上海市北蔡镇老年骨质疏松症与女性生理因素关系的探讨(修改1).doc

上海市北蔡镇老年骨质疏松症与女性生理因素关系的探讨 阳晓东 史 历 马俊岭* 郭海英 张 燕 顾正南 黄淑贤 蒋文珍 孙耀华 侯钦午 贺明华 【摘要】目的：了解上海市北蔡镇老年女性生理因素与骨质疏松症(Osteoporosis，0P)的关系，为本地区骨质疏松症的防治提供参考。方法：使用美国GE公司的Lunar Prodigy Advance PA+300164型双能X线骨密度仪对398例上海市北蔡镇60～79岁老年女性正位腰椎和左股骨近端进行骨密度测定。结果：将老年女性分为OP组、骨量正常组及骨量减少组，三组对照初潮年龄无显著性差异（P＞0.05），闭经年龄、行经年限、行经天数、孕次具有显著性差异（P＜0.05）；三组两两比较显示：骨量正常组与op组比较在闭经年龄、行经年限、孕次方面具有显著性差异（P＜0.05），在行经天数方面无显著性差异（P＞0.05）；骨量正常组与骨量减少组比较在闭经年龄、行经年限、行经天数方面具有显著性差异（P＜0.05）；骨量减少组与op组比较在闭经年龄、行经天数、孕次方面具有显著性差异（P＜0.05），在行经年限方面无显著性差异（P＞0.05）；结论：上海市北蔡镇老年女性人群OP与女性生理因素密切相关，尤其闭经年龄早、行经年限少、行经天数少、孕次多的老年女性，应注意OP预防。 关键词：骨密度；骨质疏松症；女性生理因素； Epidemiological investigation of osteoporosis in aged women in Beicai Town of Shanghai Yang xiao dong, Shi li,Ma Jun Ling, et al. Bei Cai Community Health Service Center,Pu Dong New District,Shanghai 201204,China —————————————————— 作者单位：上海市浦东新区北蔡社区卫生服务中心 上海市浦东新区莲园路271号 邮编：201204 浦东新区卫生系统医学领先人才培养项目（PWRd2008-3） 上海市浦东新区科技发展基金创新资金项目（PKJ2008—Y24） 马俊岭：通讯作者，电子信箱mjl200608@126.com 阳晓东：T电子信箱：ouyangxiaodong@ Abstract: Objective: To study the relationship of osteoporosis and female physiological factors in the aged women in Beicai town of Shanghai. Methods: The investigation was conducted in 398 aged of 60~79 years old women. Everyone was given BMD assay of lumbar spine and total hip by GE DEXA machine. Results: The elder females were divided into OP group,normal bone density group and bone density decreased group.In comparision the three group.menophase age has no significant difference (p0.05).menopause age.menstrual duration.pregnance frequence has significant difference (p0.05).The comparation show.For the menstrual duration.There is no significant difference (p0.05);The comparation of normal bone density and decreased bone density has significant difference for the age of menopause .duration of menses and duration of menstrual(p0.05);The comparation of decreased bone density and op has significant difference for the age of menopause .duration of menstrual and pregn