[1]王 雷,程 雯,吴燕焱,等.大屯地区绝经女性骨质疏松症情况及其影响因素研究[J].医学信息,2024,37(05):68-71.[doi:10.3969/j.issn.1006-1959.2024.05.011]
　WANG Lei,CHENG Wen,WU Yan-yan,et al.Study on the Results and Influencing Factors of Menopausal Women with Osteoporosis in Datun Area[J].Journal of Medical Information,2024,37(05):68-71.[doi:10.3969/j.issn.1006-1959.2024.05.011]
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大屯地区绝经女性骨质疏松症情况及其影响因素研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年05期
页码:
68-71
栏目:
公共卫生信息学
出版日期:
2024-03-01

文章信息/Info

Title:
Study on the Results and Influencing Factors of Menopausal Women with Osteoporosis in Datun Area
文章编号:
1006-1959（2024）05-0068-04
作者:
王 雷; 程 雯; 吴燕焱; 等
（首都医科大学附属北京安贞医院第二门诊部，北京 100029）
Author(s):
WANG Lei; CHENG Wen; WU Yan-yan; et al.
(The Second Outpatient Department,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)
关键词:
大屯地区; 绝经女性; 骨质疏松; 骨密度
Keywords:
Datun area; Menopausal women; Osteoporosis; Bone mineral density
分类号:
R580
DOI:
10.3969/j.issn.1006-1959.2024.05.011
文献标志码:
A
摘要:
目的 分析大屯地区绝经女性骨质疏松症筛查结果及影响因素。方法 以2022年4月-7月在大屯社区进行骨质疏松筛查的475名45~80岁绝经女性为研究对象，收集年龄、身高、体重、症状（腰背部疼痛、抽筋、身高下降）、骨折及其他疾病史等信息。采用跟骨超声骨密度仪检测骨密度，将单因素分析中有统计学意义的变量进行多元逐步回归分析，分析各因素对骨量变化的影响。结果 475名绝经女性平均年龄（62.65±8.24）岁，平均BMI为（23.93±3.16）kg/m2，平均绝经年龄（49.80±3.66）岁。22.32%的被调查者发生过骨折， 48.00%的被调查者身高降低，68.00%的被调查者腰背疼痛，61.05%的被调查者出现抽筋现象。经跟骨超声检测，50.74%的被调查者骨量减少，14.53%的被调查者存在骨质疏松症。不同年龄、BMI、身高是否降低的调查对象骨密度T值比较，差异有统计学意义（P＜0.05）；不同绝经年龄、骨折史、骨质疏松史、腰背疼痛、抽筋的调查对象骨密度T值比较，差异无统计学意义（P＞0.05）。多元逐步回归分析显示，年龄、BMI和身高降低为骨质疏松的影响因素。结论 目前大屯社区45岁以上绝经女性骨量减少率和骨质疏松率水平较高，尤其是随着年龄增大、BMI降低的人群骨质疏松的发生几率会增高。应针对相应年龄段妇女提高骨质疏松的知晓率、治疗率，需要加强相关健康教育，可通过张贴宣传画、发放宣传手册和加强筛查期间的个性化教育，改变绝经期女性对骨质疏松预防和治疗的认知水平，建立绝经期女性骨质疏松的自我监测能力，纠正骨质疏松的治疗知识误区，规范进行治疗，从补钙、运动及饮食三方面预防骨质疏松。
Abstract:
Objective To analyze the results and influencing factors of menopausal women with osteoporosis in Datun area.Methods A total of 475 menopausal women aged 45-80 years who participated in osteoporosis screening in Datun community from April to July 2022 were selected as subjects. Information on age, height, weight, symptoms (low back pain, cramps, height loss), fracture and history of other diseases were collected. Bone mineral density was measured by calcaneal ultrasound bone densitometer. Multivariate stepwise regression analysis was performed on variables with statistically significant differences in univariate analysis to analyze the influence of each factor on the change of bone mass.Results The mean age of 475 postmenopausal women was (62.65±8.24) years old, the mean BMI was (23.93±3.16)kg/m2, and the mean menopause age was (49.80±3.66) years old. 22.32% of the respondents had fractures; 48.00% of respondents had height loss, 68.00% of the respondents had lower back pain, and 61.05% of the respondents had cramps. By ultrasound examination of calcaneus, 50.74% of the respondents had bone mass decreased and 14.53% of the respondents had osteoporosis. There were significant differences in bone mineral density T values among subjects with different age, BMI and height (P<0.05). Multiple stepwise regression analysis showed that age, BMI and height were the influencing factors of osteoporosis.Conclusion At present, the bone loss rate and osteoporosis rate of menopausal women over 45 years old in Datun area are high, especially with the increase of age and the decrease of BMI, the incidence of osteoporosis will increase. It is necessary to improve the awareness rate and treatment rate of osteoporosis for women of the corresponding age group. It is necessary to strengthen relevant health education. By posting posters, issuing brochures and strengthening individualized education during screening, we can change the cognitive level of menopausal women on the prevention and treatment of osteoporosis, establish the self-monitoring ability of menopausal women with osteoporosis, correct the misunderstanding of osteoporosis treatment knowledge, standardize treatment, and prevent osteoporosis from three aspects of calcium supplementation, exercise and diet.

