贵阳市40岁及以上社区居民骨质疏松性骨折的发病率及危险因素调查

发布时间：2018-02-28 21:06

本文关键词： 骨质疏松性骨折发病率危险因素　出处：《中国骨质疏松杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的了解贵阳市40岁及以上社区居民骨质疏松性骨折的发病率及其影响因素,为该地区骨质疏松性骨折的防治提供理论依据。方法 2011年5月至2011年10月随机抽取贵阳市主城区云岩区40~77岁常驻居民8960人。所有调查对象均进行问卷调查、体格检查、超声骨密度测定等。2014年对该人群进行了随访,将排除对象剔除后,入组总人数5697人,随访率为63.58%。骨质疏松性骨折的诊断标准:居民自我报告脆性骨折史或居民提供的影像学骨折的报告。脆性骨折定义为从站立位或低于站立位的高度跌倒在地或相似程度的外伤所致的骨折。结果 1骨质疏松性骨折的发病率为4.86%(277例,男性31例,女性246例)。主要骨折部位是前臂远端、踝部、脊椎。其中女性的发病率(5.94%)较男性发病率(1.99%)明显增高(P0.01)。2女性(odds ratio[OR]=3.427;95%CI:1.98~5.93;P0.001)、骨密度T值-2.5(OR=2.054;95%CI:1.30~3.26;P=0.002)、血脂异常(OR=1.474;95%CI:1.02~2.13;P=0.038)、年龄(OR=1.029;95%CI:1.01~1.05;P=0.002)均是发生骨质疏松性骨折的危险因素。结论骨质疏松性骨折的发病率随年龄的增加而升高,且女性明显高于男性,前臂远端是最常见的发病部位;增龄、女性、血脂异常、骨密度T值-2.5均是其危险因素。
[Abstract]:Objective to investigate the incidence and influencing factors of osteoporosis fracture in community residents aged 40 and over in Guiyang. Methods from May 2011 to October 2011, 8960 resident residents aged 4077 years in Yunyan District, the main district of Guiyang City, were randomly selected. All the subjects were investigated by questionnaire and physical examination. In 2014, the population was followed up. After excluding the excluded objects, the total number of people in the group was 5 697. The follow-up rate was 63.58. Criteria for the diagnosis of osteoporotic fractures: residents report a history of brittle fractures or reports of radiographic fractures provided by residents. Brittle fractures are defined as falling on or off the ground from a height in or below the standing position. Results 1 the incidence of osteoporotic fractures was 4.86%. There were 31 males and 246 females. The main fracture sites were distal forearm and ankle. The incidence of spinal cord (5.94) is significantly higher in women than in men (1.999.The incidence of female odds ratio [OR] 3.42795CI1.985.93% P0.001), the T value of bone mineral density (-2.5V) is 2.303.26P0.002, OR1.47495 / 95CI1.02.13P0.038, and the age of OR1.029C95CI1.011.05P0.002) are all the risk factors for the development of osteoporotic fracture. Conclusion Osteoporosis is a risk factor for osteoporotic fracture. The incidence rate increases with age, The most common site was distal forearm, aging, female, abnormal blood lipid and bone mineral density (T-2.5) were the risk factors.
【作者单位】：贵州医科大学附属医院内分泌代谢科;
【分类号】：R589.5

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