【摘要】 目的探讨深圳市社区老人骨质疏松发生情况及社区综合干预的效果。方法 2012年6月—2013年6月应用双能X线骨密度仪测定2 285名社区老年人群(年龄>60岁)腰椎L1~L4段、股骨颈、髋部Wards区及粗隆区骨密度(BMD),骨质疏松症(OP)诊断标准参考WHO标准(BMD<M-2.5 s)。分析OP发生的原因并针对性地对受试者实施社区综合性干预,对比分析受试者应用社区干预前后BMD改善情况。结果 2 285名调查者中共有185名(8.10%)确诊为OP,经logistic多因素分析可知,女性、文化程度初中或以下、喝浓茶/咖啡≥3次/周是OP发生的独立危险因素,而喝牛奶≥3次/周、运动次数≥3次/周、日晒次数≥3次/周是老年OP高危人群保护因素。与干预前相比,干预后腰椎L2~L4段、股骨颈、髋部Wards区及粗隆区BMD值显著提高,差异有统计学意义(P<0.05)。结论深圳市社区老年OP发生率较高,引起OP的危险因素较多,采用有效的健康教育及社区干预能有效提高OP患者骨密度,改善患者预后。更多还原

【Abstract】 [Objective]To investigate the incidence of osteoporosis among the elderly in community of Shenzhen City,and explore the effect of comprehensive community intervention. [Methods]From June 2013- June 2014,the bone mineral density( BMD) of 2 285 community elder people’s( age > 60 years) L1-L4 lumbar segments,femoral neck,hip trochanter area and Wards area were measured with dual energy X-ray absorptiometry. Osteoporosis( OP) diagnostic criteria reference were from the WHO( BMD < M-2. 5SD). The OP causes were analyzed,and the targeted intervention was performed on subjects. The BMD improvement was compared before and after community intervention. [Results] Of 2 285 people investigated,185( 8. 10%) were diagnosed with OP. Multivariate logistic analysis showed that female,junior high school education or less,drinking tea / coffee ≥3times / week were independent risk factors for the occurrence of OP,while drinking milk ≥3 times / week,the number of movements ≥3 times / week,sun ≥3 times / week were protective factors against the elderly OP. The BMD of L1-L4 lumbar segments, femoral neck, hip trochanter area and Wards area was significantly improved after intervention( P < 0. 05).[Conclusion]The OP incidence is relatively high among the elderly in community of Shenzhen City. There are many risk factors for OP. Adoption of effective health education and community intervention can improve bone density and outcomes of OP patients.更多还原