目的 调查分析海南省人民医院健康体检人群骨质疏松状况及其相关危险因素.方法 选取2011年4月至2016年12月本院7286名健康体检者作为研究对象,一般资料调查以面对面问卷调查形式进行,采用骨密度仪测量非受力侧前臂尺桡骨中远端1/3处的骨密度,计算骨质疏松患病率,并分析各因素对其的影响.结果 7286名健康体检者中,骨质疏松1413例,骨质疏松患病率为19.39%.单因素和多因素分析显示,年龄≥60岁(OR=2.098,95%CI:1.479~5.283,P<0.05)和女性(OR=1.977,95%CI:1.211~4.382,P<0.05)为健康体检人群发生骨质疏松的主要危险因素,饮酒(OR=0.287,95%CI:0.134~0.797,P<0.05)和体重指数>25 kg/m2(OR=0.415,95%CI:0.221~0.866,P<0.05)为健康体检人群发生骨质疏松的保护性因素.结论 海南省人民医院健康体检人群骨质疏松患病率随年龄增加逐渐升高,以老年女性最为严重,此类人群应加强体育锻炼,改变不良生活方式,适量补充钙剂,预防骨质疏松的发生.%Objective To investigate the prevalence of osteoporosis among health check-up crowd of Hainan General Hospital, and analyze the related risk factors. Method 7286 cases with health examination in our hospital from Apri 2011 to December 2016 were selected as the research objects. The general data was conducted by face-to-face questionnaire. Bone mineral density of the distal one-third of the radius and the ulna of non-dominant forearm was measured by instrument. The prevalence rate of osteoporosis was calculated and the effects of various factors were analyzed. Result There were 1413 cases of osteoporosis among 7286 healthy physical examination, the osteoporosis prevalence was 19.39%. Through single and multiple factor analysis, age ≥ 60 years (OR = 2.098, 95%CI: 1.479 ~ 5.283, P < 0.05) and women (OR = 1.977, 95%CI:1.211 ~ 4.382, P < 0.05) were the major risk factors for health check-up crowd, drinking (OR = 0.287, 95%CI: 0.134 ~ 0.797, P < 0.05) and BMI > 25 kg/m2 (OR = 0.415, 95%CI: 0.221 ~ 0.866, P < 0.05) were the protective factors for health check-up crowd. Conclusion The osteoporosis prevalence rate increases with age increasing in health check-up crowd of Hainan General Hospital, the older women are the most severe, and these people should take more exercise, change unhealthy lifestyle, supplement calcium properly to prevent the occurrence of osteoporosis.
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