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目的对武钢职工中骨质疏松患者进行危险因素分析,为预防骨质疏松症提供理论依据。方法对2015-01/2017-01月在华润武钢总医院进行体检的2000名武钢职工进行横断面调查,应用双能X线骨密度仪检测调查对象腰椎及双髋关节的骨密度,对指标进行统计学分析。结果武钢职工骨质疏松症的总患病率为12.40%(248/2000);女性患病率(23.68%)显著高于男性患病率(7.07%)(P<0.01);20~39岁、40~59岁、≥60岁的患病率分别为2.55%、16.62%、30.29%,患病率随年龄增加而增加(P<0.01);多因素Logistic回归分析显示低钙饮食、缺乏运动、代谢综合征、长期烟酒史是发生骨质疏松的危险因素(P<0.05)。结论随着年龄增长,骨质疏松症发病率逐渐升高;积极开展骨质疏松危险因素的早期干预,降低骨质疏松症的患病率,预防骨质疏松性骨折的发生。
Objective To analyze the risk factors of patients with osteoporosis in WISCO and provide a theoretical basis for the prevention of osteoporosis. Methods A total of 2000 WISCO workers who carried out physical examination at CRS General Hospital from January 2015 to January 2017-January were investigated by cross-sectional investigation. Bone mineral density (BMD) in lumbar spine and double-hip joint was measured by dual-energy X-ray absorptiometry. Statistical analysis. Results The overall prevalence of osteoporosis among workers in WISCO was 12.40% (248/2000). The prevalence rate of females (23.68%) was significantly higher than that of males (7.07%) (P <0.01) , 40- 59 years old, ≥60 years old prevalence rate was 2.55%, 16.62%, 30.29%, the prevalence increased with age (P <0.01); multivariate Logistic regression analysis showed that low calcium diet, lack of exercise , Metabolic syndrome, long-term history of alcoholism is a risk factor for osteoporosis (P <0.05). Conclusion With the increasing of age, the incidence of osteoporosis gradually increases. Active intervention of risk factors of osteoporosis can reduce the prevalence of osteoporosis and prevent osteoporotic fractures.