武汉某社区IOF骨质疏松症风险问卷调查对骨折风险的预测价值

发布时间：2018-07-28 07:14

【摘要】：目的评估IOF骨质疏松症风险问卷调查对骨折风险的预测价值。方法收集武汉某社区人群359例,记录所有受试者年龄、体重、既往骨折史、父母髋部骨折、服用肾上腺皮质激素3个月以上、身高下降3 cm、大量饮酒史、吸烟超过20支、腹泻史、45岁之前绝经、闭经史、阳萎或者缺乏性欲情况。应用年龄、体重与风险级别量表计算出受试者骨质疏松风险概率。按年龄将受试者分为每10岁一组,如50~59组、60~69组和70~79组,比较其风险因子数目,计算出最显著风险因子。结果人群中高风险17例,中风险102例,低风险240例,3组资料之间平均风险因子数目两两比较,差异有统计学意义(P0.01);所有患者组与高风险者比较,差异有统计学意义(P0.01)。所有风险组别中最显著风险因子均为身高下降3 cm。结论父母髋部骨折、腹泻史,尤其是身高下降3 cm,相比其他因素而言,是更有意义的骨质疏松的风险预测因子。
[Abstract]:Objective to assess the predictive value of IOF osteoporosis risk questionnaire survey on fracture risk. Methods 359 people in a community of Wuhan were collected to record all subjects' age, weight, history of previous fracture, hip fracture in parents, more than 3 months of adrenocortical hormone, 3 cm in height, a history of heavy drinking, more than 20 cigarettes, a history of diarrhoea, 45 years of age. Premenopause, amenorrhea, impotence, impotence, or lack of sexual desire. The risk probability of osteoporosis was calculated by age, weight and risk scale. The subjects were divided into groups of 10 years of age, such as group 50~59, 60~69 and 70~79, compared with the number of risk factors, and the most significant risk factors were calculated. 17 cases of high risk in the population were calculated. The median risk was 102, low risk 240, and the average risk factor of the 3 groups was 22. The difference was statistically significant (P0.01). The difference was statistically significant (P0.01) in all the patients and those with high risk. The most significant risk factors in all the risk groups were the decrease of body height and 3 cm. of the parents' hip fracture, the history of diarrhoea, especially the body. A high drop of 3 cm is a more significant predictor of osteoporosis risk than other factors.
【作者单位】：湖北省中西医结合医院内分泌科;
【分类号】：R580

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