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北京密云地区正常人群指骨骨密度变化规律的研究

Study on the bone mineral pattern changes in phalangeal bones among the normal population in Miyun,Beijing

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【作者】 钱振福杨鸿兵王醒红李三保单爱国刘忠厚

【Author】 QIAN Zhenfu, YANG Hongbing, WANG Xinghong, et al. Traditional Medicine Hospital in Miyun, Beijing 101500, China

【机构】 北京市密云县中医院放射科北京市密云县中医院放射科中国老年学学会骨质疏松委员会

【摘要】 目的评价放射吸收法测定指骨骨密度(BMD)的变化规律及在京郊边远山区进行普查应用的可行性。方法从受检的1146例患者中,选取20~79岁无其他任何因素影响的健康人群554例。男性271例,女性283例,按每10岁一个年龄组进行BMD测定。结果男性非优势手指中节指骨(MP2~4)骨密度峰值在20~39岁组,40岁以后随年龄增长逐渐下降,至79岁无明显加速变化现象。女性非优势手指中节指骨(MP2~4)骨密度峰值在20~39岁组,50岁以后明显下降。结论采用放射吸收法测定指骨骨密度(BMD)所获得的测量结果,符合骨质疏松流行病学发病基本规律。且辐射剂量低,误差小,价格低,医院可利用现有X线设备,无须大的投入,即能帮助临床医师准确诊断骨质疏松、确定治疗方案,避免患者的骨密度进一步丢失,减少骨折发生几率,这是适合边远山区应用的一种骨密度测量方法。

【Abstract】 ObjectiveTo evaluate bone mineral density (BMD) pattern changes in phalangeal bones using Radiographic Absorptiometry (RA) method.Methods554 healthy participants, including 283 women and 271 men aged 20-70 years, were selected. The participants were grouped according to every 10 years age intervals.ResultsIn male group, the peak value of phalangeal BMD (MP2-4) of the non-dominant hand occurred between the age of 20-39 years, then decreased the age of 40 years and there is still no dramatic to decline 79 years old. In female groups, the peak value of phalangeal BMD(MP2-4) of the non-dominant hand occurred between the age of 20-39 years, but sharply after 50 years old descended.ConclusionBMD at phalangeal bone measured by RA method is inaccording with osteoprosis epidemiological regular pattern.

  • 【文献出处】 中国骨质疏松杂志 ,Chinese Journal of Osteoporosis , 编辑部邮箱 ,2007年09期
  • 【分类号】R580
  • 【被引频次】22
  • 【下载频次】87
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