CAJ | 학술논문

目的了解吉林省西部牧区牧民骨质疏松和骨量减少患病情况,并探讨其可能影响因素.方法采用多阶段抽样方法,于2012年12月在吉林省西部牧区松原市前郭尔罗斯蒙古族自治县,抽取2个乡镇(查干花镇和乌兰塔拉乡),每个乡镇抽取50％的村子,以村中18岁以上养殖羊的牧民作为调查对象.采用定量超声骨密度测量仪对调查对象足跟骨进行骨密度测定;以面对面访谈方式,采用自行设计的调查表对调查对象进行问卷调查,内容包括一般人口学信息(年龄、性别、身高、体重、文化程度和婚姻等),肥胖状况[计算体重指数(BMI)]和骨质疏松相关因素等.采用x2检验或秩和检验进行组间比较,Logistic回归多因素分析可能影响因素.结果共调查203名牧民,骨质疏松检出率为3.45％ (7/203),骨量减少检出率为46.80％(95/203).年龄≥50岁牧民患骨质疏松或骨量减少的风险是年龄＜ 40岁牧民的2.72倍[比值比(OR)=2.72,95％可信区间(CI):1.34 ～ 5.53];BMI 18.5～＜24.0和≥24.0的牧民患骨质疏松或骨量减少的风险分别是BMI＜18.5牧民的0.21倍(OR=0.21,95％CI:0.06～ 0.79)和0.13倍(OR=0.13,95％CI:0.03～ 0.48).性别、民族、每天饮酒量、父母骨质疏松疾病史、服用激素类药物史等因素与骨质疏松或骨量减少间相关性分析无统计学意义(P均＞0.05).结论吉林省西部牧区牧民骨量减少检出率较高,年龄、BMI是影响骨质疏松或骨量减少患病的独立影响因素.
목적 료해길림성서부목구목민골질소송화골량감소환병정황,병탐토기가능영향인소.방법 채용다계단추양방법,우2012년12월재길림성서부목구송원시전곽이라사몽고족자치현,추취2개향진(사간화진화오란탑랍향),매개향진추취50％적촌자,이촌중18세이상양식양적목민작위조사대상.채용정량초성골밀도측량의대조사대상족근골진행골밀도측정;이면대면방담방식,채용자행설계적조사표대조사대상진행문권조사,내용포괄일반인구학신식(년령、성별、신고、체중、문화정도화혼인등),비반상황[계산체중지수(BMI)]화골질소송상관인소등.채용x2검험혹질화검험진행조간비교,Logistic회귀다인소분석가능영향인소.결과 공조사203명목민,골질소송검출솔위3.45％ (7/203),골량감소검출솔위46.80％(95/203).년령≥50세목민환골질소송혹골량감소적풍험시년령＜ 40세목민적2.72배[비치비(OR)=2.72,95％가신구간(CI):1.34 ～ 5.53];BMI 18.5～＜24.0화≥24.0적목민환골질소송혹골량감소적풍험분별시BMI＜18.5목민적0.21배(OR=0.21,95％CI:0.06～ 0.79)화0.13배(OR=0.13,95％CI:0.03～ 0.48).성별、민족、매천음주량、부모골질소송질병사、복용격소류약물사등인소여골질소송혹골량감소간상관성분석무통계학의의(P균＞0.05).결론 길림성서부목구목민골량감소검출솔교고,년령、BMI시영향골질소송혹골량감소환병적독립영향인소.
Objective To investigate the prevalence and relevant risk factors of osteoporosis and osteopenia among herdsmen in the western pastoral areas of Jilin Province,so as to provide a scientific basis for prevention and control of the disease in pastoral areas.Methods A multi-stage sampling method was used to select areas to perform epidemiological investigation in December 2012.Two countries-Cha Ganhua and Wulantala were randomly selected in Qianguo town.In each township,almost 50％ of the villagers who were more than 18 years old were selected to detect osteoporosis and collect relevant information.Quantitative ultrasound bone density measuring instrument was used to measure the bone mineral density of subjects.Self-designed questionnaire was used to collect information.Information of general demographic information (age,gender,stature,weight,education level and marital status),obesity status [body mass index (BMI)] and osteoporosis related influencing factors were included in the questionnaire.x2 test and rank test were performed to compare differences between two groups.Multiple logistic regression analysis was used to analyze the independent influencing factors.Results Among 203 qualified subjects,detectable rates of osteoporosis and osteopenia were 3.45％ (7/203) and 46.80％ (95/203),respectively.Age and BMI were two independent influencing factors of osteoporosis/osteopenia.Herders who were greater than 50 years old were 2.72 times riskier than those who were less than 40 years old to be suffered from osteoporosis or osteopenia (OR =2.72,95％CI:1.34-5.53);those with BMI ≥ 18.5 but ＜ 24.0 were 0.21 times riskier than those with BMI ＜ 18.5 (OR =0.21,95％CI:0.06-0.79);those with BMI ≥24.0 were 0.13 times riskier than those with BMI ＜ 18.5 (OR =0.13,95％CI:0.03-0.48).There were no statistical correlations between osteoporosis/osteopenia and sex,minority,drinking status,parents' history of osteoporosis,and glucocorticoid hormone usage status (all P ＞ 0.05).Conclusions The detection rate of osteopenia among herdsmen in the western pastoral areas of Jilin Province is high.Age and BMI are two independent influencing factors of osteoporosis/osteopenia.Health education on osteoporosis is strongly necessary.Herders should be encouraged to take measures such as early diagnosis,early treatment,reasonable diet,appropriate exercise,appropriate intake of calcium and vitamin D,so as to prevent osteoporosis.