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成都地区城乡人群骨密度调查分析

Survey on Bone mineral density in the urban and rural population of Chengdu

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【作者】 安珍; 马锦富; 蒋建军; 杨定焯; 张祖君; 尚家云; 宋平;

【Author】 AN Z hen,MA Jin-fu,JIANG Jian-jun,et al.The Fourth Hospital of West China Universit of Medical Sciences ,Chengdu 610041,China

【机构】 华西医科大学第四附属医院!四川成都610041; 自贡市贡井区人民医院; 华西医科大学第四附属医院!四川成都6;

【摘要】 目的调查成都地区城乡人群腰椎、髋部骨密度(BMD)和原发性骨质疏松症(OP)的 患病率及影响因素。方法用整群随机抽样≥20岁人群共1 460人,采用DEXA测量L 2~4和股 骨近段BMD值,按城乡、男女分别每10岁一个年龄组进行统计分析。结果骨量峰值(PBM)在 20~39岁,男性L2~4为(1.120±0.118)g/cm2,女性为(1.113±0.111)g/cm2。随年龄增加 ,40岁后各类人群BMD逐渐下降,女性明显大于男性(P< 0.01)。结论年龄、性别和居住地 区是影响BMD的重要因素。

【Abstract】 Objective To investigate the morbidity of osteoporosis and factors affe cting lumbar spine and bone mineral density(BMD).Method Dual energy X-ray absor ption-metry was used to measure the bone mineral density(BMD)of the lumber spin e and proximal femur in 1 460 normal persons in Chengdu district(aged 20 and ove r,662 in the city and 798 in the countryside).Result This cross-section study s howed that the peak bone mass(PBM),either male or female,occurred in age group o f 20~39 years old.The value of BMD in male was (1.120±0.118)g/cm2,1.113±0.111 g/cm2 in female.Bone loss began at 40 years old.Bone loss began at 40 years old .Bone loss rate in female was faster than that in male at all sites (P< 0.001).C onclusion For prevention of OP,it is worthy of enhancing PBM by proper diet and exercise during the supplement of calcium and estrogen are very important for th e rural women especialy for the postmenstural women.

【关键词】 骨密度; 骨量峰值; 骨质疏松;
【Key words】 bone mineral density; peak bone mass; osteoporosis;
【基金】 国家“九五”科技攻关课题!(95-906-05-01)
  • 【文献出处】 现代康复 ,Modern Rehabilitation , 编辑部邮箱 ,2001年08期
  • 【分类号】R195
  • 【被引频次】4
  • 【下载频次】45
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