摘要
目的了解阿克苏地区维吾尔族、汉族体检人群骨质疏松症检出率,筛选发病的危险因素和保护因素,为早期防治提供依据。方法 1.选取参加健康体检者3000例(≥40):男性1758人、女性1242人,汉族1531人(40-78岁)、维吾尔族1469人(40-76岁)。采用双能X线骨密度测量仪(DEXA)检测腰椎1-4和左侧股骨颈的BMD(骨密度)。骨质疏松症的诊断以骨密度DXA检测为金标准。1994年世界卫生组织(WHO)推荐的骨质疏松症诊断标准骨质疏松患者的确定。BMD(骨密度)达到诊断标准,并结合病史、临床表现等对该病作出最后临床诊断,收集相关影响因素资料所有数据输入SPSS 14.0统计软件包进行统计分析。结果本组检出率12.53%,其中汉族21.4%,维吾尔族14.4%、男性10.01%,女性16.10%,不同年龄检出率(40-49为4.61%,50-59为10.92%,60-69为20.81%,≥70为34.8%);不同日照时间的骨质疏松症检出率有显著性差异(P<0.01),经常参加体育锻炼者该病检出率明显低于很少参加体育锻炼者(P<0.01),高脂饮食者骨质疏松症检出率明显高于低脂饮食者(P<0.01),经常服用钙剂者检出率明显低于很少服用钙剂者(P<0.01)。结论骨质疏松症检出率汉族高于维吾尔族,女性高于男性,汉族女性明显高于维吾尔族女性,男、女性骨质疏松症检出率均随年龄增加而逐渐升高。<50岁的男性骨质疏松症检出率高于女性,而>50岁的男性骨质疏松症检出率均低于同年龄段的女性。
Objectlve To investigate the difference of osteoporosis detected in Uighurs and Han nationality, and to analyze the related risk factors and protective factor of osteoporosis. Methods This study was conducted among 3000 subjects （1758 male and 1242 ／ female,1521 Han and 1469 Uighurs） undergoing routine physical examinations. The BMD of the lumbar spine （L1-4） and femoral neck were measured by dual X-ray absorptiometry （DXA）. The osteoporosis diagnosed by diagnostic criteria created by WHO in 1994. The data were analyzed with the software of SPSS 14.0. Results The total detecting rate was 12.53%,of which the Han nationality was 21.4%, the Uighurs nationality was 14.4%, the male was 10.01%,the female was 16.10%. The detecting rate in 40--49 years was 4.61%, which in 50-59 years was 10.92%, in 60-69 years was 20.81%, in ≥70 years was 34.8%.The differences were statistically significant in hours of sunlight, physical training, high fat diet and taking calcium. Conclusion The higher osteoporosis rate was detected in Han nationality, female and the people with older age. The detection rate was higher in male than in female in 40-49 years group.
出处
《新疆医学》
2015年第8期1064-1067,共4页
Xinjiang Medical Journal