参考文献/References:

[1]中国健康促进基金会骨质疏松防治中国白皮书编委会.骨质疏松症中国白皮书[J].中华健康管理学杂志,2009,3(3):148-154．[2]刘翔,熊明洁,黄静,等.双能X线骨密度测量和超声骨密度检测在社区居民骨质疏松症筛查中的应用研究[J].中国骨质疏松杂志,2017,23(11):1495-1499.[3]林玲,尹仕伟,蔡波,等.国内外骨质疏松症社区筛查工具述评[J].社区医学杂志,2021,19(7):458-462.[4]中华医学会骨质疏松和骨矿盐疾病分会.原发性骨质疏松症诊疗指南( 2017)[J].中国实用内科杂志,2018,38(2):128-150．[5]张蕊馨,谢晖,蔡维维,等.社区老年人骨量减少患病率及影响因素分析[J].中国医药导报,2022,19(6):52-55,84.[6]宋徽江,刘怀磊,杨丽萍.社区绝经后妇女骨质疏松症筛查结果及影响因素研究[J].中华全科医学,2020,18(7):1157-1160.[7]赵官平,万小明,万宣,等.6258例绝经后妇女骨质疏松症流行病学调查及其发病相关因素分析[J].江西中医药,2021,52(12):23-25.2[8]李建国,李鼎鹏,谢兴文,等.2224例女性月经史及绝经年龄、绝经年限与骨质疏松症相关性研究[J].中国骨质疏松杂志,2022,28(9):1326-1329.[9]王涛,张嵩,孙娟,等.蚌埠地区社区居民骨质疏松危险因素知晓率调查及应对策略[J].中华全科医学,2021,19(8):1408-1410,1426.[10]叶明浩,张巧,寿涓.社区老年骨质疏松的预防及健康教育效果探讨[J].山西医药杂志,2020,49(15):2060-2061.[11]贺洁,王拥军,朱莲,等.社区综合干预骨质疏松症多元效果评估的初探[J].上海预防医学,2021,33(4):306-310. [12]肖建德.实用骨质疏松学[M].北京:科学出版社,2012.[13]于利平,白勇涛,罗笑婵,等.北京社区绝经后女性骨质疏松性骨折相关危险因素和防治现况[J].中华骨质疏松和骨矿盐疾病杂志,2020,13(2):110-115.[14]陈文文,杨志新,钱晓忠,等.上海市某社区老年人跟骨骨密度测定及骨质疏松认知程度调查[J].老年医学与保健,2020,26(2):311-312.[15]薛文丹,王丽,李小清.定量超声技术在老年骨质疏松评估中的应用[J].中国老年学杂志,2020,40(9):1909-1912.[16]北京医学会骨科学分会关节外科学组.老年骨关节炎及骨质疏松症诊断与治疗社区管理专家共识(2023版)[J].协和医学杂志,2023,14(3):484-493.[17]陈志平.OSTA指数对中老年人群骨质疏松的筛选价值[D].镇江:江苏大学,2022.[18]章轶立,魏戌,谢雁鸣,等.北京市社区中老年人群骨量评估及骨质疏松症检出率分析[J].中国骨伤,2020,33(10):916-921.

更新日期/Last Update: 1900-01-01