CAJ | 학술논문

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2151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。
목적：탐토중경지구중노년남성여녀성인군정위요추급관부골밀도측량치대골질소송진단적차이。방법용쌍능X선골밀도측정의측량2151례40세이상인군적정위요추급관부골밀도，안년령、성별분조통계。결과남、녀인군요추급관부골밀도치균수년령증가이축점강저；각년령조남성관부골질소송검출솔고우요추，차이유통계학의의（P＜0．05）；각년령조녀성요추골질소송검출솔고우관부，차이유통계학의의（P＜0．05）。결론중노년남성골질소송검측민감부위위관부，녀성위요추。위제고골질소송검출솔，최호행요추화관부적다부위연합검측。
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 .