来源：风湿病与关节炎,2022,11（8）:13-16,22.

某医院体检人群骨密度情况及骨量异常患病率研究（临床研究）

孙　楠，李　纳，李小玲，杜巧芳，孙永强

　　【摘　要】目的：调查健康体检人群骨密度的情况以及骨量减少和骨质疏松的患病率。方法：选取2020年1月至2021年12月在河南省洛阳正骨医院（河南省骨科医院）健康管理中心进行体检的人群851例。采用美国HOLOGIC双能X线骨密度仪检测受试者L_1～4椎体正位骨密度。将受试者按性别、年龄分组，分析各组骨密度情况及骨量异常（包括骨量减少和骨质疏松）的患病率。结果：①骨量异常患病率：男性51.00%，女性43.05%，男性骨量异常患病率高于女性（P < 0.05）。骨质疏松患病率：男性9.80%，女性14.57%，女性骨质疏松患病率高于男性（P < 0.05）。②50～59岁骨质疏松患病率为17.29%，骨量异常患病率为54.14%，50岁后呈上升趋势（P < 0.05）。③男性骨量异常患病率呈缓慢增长，各个年龄组差异无统计学意义（P > 0.05）；50～59岁组女性骨质疏松患病率为21.92%，骨量异常患病率为55.48%，50岁后显著上升（P < 0.05）。④男性骨量异常患病率21～39岁组约43.84%，40～49岁组约51.75%，高于同年龄女性（P < 0.05）。结论：郑州地区男性骨量异常及骨质疏松呈年轻化趋势。

　　【关键词】　骨质疏松症；骨密度；骨量减少；患病率

Study on Bone Mineral Density and Prevalence of Abnormal Bone Mass in Physical Examination Population in a Hospital

SUN Nan,LI Na,LI Xiao-ling,DU Qiao-fang,SUN Yong-qiang

　　【ABSTRACT】Objective:To investigate the bone mineral density and the prevalence of osteopenia and osteoporosis in healthy people.Methods:A total of 851 people who underwent physical examination in the health management center of Luoyang Orthopaedic-Traumatological Hospital Of Henan Province（Henan Provincial Orthopaedic Hospital） from January 2020 to December 2021 were selected.The bone mineral density of lumbar 1 to lumbar 4 vertebral bodies was measured by HOLOGIC dual energy X-ray absorptiometer.The subjects were divided into groups according to sex and age,and the bone mineral density and the prevalence of abnormal bone mass（including osteopenia and osteoporosis） were analyzed in each group.Statistical software SPSS 22.0 was used for analysis,and P < 0.05 was considered as statistical significance.Results:①The prevalence of abnormal bone mass was 51.00% in males and 43.05% in females.The prevalence of abnormal bone mass in males was higher than that in females（P < 0.05）.The prevalence of osteoporosis was 14.57% in females and 9.80% in males.The prevalence of osteoporosis in females was higher than that in males（P < 0.05）.②At the age of 50～59 years old,the prevalence rate of osteoporosis was 17.29% and the prevalence rate of abnormal bone mass was 54.14%,which showed an upward trend after 50 years old（P < 0.05）.③The prevalence of abnormal bone mass in males increased slowly,and there was no significant difference among different age groups（P > 0.05）.The prevalence of osteoporosis was 21.92% and the prevalence of abnormal bone mass was 55.48% in women aged 50～59 years,which increased signific-antly after the age of 50 years（P < 0.05）.④The prevalence of abnormal bone mass in male was 43.84% in the group of 21～39 years old and 51.75% in the group of 40～49 years old,which was higher than that in female of the same age（P < 0.05）.Conclusion:The abnormal bone mass and osteoporosis of men in Zhengzhou area are younger.

　　【Keywords】 bone mineral density;osteoporosis;osteopenia ;prevalence