摘要
目的探讨重庆地区中老年男性与女性人群正位腰椎及髋部骨密度测量值对骨质疏松诊断的差异。方法用双能X线骨密度测定仪测量2 151例40岁以上人群的正位腰椎及髋部骨密度,按年龄、性别分组统计。结果男、女人群腰椎及髋部骨密度值均随年龄增加而逐渐降低;各年龄组男性髋部骨质疏松检出率高于腰椎,差异有统计学意义(P<0.05);各年龄组女性腰椎骨质疏松检出率高于髋部,差异有统计学意义(P<0.05)。结论中老年男性骨质疏松检测敏感部位为髋部,女性为腰椎。为提高骨质疏松检出率,最好行腰椎和髋部的多部位联合检测。
Objective To explore the difference between the diagnosis of osteoporosis based on the measured value of lumbar spine and hip bone mineral density in middle-aged and elder people in Chongqing .Methods Dual energy X-ray absorptiometry was used to measure of lumbar spine and hip bone mineral density to people over the age of 40 in 2 151 cases ,grouped according to age and gender .Results Both male and female lumbar spine and hip bone mineral density values decreased gradually with increasing age;the detection rate of osteoporosis of the male′s hip was higher than that of the lumbar spine among each age group ,which was of statistical significance（P〈0 .05）;the detection rate of osteoporosis of the female′s lumbar spine was higher than that of the hip among each age group ,which was of statistical significance （P〈0 .05） .Conclusion As for elderly male ,the sensitive position for osteoporosis detection is the hip .However ,as for elderly female is the lumbar spine .In order to improve the detection rate of osteo-porosis ,joint detection of both two positions is well suggested .
出处
《重庆医学》
CAS
CSCD
北大核心
2014年第22期2839-2840,2844,共3页
Chongqing medicine
关键词
骨密度
骨质疏松
腰椎
髋部
bone mineral density
osteoporosis
lumbar spine
hip
