232例孕期骨密度测定结果分析

Analysis on Bone Mineral Density Measurement of 232 Females During Pregnancy

目的通过骨密度测量分析孕期骨密度的变化。方法选取2018年2月至10月在临沭县妇幼保健院围产期保健部常规体检的232例孕妇,孕龄7~37周,年龄20~40岁。所有孕妇分别以孕期或年龄分组:以孕早期(<12周),孕中期(12~28周),孕晚期(>28周)分为3组,或以年龄<20岁、20~30岁、>30岁分为3组。采用日本CM-200骨密度测量仪检测232例孕妇骨密度值。结果各组间Z、T值比较,差异无统计学意义(P>0.05)。结论不同孕期女性妊娠期骨密度存在不同的变化,具有个体差异性。整个孕期女性骨密度值普遍存在匮乏现象,对骨钙缺乏的孕妇及时采取合理化的指导和治疗,合理改善饮食,预防孕期因骨钙缺乏造成的疾病,具有重要意义。

Objective To analyze the changes of bone mineral density(BMD)during pregnancy.Methods 232 pregnant women who underwent routine physical examination in the Department of Perinatal Health Care from February to October 2018 were selected.The gestational age was 7~37 weeks,and the age was 20~40 years old.All the pregnant women were divided into 3 groups according to 2 methods,respectively:(1)gestational age<12 weeks in the first trimester of pregnancy,12~28 weeks in the second trimester of pregnancy,and>28 weeks in the third trimester of pregnancy.(2)age<20 years old,20~30 years old,and>30 years old.The BMD of 232 pregnant women was measured by Japanese CM-200 BMD measuring instrument.Results There was no significant difference in Z and T values among the three groups(P>0.05).Conclusion There are different changes in BMD during pregnancy among different pregnant women,and there are individual differences.There is a general shortage of BMD in women during pregnancy.It is of great significance to adopt reasonable guidance and treatment for pregnant women with bone calcium deficiency in time,to improve diet reasonably and to prevent diseases caused by bone calcium deficiency during pregnancy.