中老年医务职业女性骨密度影响因素分析

发布时间：2018-06-20 16:03

本文选题：骨质疏松 + 职业女性　；参考：《中国骨质疏松杂志》2016年08期

【摘要】：目的了解中老年医务职业女性骨密度的现状及变化规律,探讨影响该年龄段医务职业女性骨密度的高危因素。方法整群抽样抽取兰州市从事医务工作的183名中老年(40~70岁)职业女性,利用高频超声骨密度仪检测骨密度水平,回归分析探讨年龄、绝经与否、体重指数(BMI)、执业类型、工作活动类型等因素对中老年职业女性骨密度的影响。结果 40~50岁医务职业女性骨质疏松患病率低(2.1%),50~60岁组骨质疏松患病率明显增高(20.4%),差异有统计学意义(P0.05)。骨质疏松症患病率从绝经前的3.7%增加到绝经后的25.5%,差异有统计学意义(P0.05)。在职医务女性中,活动型与久坐型、久站型工作性质相比,有骨量减低及骨质疏松患病率下降的趋势,但差异无统计学意义(P0.05)。与管理人员、护理等职业类别相比,医生职业的骨质疏松患病率最高,差异有统计学意义(P0.05)。经logistic回归分析,中老年医务职业女性年龄(OR 1.23,95%CI 1.02~1.13)、绝经(OR 3.26,95%CI 1.56~17.50)、久坐(OR 2.23,95%CI 1.25~3.92)是骨量减少和骨质疏松的危险因素。结论中老年医务职业女性绝经后骨质疏松发病率明显升高,减少工作负荷,适当的体育锻炼和钙剂补充是减缓骨密度降低的有效方法。
[Abstract]:Objective to investigate the present situation and changes of bone mineral density (BMD) in middle aged and elderly women, and to explore the high risk factors affecting BMD. Methods A total of 183 middle-aged and elderly women (40 ~ 70 years old) employed in medical work in Lanzhou were selected by cluster sampling. Bone mineral density (BMD) was measured by high frequency ultrasound absorptiometry. Age, menopause or not, body mass index (BMI) and type of practice were analyzed by regression analysis. Effects of work activity types on bone mineral density in middle-aged and old working women. Results the prevalence rate of osteoporosis in women aged 40 to 50 years old was significantly higher than that in the group of 60 years old. The difference was statistically significant (P 0.05). The prevalence rate of osteoporosis increased from 3.7% before menopause to 25.5% after menopause, and the difference was statistically significant (P 0.05). In the in-service medical women, there was a tendency to decrease the bone mass and the prevalence rate of osteoporosis in the active type, the sedentary type and the standing type, but the difference was not statistically significant (P 0.05). The prevalence of osteoporosis in doctors was the highest compared with that of managers and nursing, and the difference was statistically significant (P 0.05). By logistic regression analysis, the risk factors of bone loss and osteoporosis were OR 1.23 + 95 CI 1.02 ~ 1.13, menopausal OR 3.2695 CI 1.56 ~ 17.50 and sedentary OR 2.2395 CI 1.25 ~ 3.92). Conclusion the incidence of postmenopausal osteoporosis in middle-aged and elderly women with medical profession is significantly increased, and the reduction of workload, proper physical exercise and calcium supplement are effective methods to slow down the decrease of bone mineral density.
【作者单位】：甘肃省妇幼保健院科研中心;
【分类号】：R580

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