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| 青州地区怀孕妇女骨密度调查及分析 |
| Survey and analysis of bone mineral density in pregnant women in Qingzhou area |
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| DOI：10.3969/j.issn.1006.7108.2015.09.015 |
| 中文关键词: 调查 孕妇 超声骨密度仪 骨量减少 骨质疏松 Z值 |
| 英文关键词:Survey pregnant women Ultrasonic bone density meter Decreased bone mass Osteoporosis Z value |
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| 中文摘要: |
| 目的 调查孕妇群体骨质疏松症和骨量减少的发病情况。方法 对所有2014年3月7日到2014年6月1日期间来医院进行孕期检查的孕妇均进行超声骨密度测定，并以Z-score作为评价指标，计算总体均值;然后统计Z-score≤-1者及Z- score≤2. 0者人数，计算其占总受检人群的比重，再然后按年龄分组统计均值并比较。结果 总平均Z-score为-0. 5558± 1. 01204，Z-score≤- 1者，共435人，占总检测人数的37. 28% ；Z-score≤2. 0者共68人，占总检测人数的5. 83%。由各组的均值比较可以看到，伴随着年龄增加，孕妇的Z-score均值有上升的趋势，各组之间的Z-score均值相互之间差异具有明显统计学 意义，P <0.001。结论 受检孕妇的平均骨量处于正常范围，但还是明显低于同种族、同年龄、同性别的平均水平。其中骨量减少者占到了总检测人数的37. 28%，符合骨质疏松症诊断标准者为总检测人数的5. 83%，中国孕妇的骨量不容乐观。各年龄组之间差异较大，伴随着年龄增加，孕妇的Z-score均值有上升的趋势。 |
| 英文摘要: |
| Objective To investigate the incidence of osteoporosis and osteopenia in pregnant women. Methods Bone mineral density was measured for all pregnant women during prenatal examination from 2014 March 7 to 2014 June 1 in the hospital. Z-score was the evaluation index. The mean was calculated. The number of Z-score≤- 1 and Z-score ≤2. 0 was calculated，and the mean was compared between the different age groups. Results The mean of Z-score was - 0. 5558 ±1. 01204. People whose Z-score was less than - 1 were 435 (37. 28% )，and those whose Z-score less than - 2. 0 were 68 (5. 83%). Along with the increase of age of the pregnant women， the mean of Z-score tended to rise. The difference of the Z-score among the groups was statistically significant (P < 0.001). Conclusion The average bone mass of the pregnant women was in the normal range，but was significantly lower than those of the same race, the same age, and the gender. The cases of osteopenia accounted for 37.28% of the total number of people，and the cases of osteoporosis were 5. 83%. The bone mass in Chinese pregnant women is not optimistic. The difference between age groups is large. With the increase of age，the mean Z-score in pregnant women tends to rise. |
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