中国人骨质疏松症诊断标准回顾性研究

A retrospective research of osteoporotic diagnosis standards in China

目的 通过对既往国内文献复习 ,提出一种更方便、更科学的中国人骨质疏松症诊断标准。方法 检索国内期刊数据库中已发表的文献 ,摘录骨密度丢失率数据进行统计、计算、分析 ,得到不同年龄段、不同作者、使用不同型号仪器、不同部位的骨密度丢失百分率及相关曲线。结果 中国男性骨质疏松诊断标准推荐使用骨密度丢失百分率 2 5 %或 2SD ;中国女性骨质疏松诊断标准推荐使用骨密度丢失百分率 2 5 %或 2SD ;测量部位推荐使用如下顺序 :股骨颈 >前臂远端 1/ 3、1/ 10、1/ 6 >RA法手指骨 2 ,3,4中节 >股骨Troch区 ;不推荐使用股骨Ward区和腰椎侧位。结论 使用骨密度丢失百分率这个指标作为中国人骨质疏松症诊断标准非常有意义 ,值得进一步推广和深入研究。

Objective To review the past literatures published in China, here we try to find some more conveient, more objective standards of Chinese osteoportic diagnosis. Methods To search most literatures from magazine databases, quilt, calculate and analysis these data, we got some BMD lost rates and correlative curves within different age, authors, machines and different positions. Results It is suggested that the Chinese male standards of osteoporotic diagnosis should use 25% in BMD lost percents or 2 SD; also, female standads should use 25% or 2 SD. The measure position is suggested in some sequences that thighbone neck is better than forearms, lumber P-A position, fingers detected by RA and thighbone Troch region. The thighbone WARD's region and lumber lateral measurements are not supported. Conclusions It means very important to use BMD lost rates as Chinese osteoporotic diagnosis standards and it is worthy of developed, more deep research.