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| 围绝经期骨量减少与骨质疏松的临床观察 |
| Clinic observation of osteopenia and osteoporosis in peri-menopausal women |
| 投稿时间：2011-11-15 |
| DOI： |
| 中文关键词: 围绝经期 骨量减少 骨质疏松 |
| 英文关键词:Peri—menopausal period Osteopenia Osteoporosis |
| 基金项目: |
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| 中文摘要: |
| 目的探讨用绝经期妇女中骨量减少与骨质疏松患者的临床特点及防治措施。方法对一组
40．50岁伴有腰背疼痛的围绝经期女性进行双能x线骨密度仪(DXA)检测，以确定骨量减少与骨质
疏松症患者。同时，以问卷调查的方式，询问与骨质疏松相关的生活饮食习惯．有无骨折史及相关慢
性疾病史。结果被调查229名门诊受检者中，T值<一1者共计137例。占总人数的59．83％；其中。
骨量减少(一I>T>一2．5)者68例，占总人数的29．69％，骨质疏松症(T≤一2．5)者69例，占总人数
的30．13％。在本组围绝经期存在骨质疏松改变的人群中，普遍缺乏预防骨质疏松相关健康保健常
识，但所有患者否认有脆性骨折史。结论在重庆地区，处于围绝经期伴有腰背疼痛不适的女性患
者，经DXA骨密度检测骨量减少与骨质疏松症患者检出率较高(超过50％)，处于发生骨质疏松性骨
折的低风险阶段。早期确诊围绝经期骨量减少与骨质疏松症患者，可早期预防绝经后可能发生的骨
质疏松症与骨质疏松性骨折的健康威胁。 |
| 英文摘要: |
| Objective To explore the clinical characteristics and treatmenl me【hod of osteoporosis in peri·
menopausal women．Methods Bone mineral density(BM D)was measured in a group of 40-50·year·old
peri—menopausal women with back pain using DXA．The questionnaire was used to investigate the life style
associated with osteoporosis，and the history of fracture and chronic diseases．Results Of all 229 patients，
T value less than—I occurred in 137 eases(59．83％)．Among those，osteopcnia(一1>T>一2．5)
accounted for 68 cases(29．69％)，and osteoporosis(T≤一2．5)accounted for 69 cases(30．13％)．In
the population，osteoporosis associated knowledge was lack．No fragile fracture WaS claimed in these
patients．Conclusion The diagnose rate of osteopenia and osteoporosis in women in peri—menopausal period
with back pain in Chongqing is high using DXA measurement for BMD(more than 50％)．These people are
at low risk status of fragile fractures．The diagnosis of osteopenia and osteoporosis in women in peri·
menopausal period may contribute to early P"’rcation of osteoporotic fractures． |
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