广西南宁地区中老年骨质疏松危险因素调查及中医体质分析
Survey of risk factors of osteoporosis and constitutional analysis using traditional Chinesemedicine in middle-aged and elderly people in Nanning region of Guangxi
  
DOI:10.3969/j.issn.1006.7108.2016.01.022
中文关键词:  骨质疏松症  危险因素  中老年人  中医体质
英文关键词:Osteoporosis  Risk factors  Middle-aged and elderly people  Constitution in Chinese Medicine
基金项目:国家自然基金项目(81160486),广西科技计划课题 (桂科攻1412004),广西中医药大学第一附属医院青年基金(GZYQJ2014004)
作者单位
陈文辉1 李双蕾1* 粟鱗2 蒋云霞2 林广珍2 莫文秋2 1.广西中医药大学第一附属医院广西南宁530023 2.广西中医药大学广西南宁530001 
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中文摘要:
      目的 了解广西南宁地区中老年人骨质疏松的患病现状,分析引起该疾病的危险因素,探索骨质疏松与中医体质的关系,为该地区骨质疏松的中西医防治工作提供依据。方法 采取现场问卷调查及现场测量方式获得研究人群的年龄、性别、身高、体重、饮食运动、慢性病史及家族史、中医体质评分,使用超声骨密度仪进行骨密度测定,分析研究人群的骨质疏松危险因素及中医体质类型。结果 在调查的454例中老年人中,骨质疏松症的发病率为24. 89%,其中男性为18.91%,女性为 26.63%。统计分析显示:性别、年龄、父母驼背史与骨质疏松关系密切,且有统计学意义;在骨量正常人群中,以平和体质最为多见,在低骨量与骨质疏松人群中,以阳虚、气虚体质多见。结论广西南宁地区中老年骨质疏松的发病与性别、年龄、家族史等因素相关,阳虚、气虚体质人群骨质疏松发病可能性更大。
英文摘要:
      Objective To investigate the status of osteoporosis in middle-aged and elderly people in Nanning region, to analyze the risk factors of osteoporosis, to explore the relationship between osteoporosis and the constitutional types of Chinese medicine, and to provide the basis for prevention and treatment of the disease in Western and Chinese medicine. Methods Age, sex, height, weight,diet and exercise, family history,chronic diseases,and the constitutional scores of Chinese medicine were obtained in the study population using questionnaire survey and in-place measurement. Bone mineral density was detected using an ultrasound bone densitometer. The risk factors of osteoporosis and the constitutional types of Chinese medicine were analyzed. Results In 454 cases of middle-aged and elderly people, the incidence of osteoporosis was 24. 89% , in which 18. 91 % in males and 26. 63% in females. Statistical analysis showed that sex, age, and parental history of humpback were closely correlated with osteoporosis, with statistically significance. The population of constitution of Yin-yang harmony was in the majority among the normal population. The population of constitutions of Qi asthenia and Yang asthenia was in the majority in the low bone mass and osteoporosis people. Conclusion Osteoporosis is correlated with sex, age, and parental history in middle-aged and elderly people in Nanning region, and the incidence of osteoporosis is greater in the people of Qi asthenia and Yang asthenia.
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