我国近5年来骨质疏松症流行病学研究现状
Epidemiological studies on osteoporosis in the past five years in China
  
DOI:10.3969/j.issn.1006-7108.2018.02.024
中文关键词:  骨质疏松  流行病学  危险因素
英文关键词:Osteoporosis  Epidemiology  Risk factors
基金项目:国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2015080);兰州市科技局民生科技计划专项课题(2016-3-102)
作者单位
白璧辉1 谢兴文2* 李鼎鹏2 许伟2 李宁1 潘鑫戊1 1.甘肃中医药大学甘肃 兰州 730000 2.甘肃省中医院甘肃 兰州 730050 
摘要点击次数: 1536
全文下载次数: 884
中文摘要:
      目的 探析近5年来国内骨质疏松症(osteoporsis,OP)流行病学调查研究现状,特别是研究中的不足,以更好地指导OP流行病学研究。方法 对2012年1月-2017年7月在国内期刊发表的有关OP流行病学调查文献,以“骨质疏松症、流行病学、危险因素”为关键词进行检索,并进行综合分析。结果 共检索172篇全文文献,其中13篇文献符合要求,调查范围涉及全国11个省市自治区,单个调查样本量为150~2186例,研究对象中普通人群占46.15%,OP患者占53.85%。13篇文献中69.23%的研究采用了不同的抽样方法,30.76%的研究未采用任何抽样方法。11项调查采用WHO推荐的诊断方法,9项研究对诊断标准有明确的细化和标化,但仅有1项研究应用了实验室血清指标检测。文献中涉及的影响因素包括性别、民族、年龄、职业、婚姻、遗传家族史、对OP的认识等3大类20种。结论 我国OP流行病学研究调查丰富,影响OP发病和患病率的因素众多,但缺乏合理的设计、严格的流程、统一的质量控制,我国OP的流行病学调查研究水平有待进一步提高。
英文摘要:
      Objective This paper examined the current status of epidemiological investigation of osteoporosis (OP) in the past five years, especially the weakness of the studies, in order to provide guidance to future epidemiological studies. Methods Literature on OP epidemiology published in Chinese journals from January 2012 to July 2017 were collected and analyzed by using the key words "osteoporosis", "epidemiology" and "risk factors". Results A total of 172 full text literature have been searched and retrieved. Among them, 13 articles met the requirements, which involved 11 provinces and autonomous regions nationwide. The sample size ranged from 150 to 2186, with the general population accounted for 46.15%, and OP patients account for 53.85% of the total cases. Among the 13 studies, 69.23% used sampling methods, and 30.76% did not use any sampling method. Eleven surveys used the criteria recommended by WHO, and 9 studies have refined and standardized diagnostic criteria clearly, but only 1 study uses laboratory serum indicators. Factors involved in the literature are divided into three categories, including gender, nationality, age, occupation, marriage, heredity, family history, and knowledge of OP and so on. Conclusion The investigation of OP epidemiology in China is abundant. There are many factors that affect the morbidity and prevalence of OP, but there is a lack of rational designs, strict procedures and unified quality controls. The investigation standard of OP in China needs to be further improved.
查看全文  查看/发表评论  下载PDF阅读器
关闭
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=B7F8B6784220BCB8CB91AEE99B96AF54D885524929CB49C70BADFC843BC719463653F962C00535B3B6B934896B578FB52BA0B42A2E072270FF930131F8E0E860D53F28ED92E57161&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=527A01A248DACB72&jid=CA678592D11E309E8E3FB3B2BFE9BE1A&yid=EA357AD73C8E13BC&aid=2354056DD48CBB4591FABF71EE9F59DB&vid=&iid=0B39A22176CE99FB&sid=82722E2B785EBF0D&eid=B799C1769FCACDC8&fileno=201802024&flag=1&is_more=0"> var my_pcid="A9DB1C13C87CE289EA38239A9433C9DC"; var my_cid="527A01A248DACB72"; var my_jid="CA678592D11E309E8E3FB3B2BFE9BE1A"; var my_yid="EA357AD73C8E13BC"; var my_aid="2354056DD48CBB4591FABF71EE9F59DB";