骨质疏松性骨折与老年保健

Osteoporotic fracture and healthy protection in the aged

目的测定老年人骨密度(BMD),分析老年人骨质疏松骨折的发病特点,强调骨质疏松性骨折的危害,加强骨质疏松性骨折的认识与预防。方法调查老年人228例,其中骨质疏松性骨折45例,每例均作问卷调查并行定量CT(QCT)检查。结果本组老年人骨质疏松性骨折的患病率为19.73%(男13.60%,女27.18%),同性别骨折组BMD低于健康对照组,两组进行统计学比较,P<0.05,有统计学差异。结论BMD降低和跌倒是老年人骨质疏松性骨折的主要原因,应在老年人中加强骨质疏松症的健康教育,积极预防骨质疏松性骨折的发生。建议以椎骨BMD测值80mg/cm2作为昆明地区老年人QCT预测骨质疏松骨折的参考阈值。

Objective To measure bone mineral density （BMD） of the aged, analyze the characteristics of osteoporotic fracture, emphasize the harm of osteoporotic fracture and prevention for osteoporotic fracture. Methods 228 aged persons were investigated including 45 aged patients with osteoporotic fracture. Everyone was investigated with questionnaire and their BMD was measured by QCT. Results The incidence of osteoporotic fracture was 19.73% （male 13.60%, female 27.18%） BMD of the osteoporotic fracture group was lower than the control group. There was statistical significance （P 〈 0.05） Conclusions The level of BMD and fall are the main causes of osteoporotic fracture in the elderly. The healthy education should be improved in the aged in order to prevent osteoporotic fracture. 80mg / cm^3 is suggested as osteoporotic fracture reference threshold with QCT for Kunming＇s aged