【摘要】 目的分析门诊疑诊骨质疏松症并行骨密度检测患者的就诊现状。方法选择2010年6月至2011年6月在扬州大学临床医学院门诊就诊、年龄>60岁、临床疑诊骨质疏松症并行骨密度检测的756例患者并进行就诊现状分析。结果 86.3%的患者来源于骨科、风湿科、疼痛科、内分泌科和老年医学科,分别占该时期进行骨密度测定患者的32.8%、17.1%、10.2%、20%和6.2%,其他科室同时行骨密度测定的患者占13.7%。结合该院同期各科>60岁的患者门诊就诊人次进行分析,门诊行骨密度测定患者分别为骨科0.8%、风湿科10%、疼痛科12%、内分泌科1.2%、老年医学科10%。在提交骨密度检测申请的医师中,主任医师、副主任医师、主治医师和住院医师分别占19%、46%、23%和12%。骨质疏松症诊断符合率为68%,骨量减少合并骨质疏松症诊断符合率为88%。756例患者中骨折者为10.1%、有骨折家族史者为17.5%、体重指数(BMI)<18.5kg/m2者占67%、骨痛者占23%。结论门诊疑诊骨质疏松症并行骨密度测定的患者主要来自骨科、风湿科、疼痛科、内分泌科及老年医学科,其中以疼痛科行骨密度检测率最高。进行骨密度检测者主要为有骨折病史、体形较瘦及骨痛的患者。对医务人员进行骨质疏松症知识更新有助于对该病的识别。更多还原

【Abstract】 Objective To investigate the current status of diagnosis on 756 patients checked BMD in outpatients department of Clinical Medical Collage of Yangzhou University.Methods The patients aged ≥60 years old were asked to check BMD from 6/2010 to 6/2011 in outpatients department of the hospital.Results Among these patients,515(68%) cases were diagnosed as osteoporosis.Departments of orthopaedics(32.8%),endocrinology(20%),rheumatology(17.1%),pain management(10.2%) and geriatrics(6.2%) contributed to the top five places among patients who were asked to examine the BMD.If concerned with the numbers of patients aged ≥60 years in each time in every department,department of orthopaedics had the lowest proportion of patients who were conducted to check BMD among the departments of orthopaedics,endocrinology,rheumatology,pain management and geriatrics.The department of pain management had the highest testing rate(12%).If analyze the data concerned with the professional title of the doctor,associate senior doctors had the highest proportion(46%) among doctors who asked the patients to examine BMD,followed by attending doctors(23%),senior doctors(19%),resident doctors(12%),concerned with the number of patients in outpatints in each time,senior doctor had the lowest proportion.Compared BMD among L1-L4 and hip,hip had the lowest BMD,followed by L2(0.902±0.042),L1(0.946±0.0326),L3(0.998±0.036),L4(1.014±0.058).Conclusions The patients in outpatients department suspected as osteoporosis and asked to checked BMD are mainly in departments of orthopaedics,endocrinology,rheumatology,pain management and geriatrics.The rate of testing BMD is very low.It is necessary to improve the knowledge about osteoporosis on the healthcare professionals.更多还原