老年男性骨质疏松相关因素与健康教育效果分析

Association between calcitonin receptor genotypes and bone mineral density in aged men above 70 years old

目的调查老年男性骨质疏松症(OP)的相关因素,分析老年男性OP易患规律,探讨其相应的健康教育方法。方法选取年龄≥60岁的男性322例,按老年人常见的3种疾病和健康人群分为4组,采用双能X线骨吸收仪(DEXA)检测腰椎、髋部、左前臂远端的骨密度(BMD)。结果骨质疏松患病率为严重的慢性阻塞性肺部疾患(COPD)组100%,糖尿病组65%,心脑血管病组61.5%,健康状况组60%。严重的慢性阻塞性肺部疾患组除Ward’s部位外,各部位骨密度与其它3组相比最低,且均有显著性差异。结论OP的罹患人群逐渐扩大,而严重的COPD是老年男性骨质疏松的易患人群;应及早实施个体化健康教育,防治OP及避免OP性骨折的发生。

Objective To investigate the correlation factor on old age masculine osteoporosis （OP） analyze old age masculine OP easily rule and discusses its corresponding health education method. Method Select age ≥ 60 year-old masculine individual 322 examples,and divided into 4 groups according to 3 kind of diseases and the healthy crowd, uses versatile X bone absorption meter（DEXA） to examine the lumbar vertebra, the hip department, the left forearm far-end bone density （BMD）. Result Oteoporosis prevalence rate for serious chronic blocking lungs illness group was （COPD） 100%, diabetes group was 65%, heart blood vessel of brain sickness group was 61.5%, state of health group was 60%. Serious chronic blocking lungs illness group except ward＇s location, various spots bone density is lower than with other 3 groups, also has obvious difference. Conclusion OP suffers from the trouble crowd gradually to expand, but serious COPD is the old age masculine osteoporosis easily crowd; should early implement of individual health education should be done to prevents and controls OP and avoids the OP nature bone fracture the occurrence.