CAJ | 학술논문

目的：了解位于西南地区的重庆市健康成年男性、女性的骨密度现状，为骨质疏松症的筛查、预防提供科学依据。方法采用Sunlight OmnissenseTM 7000超声骨密度仪，调查测量了自2012年9月～2013年1月期间在西南大学体检中心参加健康体检的1424（女性643，男性781）名汉族成年人桡骨远端骨密度，根据T值判定骨量减少和骨质疏松，并计算其检出率。结果女性骨量减少248例，检出率为38．57％，骨质疏松187例，检出率为29．08％；男性骨量减少339例，检出率为43．41％，骨质疏松96例，检出率为12．29％。重庆地区骨量减少和骨质疏松的检出率与贵阳、广州、北京地区比较男性在20岁段～40岁段均有显著差异（P＜0．001），与杭州地区相比男性在20岁段、30岁段、60岁段、70岁段有显著差异（P＜0．001），与沈阳地区相比男性在20岁段、50岁段、60岁段均有差异（P＜0．05）；与贵阳地区比较女性在50岁段和70岁段有显著差异（P＜0．001），与广州地区相比女性在20岁段、40岁段、60岁段、70岁段均有显著差异（P＜0．001），与杭州、沈阳地区相比女性在50岁段和60岁段有显著差异（P＜0．001），与北京地区相比女性在20岁段～50岁段有显著差异（P＜0．001）。结论重庆地区男女性在50岁以前T值水平相当并保持相对稳定，50岁以后女性T值明显低于男性；随年龄增加男女性T值均逐渐下降，女性在围绝经期下降迅速。重庆地区在骨量减少及骨质疏松的检出率上较我国其他地区处于中等水平。
목적：료해위우서남지구적중경시건강성년남성、녀성적골밀도현상，위골질소송증적사사、예방제공과학의거。방법채용Sunlight OmnissenseTM 7000초성골밀도의，조사측량료자2012년9월～2013년1월기간재서남대학체검중심삼가건강체검적1424（녀성643，남성781）명한족성년인뇨골원단골밀도，근거T치판정골량감소화골질소송，병계산기검출솔。결과녀성골량감소248례，검출솔위38．57％，골질소송187례，검출솔위29．08％；남성골량감소339례，검출솔위43．41％，골질소송96례，검출솔위12．29％。중경지구골량감소화골질소송적검출솔여귀양、엄주、북경지구비교남성재20세단～40세단균유현저차이（P＜0．001），여항주지구상비남성재20세단、30세단、60세단、70세단유현저차이（P＜0．001），여침양지구상비남성재20세단、50세단、60세단균유차이（P＜0．05）；여귀양지구비교녀성재50세단화70세단유현저차이（P＜0．001），여엄주지구상비녀성재20세단、40세단、60세단、70세단균유현저차이（P＜0．001），여항주、침양지구상비녀성재50세단화60세단유현저차이（P＜0．001），여북경지구상비녀성재20세단～50세단유현저차이（P＜0．001）。결론중경지구남녀성재50세이전T치수평상당병보지상대은정，50세이후녀성T치명현저우남성；수년령증가남녀성T치균축점하강，녀성재위절경기하강신속。중경지구재골량감소급골질소송적검출솔상교아국기타지구처우중등수평。
Objective To investigate bone mineral density ( BMD) of healthy men and women in Chongqing, and to provide scientific evidence for the screening and prevention of osteoporosis (OP).Methods BMD of 1424 Han people, who received health examination in the Health Examination Center of Southwest China University from September 2012 to January 2013, was tested using ultrasound absorptiometry ( Sunlight Omnissense TM 7000 ) .Osteopenia or OP was judged according to the T-value. The detection rate was calculated respectively.Results The number of osteopenia and OP was 248 ( 38.57%) and 187 (29.08%), respectively, in women, and 339 (43.41%) and 96 (12.29%), respectively, in men.The detection rates of osteopenia and OP in 20-40-year-old men in Chongqing were significantly different compared to those in Guiyang, Guangzhou, and Beijing ( P <0.001).The detection rates in 20, 30, 60, and 70 years old men in Chongqing were significantly different compared to those in Hangzhou (P<0.001), and in 20, 50, and 60 years old men were significantly different compared to those in Chongqing and Shenyang ( P<0.001) .In women, the detection rates were significantly different compared to those in 50 and 70 years old women in Guiyang (P<0.001), in 20, 40, 60, and 70 years old women in Guangzhou (P<0.001), in 50 and 60 years old women in Hangzhou and Shenyang (P<0.001), and in 20-50-year-old women in Beijing (P<0.001).Conclusion The T-value of both genders is stable before 50 years old in Chongqing.The T-value in women is lower than that in man after 50 years old.The T-value in women and men gradually decreases along with the increase of age.The T-value in women decreases more rapidly during perimenopause period.Comparing to those in other cities, the detection rates of osteopenia and OP in Chongqing is at the middle level in china.