CAJ | 학술논문

目的：探讨甘肃省藏族和汉族妇女绝经前和绝经后骨强度变化。方法采用GE EXPRESSⅡ超声骨密度测量仪对109例年龄40～52岁绝经前和100例年龄53～60岁绝经后藏族妇女与55例年龄40～52岁绝经前和72例年龄53～60岁绝经后汉族妇女进行骨强度对比分析。测量右脚跟骨的骨强度、骨质情况，通过计算T值和Z值，评估藏族和汉族妇女绝经前和绝经后骨强度变化和骨折风险。结果1．藏族和汉族妇女绝经前骨强度指数明显均高于绝经后藏族和汉族妇女；藏族妇女和汉族妇女两者之间对比无差别（t＝7.408，P＝0.000；t＝4.903，P＝0.000）。2．藏族和汉族妇女绝经后骨质少孔和骨质疏松检出率明显高于绝经前藏族和汉族妇女；藏族和汉族妇女两者之间对比无差别（χ2＝7.928，P＝0.000；χ2＝7.723，P＝0.021）。结论1．绝经后藏族和汉族妇女骨质流失较严重，应及时补充雌激素和钙剂，预防骨质疏松的发生。2．由于少数民族与汉族长期居住在一起，生活和饮食习惯逐渐相近及地理环境相同，使得绝经前和绝经后藏族妇女与绝经前和绝经后汉族妇女骨强度变化、骨质少孔及骨质疏松检出率无明显差别。
목적：탐토감숙성장족화한족부녀절경전화절경후골강도변화。방법채용GE EXPRESSⅡ초성골밀도측량의대109례년령40～52세절경전화100례년령53～60세절경후장족부녀여55례년령40～52세절경전화72례년령53～60세절경후한족부녀진행골강도대비분석。측량우각근골적골강도、골질정황，통과계산T치화Z치，평고장족화한족부녀절경전화절경후골강도변화화골절풍험。결과1．장족화한족부녀절경전골강도지수명현균고우절경후장족화한족부녀；장족부녀화한족부녀량자지간대비무차별（t＝7.408，P＝0.000；t＝4.903，P＝0.000）。2．장족화한족부녀절경후골질소공화골질소송검출솔명현고우절경전장족화한족부녀；장족화한족부녀량자지간대비무차별（χ2＝7.928，P＝0.000；χ2＝7.723，P＝0.021）。결론1．절경후장족화한족부녀골질류실교엄중，응급시보충자격소화개제，예방골질소송적발생。2．유우소수민족여한족장기거주재일기，생활화음식습관축점상근급지리배경상동，사득절경전화절경후장족부녀여절경전화절경후한족부녀골강도변화、골질소공급골질소송검출솔무명현차별。
Objective To investigate the bone strength change between Tibetan and Han women in premenopausal and postmenopausal period in Gansu province.Methods A total of 209 Tibetan women, including 109 premenopausal women (40-52y) and 100 postmenopausal women (53-60y), and 127 Han women, including 55 premenopausal women (40-52y) and 72 postmenopausal women (53-60y), were selected.The bone mineral density (BMD) and bone condition of the right calcaneus were detected using GE EXPRESS II ultrasonic bone mineral density detector.The T value and Z value were calculated in order to evaluate the fracture risk and to monitor the bone strength change during premenopausal and postmenopausal period in Tibetan and Han women.Results The bone strength index in Tibetan and Han premenopausal women was significantly higher than that in Tibetan and Han postmenopausal women (t=7.408, P=0.000; t=4.903, P=0.000).The positive rate of less bone holes and osteoporosis in Tibetan and Han postmenopausal women was higher than that in Tibetan and Han premenopausal women (χ2 =7.928, P=0.000; χ2 =7.723, P =0.021), while no significant difference between Tibetan and Han women was observed. Conclusion The bone loss in Tibetan and Han postmenopausal women is serious .Since the Tibetan and Han people have lived together for a long time and share the same diet habit and geographic environment , no obvious difference of bone strength index , positive rate of less bone holes , and osteoporosis exists between Tibetan and Han women during the premenopausal and postmenopausal period.