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| 112名40岁以上高龄孕妇的早孕期骨密度调查 |
| A survey on bone mineral density in 112 early pregnant women above 40 years old |
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| DOI：10.3969/j.issn.1006.7108.2017.03.019 |
| 中文关键词: 高龄孕妇 早孕 骨密度 骨质疏松 |
| 英文关键词:Senile gravida Early pregnancy Bone mineral density Osteoporosis |
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| 中文摘要: |
| 目的 研究我院近年分娩112名40岁以上高龄孕妇的骨密度情况。方法 超声骨密度仪对112名40岁以上早孕期妇女进行桡骨骨密度测定，共有初产妇44人，经产妇68人，为A组。选取同期35?39岁高龄孕妇224人，为B组，34岁及以下孕妇224人，为C组，所有孕妇进行早孕期生化检查，包括血钙、血磷、白蛋白的检测。结果 40岁以上高龄孕妇骨量减少者占19. 6%，骨质疏松者占2. 7%，骨密度、血钙、血磷与40岁以下孕妇差异无统计学意义（P>0. 05),初产妇与经产妇骨密度差异无统计学意义（P>0.05)，孕妇孕前体重指数与骨密度呈正相关。结论 40岁以上高龄孕妇早孕期骨密度与年轻孕妇比较差异无统计学意义，早孕期骨密度测量对发现及预防骨质疏松有意义。 |
| 英文摘要: |
| Objective To investigate the bone healthy condition of 112 over 40 years old women in early pregnancy. Methods Ultrasound bone densitometer was used to measure the bone mineral density of the distal radius in 112 early pregnant women above 40 years old,including 44 primipara and 68 multipara as group A, 224 pregnant women of 35 -39 years old as group B，and 224 pregnant women below 34 years old as group C. Serum calcium, serum phosphate, and serum total protein of the pregnant women were examined. Results There was 19. 6% osteopenia and 2.7% osteoporosis in pregnant women above 40 years old. Bone mineral density, serum calcium, and serum phosphate were not statistically different comparing with those in women below 34 years old. Bone mineral density was not different between primipara and multipara. Body mass index had positive correlation with bone mineral density. Conclusion The bone mineral density of pregnant women above 40 years old is not statistically different with that in women below 40 years old. Measurement of bone mineral density is crucial for discovery and prevention of osteoporosis in early pregnancy. |
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