宝鸡地区人群骨密度分析  

Analysis of bone mineral density in the population of Baoji area

作　　者：赵勇 王伟军[1] 沈天波 麻春田 田宏哲[1] ZHAO Yong;WANG Weijun;SHEN Tianbo;MA Chuntian;TIAN Hongzhe(Medical Imaging Department,Baoji Central Hospital,Baoji 721008,China)

机构地区：[1]宝鸡市中心医院医学影像科,陕西宝鸡721008

出　　处：《临床医学研究与实践》2024年第26期9-12,共4页Clinical Research and Practice

基　　金：宝鸡市卫生健康委员会2021年度科研计划立项课题(No.2021-021)。

摘　　要：目的研究宝鸡地区人群骨密度分布现状和特征,评估骨质疏松性骨折风险,为临床干预、健康指导提供参考。方法回顾性分析2021年6月至2023年2月在我院行双能X线吸收检测法(DXA)的5830例机会性筛查人群骨密度检查资料。比较不同性别人群各部位的骨密度差异;分析不同性别人群各部位骨密度随年龄变化趋势;比较宝鸡地区20~80岁不同性别人群各部位骨密度峰值与国内大样本研究结果;分析体质指数(BMI)与骨密度的相关性。结果男性各部位骨密度基本高于同龄段女性。不同性别人群基本表现为腰椎骨密度最高,全髋骨密度次之,股骨颈骨密度最低。随着年龄的增长,不同性别人群骨密度变化趋势显著不同,男性骨密度丢失缓慢,女性骨密度丢失开始时间更早,丢失速度更快且呈现加速趋势。结论宝鸡地区人群骨密度在不同性别、不同部位的分布特征与国内大部分地区人群相似,女性骨质流失更早更快,导致女性骨质疏松症发病率更高、发生时间更早。Objective To study the distribution status and characteristics of bone mineral density in Baoji area,to evaluate the risk of osteoporotic fracture,so as to provide reference for clinical intervention and health guidance.Methods The bone mineral density data of 5830 opportunistic screening population who underwent dual-energy X-ray absorptiometry(DXA)in our hospital from June 2021 to February 2023 were retrospectively analyzed.The difference of bone mineral density of various parts between different gender groups were compared;the change trend of bone mineral density of various parts with age in different gender groups were analyzed;the peak bone mineral density of various parts of different gender groups in people aged 20-80 in Baoji area and the results of large sample study in China were compared;the correlation between body mass index(BMI)and bone mineral density was analyzed.Results The bone mineral density of various parts in males were basically higher than those in females of the same age.The bone mineral density of lumbar spine was the highest,followed by bone mineral density of total hip,and bone mineral density of femoral neck was the lowest in different gender groups.With the increase of age,the change trend of bone mineral density in different gender groups was significantly different,the bone mineral density loss of males was slow,the bone mineral density loss of females started earlier,and the loss rate was faster and showed an accelerating trend.Conclusion The distribution characteristics of bone mineral density in different genders and different parts of the population in Baoji area are similar to those in most regions of China.The bone loss of females is earlier and faster,resulting in a higher incidence and earlier occurrence of osteoporosis in females.

关 键 词：骨质疏松 骨密度 双能X线吸收检测法 宝鸡地区 

分 类 号：R181[医药卫生—流行病学]