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| 老年骨质疏松症流行病学调查及预防措施研究 |
| Epidemiological investigation and preventive measures of osteoporosis in the elderly |
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| DOI：10.3969/j.issn.1006.7108.2019.07.022 |
| 中文关键词: 老年人 骨质疏松 危险因素 流行病学 |
| 英文关键词:elderly people osteoporosis risk factors epidemiology |
| 基金项目:2015年苏州科技局民生科技项目（SS201517）；2016年苏州市科技计划项目（SS201651） |
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| 中文摘要: |
| 目的 探讨老年骨质疏松症流行病学调查及预防措施。方法 2017年6月至2018年6月，对辖区5432例老年人进行骨质疏松症调查。结果 骨质疏松症发生率为12.44%；腰椎2～4部位骨密度平均为(0.820±0.111) g/cm2，股骨颈平均骨密度为(0.818±0.103) g/cm2，股骨颈粗隆平均骨密度为(0.712±0.100) g/cm2，Ward 's三角区平均骨密度为(0.704±0.112) g/cm2；骨质疏松症患者女性比例、年龄、饮酒比例、日饮用牛奶量＜250 mL/d比例、未口服钙片比例及体育锻炼＜30 min/d比例分别为59.17%、（75.20±9.28）岁、60.95%、69.08%、65.83%、57.25%，明显高于无骨质疏松症者（P＜0.05）；Logistic回归分析显示女性、年龄是老年人发生骨质疏松的危险因素（OR=1.761、1.964，P＜0.05），而日饮用牛奶量、口服钙片和体育锻炼是老年人发生骨质疏松的保护因素（OR=0.725、0.661和0.718，P＜0.05）。结论 本地区老年骨质疏松症发生比例较高，应根据相关危险因素采取有针对性的措施，以减少骨质疏松的发生。 |
| 英文摘要: |
| Objective To conduct epidemiological survey and investigate the preventive measures of osteoporosis in the elderly. Methods From June 2017 to June 2018, 5432 elderly people in our area were investigated for osteoporosis. Results The incidence of osteoporosis was 12.44%. The average bone mineral density of lumbar spine L2-4 was (0.820±0.111) g/cm2, the average bone mineral density of the femoral neck was (0.818±0.103) g/cm2, the average bone density of the femoral neck trochanter was (0.712±0.100) g/cm2, and the average bone density at the Ward's triangle was (0.704±0.112) g/cm2. In those with osteoporosis, the proportion of women, age, and the percentage consuming alcohol, drinking milk daily, not taking oral calcium tablets and physical exercise < 30min/d were 59.17%, (75.20±9.28), 60.95%, 69.08%, 65.83% and 57.25%, respectively, which were significantly higher than those without osteoporosis (P<0.05). Logistic regression analysis showed that women and age were risk factors for osteoporosis (OR=1.761 and 1.964, P<0.05), and the amount of daily milk consumption, taking oral calcium tablets and physical exercise were protective factors of osteoporosis in the elderly (OR=0.725, 0.661 and 0.718, P<0.05). Conclusion The incidence of osteoporosis is relatively high in the elderly, targeted measures should be taken according to the relevant risk factors to reduce the incidence of osteoporosis. |
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