中国骨质疏松杂志
中國骨質疏鬆雜誌
중국골질소송잡지
CHINESE JOURNAL OF OSTEOPOROSIS
2015年
1期
1-7,24
,共8页
张智海%刘忠厚%石少辉%李艳宁
張智海%劉忠厚%石少輝%李豔寧
장지해%류충후%석소휘%리염저
骨质疏松%中国大陆%发病率
骨質疏鬆%中國大陸%髮病率
골질소송%중국대륙%발병솔
Osteoporosis%Mainland China%Incidence
目的：通过对国内发表骨密度流行病调查相关文献进行分析和评价，进一步了解中国大陆地区以－2?5SD为诊断标准的骨质疏松症发病的情况。方法以中国医院数字图书馆（ CHKD）以及万方数据为工具，以“骨质疏松”和“发病率”为主题词，检索带有各年龄段的男女样本量、测量部位、骨密度值、DEXA设备型号、骨质疏松症发病率等文献。骨质疏松诊断方法为双能 X 线吸收测量法，诊断标准为T值低于－2?5SD。应用统计学软件对我国骨质疏松发病情况进行分析。结果共检索109篇全文文献，其中16篇文献符合要求，其中6篇文献为同一型号仪器测量骨密度。40岁－50岁年龄段，女性骨质疏松发病率为6?37％±2?39％，男性为4?11％±1?70％，50岁－60岁年龄段，女性21?75％±5?96％，男性为12?90％±6?35％；60岁－70岁年龄段：女性为46?38％±12?03％。男性为19?90％±8?31％。70岁－80岁年龄段：女性为64?32％±9?79％。男性为28?97％±7?63％。80岁－90岁年龄段：女性为76?74％±5?28％。男性39?78％±15?09％。结论中国大陆地区男性在各年龄段发病率均低于同年龄段女性发病率，比值接近于1∶2。40岁以上人群骨质疏松症发病率为19?74％（约20％），约1?12亿患病人群。
目的：通過對國內髮錶骨密度流行病調查相關文獻進行分析和評價，進一步瞭解中國大陸地區以－2?5SD為診斷標準的骨質疏鬆癥髮病的情況。方法以中國醫院數字圖書館（ CHKD）以及萬方數據為工具，以“骨質疏鬆”和“髮病率”為主題詞，檢索帶有各年齡段的男女樣本量、測量部位、骨密度值、DEXA設備型號、骨質疏鬆癥髮病率等文獻。骨質疏鬆診斷方法為雙能 X 線吸收測量法，診斷標準為T值低于－2?5SD。應用統計學軟件對我國骨質疏鬆髮病情況進行分析。結果共檢索109篇全文文獻，其中16篇文獻符閤要求，其中6篇文獻為同一型號儀器測量骨密度。40歲－50歲年齡段，女性骨質疏鬆髮病率為6?37％±2?39％，男性為4?11％±1?70％，50歲－60歲年齡段，女性21?75％±5?96％，男性為12?90％±6?35％；60歲－70歲年齡段：女性為46?38％±12?03％。男性為19?90％±8?31％。70歲－80歲年齡段：女性為64?32％±9?79％。男性為28?97％±7?63％。80歲－90歲年齡段：女性為76?74％±5?28％。男性39?78％±15?09％。結論中國大陸地區男性在各年齡段髮病率均低于同年齡段女性髮病率，比值接近于1∶2。40歲以上人群骨質疏鬆癥髮病率為19?74％（約20％），約1?12億患病人群。
목적：통과대국내발표골밀도류행병조사상관문헌진행분석화평개，진일보료해중국대륙지구이－2?5SD위진단표준적골질소송증발병적정황。방법이중국의원수자도서관（ CHKD）이급만방수거위공구，이“골질소송”화“발병솔”위주제사，검색대유각년령단적남녀양본량、측량부위、골밀도치、DEXA설비형호、골질소송증발병솔등문헌。골질소송진단방법위쌍능 X 선흡수측량법，진단표준위T치저우－2?5SD。응용통계학연건대아국골질소송발병정황진행분석。결과공검색109편전문문헌，기중16편문헌부합요구，기중6편문헌위동일형호의기측량골밀도。40세－50세년령단，녀성골질소송발병솔위6?37％±2?39％，남성위4?11％±1?70％，50세－60세년령단，녀성21?75％±5?96％，남성위12?90％±6?35％；60세－70세년령단：녀성위46?38％±12?03％。남성위19?90％±8?31％。70세－80세년령단：녀성위64?32％±9?79％。남성위28?97％±7?63％。80세－90세년령단：녀성위76?74％±5?28％。남성39?78％±15?09％。결론중국대륙지구남성재각년령단발병솔균저우동년령단녀성발병솔，비치접근우1∶2。40세이상인군골질소송증발병솔위19?74％（약20％），약1?12억환병인군。
Objective To learn osteoporosis incidence based on -2. 5 SD criteria in mainland China by analyzing and evaluating the national literature of epidemiological survey about BMD. Methods Using osteoporosis and incidence as keywords, the literature related to samples with men and women with different age, measuring sites, BMD, models of DEXA device, and the incidence of osteoporosis was selected from China Hospital Knowledge Database ( CHKD) and Wanfang data. The diagnosis of osteoporosis was based on the T score lower than -2. 5SD using dual?energy X?ray absorptiometry method. The incidence of osteoporosis in our country was analyzed using a statistical software. Results A total of 109 full?text documents were retrieved, in which 16 papers met the requirements. Same type of device was used to measure BMD in the 6 out of the 16 papers. The incidence of osteoporosis was 6. 37% ± 2. 39% in women and 4. 11% ± 1. 70% in men of 40?50?year?old, 21. 75% ± 5. 96% in women and 12. 90% ± 6. 35 in men of 50?60?year?old, 46. 38% ± 12. 03% in women and 19. 90% ± 8. 31% in men of 60?70?year?old, 64. 32% ± 9. 79%% in women and 28. 97% ± 7. 63% in men of 70?80?year?old, and 76. 74% ± 5. 28% in women and 39. 78%± 15. 09% in men of 80?90?year?old, respectively. Conclusion The incidence of osteoporosis in males is lower than that in females in all age divisions, and the ratio is close to 1∶2. The incidence of osteoporosis is 19. 74% (about 20%) in people over 40 years old, with 112 million in population.
