral of lumbar spine(L1-4)、femoral neck and greater trochanter were measured by dual energy X-ray absorption, combined with age、gender、living habits and other factors foranalysis and research.According to age, sex, every 10 years as an age group.Results(1)The total prevalence rate of osteoporosiss was 18.2%,a total of 75 people, 21 are men, 54 are women.Specific as follows: 17 people aged 40~50,proportion of the same age group 8.8%,among them, 5 are men, 12 are women;38 people aged 51~60,proportion of the same age group 20.4%,among them, 14 are men, 24 are women;20 people over 60 years old, proportion of the same age group 60.6%,among them, 5 are men, 15 are women;(2)132 people with normal bone mass, the total prevalence rate of 32%.Specific as follows: 81 people aged 40~50,proportion of the same age group 42%,among them, 11 are men, 70 are women;49 people aged 51~60,proportion of the same age group 26%,among them, 10 are men, 39 are women;2 people over 60 years old, proportion of the same age group 6%,among them, 2 male, 0 female;(3)205 in osteopenia group, The total proportion was 49.8%.Specific as follows: 95 people aged 40~50,proportion of the same age group 49.2%,among them, 20 are men, 75 are women;99 people aged 51~60,proportion of the same age group 53.2%,among them, 26 are men, 73 are women;11 people over 60 years old, proportion of the same age group 33.3%,among them, 6 are men, 5 are women.Conclusion The total prevalence rate of osteoporosiss was 18.2%,and with the increase of age, the trend is gradually rising;The total prevalence rate of osteopenia was 49.8%,there is no significant difference in incidence rate between men and women in the

关 键 词：医务人员 骨质疏松 危险因素 

分 类 号：R223.7[医药卫生—中医基础理论]