CAJ | 학술논문

目的：通过对我院医务人员体检，了解本院骨质疏松的流行病学情况，分析骨质疏松相关危险因素。方法选取2014年7月～9月在我院体检的40岁以上在职和离退休医务人员1088例，采用双能X线骨密度仪（ DXA）测腰椎（ L1?4）、股骨颈、Ward区、大转子区的骨密度。测定空腹血糖、糖化血红蛋白、胆固醇（ TC）、甘油三脂（ TG）、低密度脂蛋白（ LDL? C）、高密度脂蛋白（HDL?C），结合性别、年龄、科室、体重指数（BMI）等因素进行研究。按年龄、性别进行分组，以10岁作为1个年龄段。结果1．骨质疏松总患病率27?8％（其中女性30?6％，男性21?1％）。2．脂代谢异常占60?11％，糖代谢异常占16?54％。3．女性骨质疏松患病率随年龄上升而增加。不同年龄组的OP患病率差异有统计学意义（P＜0?05）。4．离退休医务人员骨质疏松患病率最高（38?8％），外科医生最低（16?9％）。5． Logistic回归分析显示：高BMI值是骨质疏松的保护因素。结论与普通人群相比，我院医务人员骨质疏松患病率较高，增龄和低BMI是骨质疏松的主要危险因素。
목적：통과대아원의무인원체검，료해본원골질소송적류행병학정황，분석골질소송상관위험인소。방법선취2014년7월～9월재아원체검적40세이상재직화리퇴휴의무인원1088례，채용쌍능X선골밀도의（ DXA）측요추（ L1?4）、고골경、Ward구、대전자구적골밀도。측정공복혈당、당화혈홍단백、담고순（ TC）、감유삼지（ TG）、저밀도지단백（ LDL? C）、고밀도지단백（HDL?C），결합성별、년령、과실、체중지수（BMI）등인소진행연구。안년령、성별진행분조，이10세작위1개년령단。결과1．골질소송총환병솔27?8％（기중녀성30?6％，남성21?1％）。2．지대사이상점60?11％，당대사이상점16?54％。3．녀성골질소송환병솔수년령상승이증가。불동년령조적OP환병솔차이유통계학의의（P＜0?05）。4．리퇴휴의무인원골질소송환병솔최고（38?8％），외과의생최저（16?9％）。5． Logistic회귀분석현시：고BMI치시골질소송적보호인소。결론여보통인군상비，아원의무인원골질소송환병솔교고，증령화저BMI시골질소송적주요위험인소。
Objective To assess the prevalence of osteoporosis and related risk factors of medical workers in our hospital by health screening examination. Methods A total of 1088 medical workers aging above 40 years old who had physical examination in our hospital from July to September 2014 were selected. The bone mineral density ( BMD) of the lumbar vertebrae 1?4 ( L1?4 ) and the proximal region of the femur including neck, Ward triangle, and Troch was detected using dual energy X?ray absorptiometry ( DEXA) . Meanwhile, the serum levels of FBG, HbAlc, TC, TG, LDL? C, and HDL? C were also measured and analyzed combining with factors including sex, age, department, and body mass index (BMI). They were divided into groups of 10?year division. Results The prevalence of osteoporosis in medical workers over 40 years old was 27?8% (30?6% in females, 21?1%in males) . The prevalence of dyslipidemia was 60?11% and impaired glucose metabolism was 16?54%. With the increase of age, the prevalence of osteoporosis increased in women, with significant difference among different age groups ( P < 0?05 ) . The prevalence of osteoporosis in retired medical workers was the highest ( 38?8%) , while in surgeons it was the lowest ( 16?9%) . Logistic regression analysis showed that high BMI was the protective factor of osteoporosis. Conclusion The prevalence of osteoporosis in medical workers is higher than that in normal people. Aging and low BMI are the main risk factors of osteoporosis.