兰州市城关区中老年人群骨质疏松症三种诊断标准的检出率比较

发布时间：2018-04-13 00:02

本文选题：兰州市 + 城关区　；参考：《中国骨质疏松杂志》2017年05期

【摘要】：目的比较骨质疏松症的国际卫生组织(WHO)诊断标准、中国老年学学会骨质疏松委员会(OCCGS)标准差诊断标准及骨量丢失百分率诊断标准在兰州市城关区中老年人群中应用的异同。方法采取多阶段整群分层随机抽样方法抽取城关区年龄在50岁以上的社区人员2500人进行问卷调查,分别应用WHO标准、OCCGS(标准差)标准与OCCGS(百分率)标准,比较原发性骨质疏松症(POP)的检出率及诊断的一致性。结果 WHO标准、OCCGS(标准差)标准和OCCGS(百分率)标准的POP检出率分别为13.89%、25.65%和45.32%。WHO标准与OCCGS(标准差)标准、WHO标准与OCCGS(百分率)标准以及OCCGS(标准差)标准与OCCGS(百分率)标准的检出POP一致率分别为13.89%、13.69%和25.44%。WHO标准和OCCGS(标准差)标准呈高度一致,OCCGS(标准差)标准和OCCGS(百分率)标准呈中度一致,WHO标准和OCCGS(百分率)标准呈低度一致。结论三种诊断标准在诊断POP上存在差异,建议对兰州市人群骨质疏松症的诊断采用OCCGS诊断标准。
[Abstract]:Objective to compare the osteoporosis in the World Health Organization (WHO) diagnostic criteria of osteoporosis Committee of the Gerontological Society of Chinese (OCCGS) and standard deviation of diagnostic criteria and diagnostic criteria for bone loss percentage in the Chengguan District of Lanzhou city in the elderly population. Methods multi stage stratified random sampling method, Chengguan District at the age of 50 over the age of community staff of 2500 questionnaires, respectively, using the WHO standard, OCCGS standard (standard deviation) and OCCGS (%), compared with primary osteoporosis (POP) with the detection rate and diagnosis. The results of WHO standard, OCCGS (standard deviation) standard and the OCCGS standard (percentage) the detection rate of POP were 13.89%, 25.65% and 45.32%.WHO and OCCGS (standard deviation) standard, WHO standard and OCCGS standard (%) and OCCGS (standard deviation) and OCCGS (%) POP detection standard consistency Were 13.89%, 13.69% and 25.44%.WHO standard and OCCGS standard (standard deviation) is highly consistent with the OCCGS standard (standard deviation) and OCCGS (percentage) standard was moderate, WHO standard and OCCGS standard (%) was low. Conclusion there are significant difference of three kinds of diagnostic criteria in the diagnosis of POP, suggests that the diagnosis of Lanzhou city people with osteoporosis diagnosed by OCCGS.

【作者单位】：甘肃中医药大学;兰州市城关区疾病控制中心;兰州大学公共卫生学院;甘肃中医药大学附属医院;
【基金】：兰州市城关区科技计划项目(2012-1-3)
【分类号】：R580

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