西南军医
西南軍醫
서남군의
JOURNAL OF MILITARY SURGEON IN SOUTHWEST CHINA
2013年
2期
138-140
,共3页
骨质疏松%危险因素%病例对照
骨質疏鬆%危險因素%病例對照
골질소송%위험인소%병례대조
osteoporosis%risk factor%case contrast
目的探讨骨质疏松症(OP)发生的危险因素,为OP的防治提供理论参考.方法对经骨密度测定确诊的OP患者298例(OP组)和健康体检者298例(非OP组)进行问卷调查,单因素和多因素非条件Logis-tic回归法分析影响OP发生的相关因素.结果单因素分析结果:性别、年龄、BMI、钙营养摄入、动物蛋白摄入、饮用牛奶、居住地、工作环境、运动量、吸烟、饮酒、绝经年龄、糖尿病、骨折史与OP的发生有关;多因素非条件Logistic回归结果显示年龄(OR=2.194,95%CI:1.358~3.544)、钙营养摄入(OR=0.524,95%CI:0.341~0.805)、运动量(OR=0.529,95%CI:0.294~0.951)、骨折史(OR=1.764,95%CI:1.053~2.955)、BMI(OR=0.575,95%CI:0.364~0.908)、动物蛋白摄入(OR=1.689,95%CI:1.159~2.461)、饮酒(OR=1.694,95%CI:1.097~2.618)与OP发生强相关.结论 OP受多种因素影响,加强患者的健康教育,改善生活环境,改变不合理的饮食习惯,坚持锻炼是预防OP发生的关键.
目的探討骨質疏鬆癥(OP)髮生的危險因素,為OP的防治提供理論參攷.方法對經骨密度測定確診的OP患者298例(OP組)和健康體檢者298例(非OP組)進行問捲調查,單因素和多因素非條件Logis-tic迴歸法分析影響OP髮生的相關因素.結果單因素分析結果:性彆、年齡、BMI、鈣營養攝入、動物蛋白攝入、飲用牛奶、居住地、工作環境、運動量、吸煙、飲酒、絕經年齡、糖尿病、骨摺史與OP的髮生有關;多因素非條件Logistic迴歸結果顯示年齡(OR=2.194,95%CI:1.358~3.544)、鈣營養攝入(OR=0.524,95%CI:0.341~0.805)、運動量(OR=0.529,95%CI:0.294~0.951)、骨摺史(OR=1.764,95%CI:1.053~2.955)、BMI(OR=0.575,95%CI:0.364~0.908)、動物蛋白攝入(OR=1.689,95%CI:1.159~2.461)、飲酒(OR=1.694,95%CI:1.097~2.618)與OP髮生彊相關.結論 OP受多種因素影響,加彊患者的健康教育,改善生活環境,改變不閤理的飲食習慣,堅持鍛煉是預防OP髮生的關鍵.
목적탐토골질소송증(OP)발생적위험인소,위OP적방치제공이론삼고.방법대경골밀도측정학진적OP환자298례(OP조)화건강체검자298례(비OP조)진행문권조사,단인소화다인소비조건Logis-tic회귀법분석영향OP발생적상관인소.결과단인소분석결과:성별、년령、BMI、개영양섭입、동물단백섭입、음용우내、거주지、공작배경、운동량、흡연、음주、절경년령、당뇨병、골절사여OP적발생유관;다인소비조건Logistic회귀결과현시년령(OR=2.194,95%CI:1.358~3.544)、개영양섭입(OR=0.524,95%CI:0.341~0.805)、운동량(OR=0.529,95%CI:0.294~0.951)、골절사(OR=1.764,95%CI:1.053~2.955)、BMI(OR=0.575,95%CI:0.364~0.908)、동물단백섭입(OR=1.689,95%CI:1.159~2.461)、음주(OR=1.694,95%CI:1.097~2.618)여OP발생강상관.결론 OP수다충인소영향,가강환자적건강교육,개선생활배경,개변불합리적음식습관,견지단련시예방OP발생적관건.
Objective To discuss the relative risk factors with osteoporosis(OP). Methods A questionnaire survey was made to 298 cases with OP confirmed by bone mineral density(BMD)and 298 normal, single factor analysis and logistic regressionwere applied in analyzing the relative factors with OP. Results Single factors including sex, age, BMI, calcium in-taking, animal’s albumen in-taking, milk drinking, residence, working circumstance, exercises, smoking, alcohol drinking, menopausal age, history of diabetes and fracture were relative with the occurrence of OP; logistic regression showed out that the following factors were closely relative with OP: age (OR=2.194, 95%CI:1.358-3.544), calcium in-taking(OR=0.524, 95%CI:0.341-0.805), exercises(OR=0.529, 95%CI:0.294-0.951), history of fracture(OR=1.764, 95%CI:1.053-2.955), BMI(OR=0.575, 95%CI:0.364-0.908), animal’s albumen in-taking(OR=1.689, 95%CI:1.159-2.461)and alcohol drinking(OR=1.694, 95%CI:1.097-2.618). Conclusions The occurrence of OP is related to multi factors;it is the key point in the prevention of OP to strengthen the health education of the patients, to improve the living circumstances, to change the improper diet habit and to persist in exercises.
