某三甲医院50岁以上门诊患者骨密度测定情况分析  

Analysis of bone mineral density measurement in outpatients over 50 years old in a third class hospital

作　　者：李灿 杨京 苏楠 陈乐欣 陈涵纲 罗凤涛 陈林 谢杨丽 LI Can;YANG Jing;SU Nan;CHEN Lexin;CHEN Hangang;LUO Fengtao;CHEN Lin;XIE Yangli(Army Medical University Daping Hospital Osteoporosis and Bone Development Center/War Wound Tissue Repair and Rehabilitation Medical Research Laboratory/National Key Laboratory of Trauma and Chemical Poisoning,Chongqing 400042,China;The First Clinical Medical College of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]陆军军医大学大坪医院骨质疏松与骨发育中心/战伤组织修复与康复医学研究室/创伤与化学中毒全国重点实验室,重庆400042 [2]重庆医科大学第一临床医学院,重庆400016

出　　处：《现代医药卫生》2024年第8期1277-1280,1284,共5页Journal of Modern Medicine & Health

基　　金：国家重点研发计划课题(2018YFA080082);陆军军医大学科技创新能力提升专项项目(2019XLC2015)。

摘　　要：目的了解医院各科室50岁以上门诊患者骨密度测定情况。方法选取2019年1-12月在陆军军医大学大坪医院就诊的50岁以上行骨密度测定患者2772例,比较不同科室、性别、体重指数(BMI)患者及不同部位骨密度检测情况。结果76.33%(2116/2772)的患者来自骨质疏松与骨发育门诊、脊柱外科、疼痛科及关节四肢外科。不同科室骨密度检测率比较,差异有统计学意义(P<0.05)。≥65岁女性骨密度检测率[1.49%(1004/67249)]明显高于≥70岁男性[0.29%(107/36909)],差异有统计学意义(P<0.05)。不同性别患者在不同科室骨密度检测率比较,差异均有统计学意义(P<0.05)。不同部位骨密度测定结果比较,差异有统计学意义(P<0.05)。2772例患者中,骨质疏松症检出率为32.03%(888/2772),其中,女性骨质疏松症检出率[33.35%(835/2504)]明显高于男性[19.78%(53/268)],差异均有统计学意义(P<0.05)。不同BMI患者骨质疏松症检出率比较,差异有统计学意义(P<0.001)。结论临床各科室对骨质疏松症的重视程度还不够,总体骨密度检测率较低。建立骨质疏松门诊及宣讲骨质疏松症知识有助于提高该病的诊治水平,此外需加强对男性骨质疏松的关注。Objective To Understand the bone density measurements of outpatient patients over aged 50 years old in various departments of the hospital.Methods A total of 2772 patients over 50 years old who underwent bone density testing at the Army Medical University Daping Hospital from January to December 2019 were selected,and the bone density measurements in different departments,genders,body mass index(BMI)patients,and different parts of the body were compared.Results 76.33%(2116/2772)of patients came from osteoporosis and bone development outpatient department,spinal surgery,pain department,and joint and limb surgery.The difference in bone density detection rates among different departments was statistically significant(P<0.05).The bone density detection rate in women aged≥65[1.49%(1004/67249)]was significantly higher than that in men aged≥70[0.29%(107/36909)],and the difference was statistically significant(P<0.05).The differences in bone density detection rates between patients of different genders in different departments were statistically significant(P<0.05).The differences in bone density measurements among different parts of the body were statistically significant differences(P<0.05).Among the 2772 patients,the detection rate of osteoporosis was 32.03%(888/2772).Among them,the detection rate of osteoporosis in females[33.35%(835/2504)]was significantly higher than that in males[19.78%(53/268)],and the difference was statistically significant(P<0.05).The differences in bone density measurements among patients with different BMI were statistically significant differences(P<0.001).Conclusion The clinical departments do not attach enough importance to osteoporosis,and the overall bone density detection rate is relatively low.Establishing osteoporosis clinics and promoting knowledge about osteoporosis can help improve the diagnosis and treatment level of the disease.In addition,it is necessary to strengthen attention to male osteoporosis.

关 键 词：骨密度 骨质疏松 门诊 调查 检测率 

分 类 号：R681.1[医药卫生—骨科学]