产后妇女骨密度影响因素及其与婴儿3月龄时身长和体质量的相关性  

Influencing Factors of Bone Mineral Density in Postpartum Women and the Correlation with the Body Length and Body Mass of Their Infants at the Age of 3 Months

作　　者：谭玲琳 邱中娟[1] 郎永丽 董微 TAN Linglin;QIU Zhongjuan;LANG Yongli(Department of Gynecology,Tianjin Women and Children's Health Center,Tianjin 300070,China;Department of Functional Examination,Tianjin Women and Children's Health Center,Tianjin 300070,China)

机构地区：[1]天津市妇女儿童保健中心妇保科,天津300070 [2]天津市妇女儿童保健中心功能检查科,天津300070

出　　处：《实用妇产科杂志》2022年第5期369-373,共5页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨产后妇女骨密度影响因素及其与婴儿3月龄时身长和体质量的相关性。方法:回顾性分析2015年1月1日至2020年7月31日在天津市妇女儿童保健中心进行超声骨密度T-Score(T-值)筛查的6806例产后妇女,采用单因素分析、非参数检验Kruskal-Wallis H检验、多元线性回归等方法对产后妇女骨密度的影响因素及其婴儿3月龄时身长和体质量的相关性进行分析。结果:①6806例产后妇女平均年龄30.41±3.68岁,骨密度异常发生率为51.0%。②不同年龄、孕次、产次、民族、文化程度的产后妇女骨密度T-值差异有统计学意义(P<0.05)。经产妇不同的两次分娩间隔时间及产后6个月内不同检测时间的骨密度水平和骨量异常率差异无统计学意义(P>0.05)。③产后妇女骨密度与其婴儿3月龄时身长、体质量均无相关性(P>0.05)。④多元线性回归分析示:年龄和经产妇为影响骨密度的保护性因素(B>0,P<0.05),随年龄的增加,产后妇女的骨密度相对更高,经产妇骨密度高于初产妇。结论:半数产后妇女会发生骨密度异常,低龄以及初产妇需要更加重视孕产期的骨骼健康。建议产后常规进行骨密度筛查,尽早干预,防治女性骨质疏松症。Objective:To explore the influencing factors of bone mineral density in postpartum women and the correlation with the body length and body mass of their infants at 3 months old.Methods:A retrospective analysis of 6806 postpartum women who underwent ultrasound bone density T-score screening in Tianjin Women and Children′s Health Center from January 1,2015 to July 31,2020 was conducted.In this study,univariate analysis,nonparametric Kruskal Wallis H test and multiple linear regression analysis were used to determine the influencing factors of bone mineral density in postpartum women and the correlation with the body length and body mass of their infants at 3 months old.Results:①The average age of 6806 postpartum women was 30.41±3.68 years,and the incidence of abnormal bone mineral density was 51.0%.②There were significant differences in T-value of bone mineral density among postpartum women of different ages,pregnancies,births,nationalities and educational levels(P<0.05).There was no significant difference in the level of bone mineral density and abnormal rate of bone mass between two deliveries and at different detection times within 6 months postpartum(P>0.05).③There was no correlation between the bone mineral density of postpartum women and the body length and body mass of their babies at 3 months of age(P>0.05).④Multiple linear regression analysis showed that age and multiparity were protective factors affecting bone mineral density(B>0,P<0.05).With the increase of age,the bone mineral density of postpartum women was relatively higher,and the bone mineral density of multiparous women was higher than that of primipara.Conclusions:Abnormal bone density occurs in half of postpartum women,young and primiparas need to pay more attention to bone health during pregnancy and childbirth.It is recommended to routinely perform bone mineral density screening after childbirth and to intervene as soon as possible to prevent and treat osteoporosis.

关 键 词：产后妇女 骨密度 影响因素 定量超声法 筛查 

分 类 号：R58[医药卫生—内分泌]