CAJ | 학술논문

目的：了解冀东油田中老年人群骨密度（BMD）水平，为防治骨质疏松症（OP）提供依据。方法应用美国GE Achilles Express骨密度仪，进行右跟骨定量超声测定，以骨密度T值≤－2．5诊断骨质疏松（ OP），－2．5＜T值≤－1诊断骨量减少（ OPA），两者统称骨密度异常，作为标准尺度进行分析，收集2012年3月至2012年7月参加体检40岁以上人群的骨密度。结果入选3596例中老年人，OP患病率6．34％，OPA患病率25．22％，男性OP患病率7．47％，OPA患病率31．41％；女性OP患病率5．2％，OPA患病率18．96％。按年龄分段：40－49岁、50－59岁、60－69岁、70－80岁段各年龄段，男性OP患病率分别为5．31％，7．31％、9．95％、11．59％，随年龄增长而增加，OPA患病率32．78％、31．25％、29．70％、33．33％，呈“U”型改变；女性OP患病率分别为1．26％、3．68％、11．63％、24．39％，随年龄而增加， OPA 患病率分别为11．73％、17．99％、31．19％、14．63％，呈“∩”型改变。按性别分层：40－59岁骨密度异常（ OP、OPA）男性大女性，60－80岁骨质疏松女性大于男性。结论随年龄增长骨密度异常比率增加，骨质疏松患病率表现明显，女性更为明显，要加强防治；40－59岁的男性骨密度异常明显高于女性，更应该重视，改变不良的生活习惯，参加体育锻炼。
목적：료해기동유전중노년인군골밀도（BMD）수평，위방치골질소송증（OP）제공의거。방법응용미국GE Achilles Express골밀도의，진행우근골정량초성측정，이골밀도T치≤－2．5진단골질소송（ OP），－2．5＜T치≤－1진단골량감소（ OPA），량자통칭골밀도이상，작위표준척도진행분석，수집2012년3월지2012년7월삼가체검40세이상인군적골밀도。결과입선3596례중노년인，OP환병솔6．34％，OPA환병솔25．22％，남성OP환병솔7．47％，OPA환병솔31．41％；녀성OP환병솔5．2％，OPA환병솔18．96％。안년령분단：40－49세、50－59세、60－69세、70－80세단각년령단，남성OP환병솔분별위5．31％，7．31％、9．95％、11．59％，수년령증장이증가，OPA환병솔32．78％、31．25％、29．70％、33．33％，정“U”형개변；녀성OP환병솔분별위1．26％、3．68％、11．63％、24．39％，수년령이증가， OPA 환병솔분별위11．73％、17．99％、31．19％、14．63％，정“∩”형개변。안성별분층：40－59세골밀도이상（ OP、OPA）남성대녀성，60－80세골질소송녀성대우남성。결론수년령증장골밀도이상비솔증가，골질소송환병솔표현명현，녀성경위명현，요가강방치；40－59세적남성골밀도이상명현고우녀성，경응해중시，개변불량적생활습관，삼가체육단련。
Objective To investigate the bone mineral density ( BMD) level in the elderly population in Jidong Oilfield, and to provide the basis for the prevention and treatment of osteoporosis ( OP) .Methods BMD of the right calcaneus was measured using a quantitative ultrasound detector ( GE Achilles Express, USA) .The diagnosis criteria for osteoporosis was T≤-2.5 in BMD, and for low bone mass (OPA) was -2.5<T≤-1.Both statuses referred to BMD abnormality.According to the criteria, people over 40 years of age attending to health screening from March 2012 to July 2012 were collected and analyzed.Results In 3596 cases of the elderly, the OP prevalence was 6.34%, and the OPA prevalence was 25.22%.The prevalence of OP and OPA was 7.47%and 31.41%in males, and 5.2%and 18.96%in females.According to the age division, OP prevalence in males was 5.31%, 7.31%, 9.95%, and 11.59%in 40-49 years, 50-59 years, 60-69 years old, and 70-80 years old, respectively, and OPA prevalence was 32.78%, 31.25%, 29.70%, and 33.33%, respectively, showing an“U” shape change.In females, OP prevalence was 1.26%, 3.68%, 11.63%, and 24.39%, respectively, and OPA prevalence was 11.73%, 17.99%, 31.19%, and 14.63%, respectively, showing a “∩” shape change.Stratified by gender, BMD abnormality in males was higher than in females in 40-59 year old group.OP occurred more in females than in males in 60-80 year old group.Conclusion With the growth of age, BMD abnormality increases significantly.OP increases more obviously in women.Prevention and treatment should be strengthened.BMD abnormality occurs more in males of 40-59 year old than in females.More attention should be paid to. Change of the bad habits and participation in physical exercise are recommended.