岷县地区中老年人群骨质疏松症患病率及其影响因素的调查研究  

Investigation on the Prevalence of Osteporsis and Its Influencing Factors among Middle-aged and Elderly People in Minxian County

作　　者：路超 马立峰 邱海峰 苏卫军 陈正卫 李永红 王栋 安蓬田 何小宁 董万涛 LU Chao;MA Lifeng;QIU Haifeng;SU Weijun;CHEN Zhengwei;LI Yonghong;WANG Dong;AN Pengtian;HE Xiaon-ing;DONG Wantao(Department of Traditional Chinese Medicine Orthopedics and Traumatology,Dingxi Minxian County Hospital of Tradi-)

机构地区：[1]甘肃省定西市岷县中医院中医骨伤科,甘肃岷县748400

出　　处：《系统医学》2023年第22期17-19,23,共4页Systems Medicine

基　　金：2022年度定西第一批市级科技计划安排(B类)(DX2022BR13)。

摘　　要：目的 分析岷县地区中老年人群骨质疏松症(osteporsis, OP)患病率及其影响因素。方法 选取2018年8月—2022年12月期间在岷县中医院体检中心、门诊及住院部就诊且自愿接受或已接受骨密度(Bone mineral density, BMD)检测的1 077名中老年人为调查对象,依据是否发生OP分为发生OP组(n=305)及未发生OP组(n=772)。分析影响OP发生的单因素,并对存在统计学意义的单因素建立Logistic回归模型,行多因素分析。结果 两组年龄、性别、受教育程度、体质指数(body mass index, BMI)、高血压、家族骨折史、经常锻炼、规律补钙、绝经年限比较,差异有统计学意义(P<0.05)。Logistic回归分析显示,年龄(OR=2.299)、BMI(OR=2.337)、高血压(OR=3.559)、家族骨折史(OR=3.931)是影响OP发生的危险因素(OR≥1,P<0.05);经常锻炼(OR=0.103)、规律补钙(OR=0.062)是OP的保护因素(OR<1,P<0.05)。结论 岷县地区中老年人群OP影响因素分析可知女性发生OP概率更高,且患者受到年龄、BMI、受教育程度、家族骨折史、绝经年限、高血压等危险因素影响,大大增加OP发生风险,而经常锻炼、规律补钙则是降低OP发生率的重要因素。Objective To analyze the prevalence of osteporsis(OP)and its influencing factors in the elderly popula-tion in Minxian County.Methods A total of 1077 middle-aged and elderly people who voluntarily received or had re-ceived bone mineral density(BMD)testing in the physical examination center,outpatient department and inpatient de-partment of Minxian County Hospital of Traditional Chinese Medicine from August 2018 to December 2022 were se-lected as the investigation subjects.According to whether OP occurred or not,the patients were divided into OP group(n=305)and no OP group(n=772).The single factors affecting the occurrence of OP were analyzed,and Logistic re-gression models were established for the single factors with statistical significance,and multi-factor analysis was per-formed.Results There were significant differences in age,sex,education level,body mass index(BMI),hypertension,family history of fracture,regular exercise,regular calcium supplementation and menopause years between the two groups,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age(OR=2.299),BMI(OR=2.337),hypertension(OR=3.559)and family history of fracture(OR=3.931)were risk factors for OP(OR≥1,P<0.05).Regular exercise(OR=0.103)and regular calcium supplementation(OR=0.062)were protective fac-tors for OP(OR<1,P<0.05).Conclusion The analysis of influencing factors of OP among middle-aged and elderly people in Minxian County showed that women had a higher incidence of OP,and patients were affected by risk factors such as age,BMI,education level,family history of fracture,menopause years,and hypertension,which greatly in-creased the risk of OP,while regular exercise and regular calcium supplementation were important factors to reduce the incidence of OP.

关 键 词：岷县 骨质疏松 影响因素 骨密度 

分 类 号：R580[医药卫生—内分泌]