2017年泉州地区体检人群骨密度情况调查研究

Research on the bone mineral density of physical examination population in Quanzhou area in 2017

目的通过分析泉州地区体检人群的骨密度(Bone mineral density,BMD)变化规律,为骨质疏松症(Osteoporosis,OP)的诊断与治疗提供参考依据。方法使用metriscan骨密度仪测量非惯用手第2~4手指中节指骨的骨密度值;测量体检者身高、体重,计算体重指数(BMI),分析性别、年龄与BMI与骨密度的关系。结果男性、女性OP患病率均随年龄的增长逐渐增高;女性总体OP发生率(19.03%)高于男性(5.62%),其中50岁之前各年龄段女性OP发病率低于男性,50岁以后各年龄段女性OP发病率均高于男性;BMI<24的男性总体OP发生率(7.0%)高于BMI≥24的男性(4.28%),差异具有统计学意义(P<0.05);BMI≥24的女性OP发病率(20.68%)与BMI<24(18.17%)的女性相比较,差异无统计学意义(P>0.05)。结论预防、治疗OP不仅要重视绝经后女性,中青年男性也不容忽视。

Objective Through the analysis of the BMD change rule of Quanzhou area population,provide reference basis for the diagnosis and treatment of osteoporosis(OP).Method Metriscan bone mineral density instrument is used to measure the non-dominant hand in 2-4 fingers section phalangeal bone mineral density values.Measuring physical height,weight,body mass index(BMI),analysis of gender,age,and the relationship between BMI and bone mineral density.Result The OP prevalence of male and female were gradually increased along with the growth of the age.Comparing different genders:Overall OP incidence(19.03%)was greater in women than in men(5.62%)before 50 years old,the incidence rate of female OP was lower than that of males,and the incidence rate of OP in all age groups was higher than that in males after 50 years old.Different BMI value:BMI<24 in male(7%)is more than BMI≥24 men(4.28%)of the overall incidence of OP.The difference was statistically significant(P<0.05).BMI≥24 in female of the incidence of OP(20.68%)is not necessarily lower than BMI<24(18.17%)of women.Chi-square test was not statistically significant difference(P>0.05).Conclusion The prevention and treatment of OP is not only of great importance to the postmenopausal women,but to the men from young to middle-aged.