【摘要】 中国是世界人口大国 ,约占世界总人口的 1 5。 2 0 0 0年我国第五次人口普查结果显示2 0 0 0年全国总人口为 12 95 33万人 ,其中 6 5岁以上人口达 8811万人 ,占总人口 6 96 %。了解我国人口的数量与结构对于骨矿研究和骨质疏松的防治具有重要意义。参考世界卫生组织 1994年提出的高加索女性骨质疏松诊断标准和日本骨代谢学会制定的日本人群的骨质疏松诊断标准 ,根据我国近 5年来大量DEXA测量的结果 ,得出如下中国人群原发性骨质疏松症建议诊断标准 :以双能X线骨密度仪检测的股骨颈、正位腰椎L2 - 4的平均骨密度值和上世纪 80年代末 4万人群用SPA测前臂中远端 1 3的结果为依据 ,凡其骨密度值与当地同性别的峰值骨密度相比 ,减少 1%～ 12 %为基本正常 ,减少 13%～ 2 4 %为骨量减少 ,减少 >2 5 %为骨质疏松 ,其中 >37%为严重骨质疏松。又结合 2 0 0 0年我国第五次人口普查的结果 ,预测原发性骨质疏松人数约为 880 0万人 ,约占总人口的 6 97%。 6 0岁以上的女性将患有绝经后骨质疏松和老年性骨质疏松 ,75岁以上的男性将患老年性骨质疏松更多还原

【Abstract】 China has about one fifth of the world population and this is a large number.The year 2000 census revealed that the total population in China was 1,295,330,000.People over 65 years old reached 88,110,000,6.96 per cent of the total population.To know this large population number is very important to the bone and mineral research and the prevention of osteoporosis.With reference to the osteoporosis diagnostic criteria for white women by World Health Organization(WHO)in 1994 and the osteoporosis diagnostic guidelines by Japanese Bone Mineral Society,and based on the abundant data of average bone density in Hip neck and L 2-4 measured by DEXA in recent 5 years and more than 40,000 data of bone density in forearm 1/3 by SPA in 1980’s,the diagnostic guideline for our Chinese people are suggested as follows:Compared with the local peak bone density of the same sex,bone loss rate between 1%-12% is normal,13%-24% is osteopenia,over 25% is osteoporosis and over 37% is severe osteoporosis.According to DEXA results in connection with population census in 2000,patients with primary osteoporosis account for approximately 6.97% of the total population.Women over 60 years old have either postmenopause osteoporosis or senile osteoporosis whereas men over 75 have only senile osteoporosis.更多还原