导致骨质疏松相关危险因素分析  

Analysis of Risk Factors Associated with Osteoporosis

作　　者：王日华 姜双双 段研 付爽 霍瑞坤 衣仕瑜 那日苏[1] 王剑 

机构地区：[1]内蒙古医科大学研究生院,内蒙古 呼和浩特 [2]内蒙古自治区人民医院骨创伤科,内蒙古 呼和浩特 [3]内蒙古自治区人民医院皮肤科,内蒙古 呼和浩特

出　　处：《临床医学进展》2023年第6期10188-10193,共6页Advances in Clinical Medicine

摘　　要：随着我国人均预期寿命逐步增长,社会老龄化逐渐形成,发生于老年人的骨质疏松症已成为危及老龄人口健康的严重威胁之一,有相关统计数字显示我国老龄人口已突破1亿,该年龄组人口所占比例也在逐年的提高。虽然理论骨质疏松症在各个年龄组人群均可发病,但临床发病者多集中于老年男性及绝经后女性,故有老年人的“隐形流行病”之称,骨质疏松症是指骨组织量在单位体积内变少,骨皮质变薄,骨松质内骨小梁数目变少,骨髓腔变空,骨骼能承担的最大负荷减少。而在临床工作中因为患者甚至是临床医生的认知不足,且早期临床症状不明显,病程早期阶段常常被忽略,骨质疏松患者在就诊时常表现为脆性骨折、腰椎失稳等,患者中的绝大多数是在发生了脆性骨折后才被确诊的,对社会和患者家庭造成极大的损失。本文分析总结了年龄、性别、内科疾病、体重等因素对骨质疏松的影响。With the gradual growth of average life expectancy and the gradual formation of aging society, os-teoporosis in the elderly has become one of the serious threats to the health of the aging population. Relevant statistics show that the aging population has exceeded 100 million, and the proportion of population in this age group is also increasing year by year. Although theoretical osteoporosis can occur in all age groups, clinical patients are mostly concentrated in elderly men and postmenopau-sal women, so it is known as the “invisible epidemic” of the elderly. Osteoporosis is the reduction of phalangeal tissue volume in unit volume, bone cortex thinning, bone trabecular number in the cancellous bone becoming small, bone marrow cavity becoming empty, and the maximum load that the bone can bear decreasing. However, in clinical work, due to the lack of cognition of patients and even clinicians, and the early clinical symptoms are not obvious, the early stage of the disease course is often ignored, osteoporosis patients are often presented with brittleness fracture, lumbar instability, etc., the vast majority of patients are diagnosed after the occurrence of brittleness frac-ture, causing great losses to the society and the patient’s family. The effects of age, sex, medical dis-ease and body weight on osteoporosis were analyzed and summarized in this paper.

关 键 词：老年人 骨质疏松症 危险因素 性别年龄 高血压 高脂血症 糖尿病 体重 

分 类 号：R58[医药卫生—内分泌]