产后早期妇女骨质疏松相关因素分析

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1、中国骨质疏松杂志2013年12月第19卷第12期ChinJOsteoporos，December2013，Vol19，N0．12PublishedonlineWWW．wanfangdate．corn．cndoi：10．3969／j．issn．1006．7108．2013．12．0121259·『I台床研究·产后早期妇女骨质疏松相关因素分析李璐琳马育林李珍南方医科大学附属小榄医院，广东中山528415中图分类号：R589．9文献标识码：A文章编号：1006—7108(2013)12．1259-03摘要：目的了解产后早期妇女骨量丢失的影响因素，为防止妊娠有关的骨质疏

2、松发生提供依据。方法纳入在我院分娩的产后10～14天妇女1125例，采用双能X线骨密度测定仪测定受试者L1一L4椎体及左侧股骨颈的骨密度(BMD)，根据骨密度分为骨质疏松组、骨量减少组、骨量正常组，比较各组间年龄、身高、体重指数(BMI)、产次、钙摄人量等差异。结果在1125例调查者中，骨质疏松65例(5．8％)，骨量减少429例(38．1％)，骨量正常631例(56．1％)。牛奶摄入量每天>200m1的产妇，其骨质疏松发生率低于牛奶每天摄入<200ml的产妇(P<0．01)。孕期补钙的产妇骨质疏松发生率低于未补钙者(P<0．01)，有骨质疏松家庭史的产妇，其骨

3、质疏松发生率高于无骨质疏松家庭的产妇(P<0．O1)。结论产后妇女骨质疏松及骨量减少的发生率较高，骨质疏松家族史、钙摄人不足、低BMI是产后骨量丢失的风险因素，产后常规测量骨密度有助于骨质疏松的早期诊断及治疗。关键词：产妇；骨质疏松；钙摄入；家族史AnalysisofthefactorsrelatedtoosteoporosisinearlypostpartumwomenLILulin，MAYulin，LIZhenDepartmentofEndocrinology，theAfiliatedXiaolanHospitalofSouthernMedicalUnive

4、rsity，Zh6ngshan528415，ChinaCorrespondingauthor：MaYulin，Email：shupinma@aliyun．comAbstract：ObjectiveToanalyzethefactorsrelatedtoosteoporosisinearlypostpartumwomen，andtoprovidebasisforthepreventionofpregnancy—relatedosteoporosis．MethodsAtotalof1125women，whodeliveredinourhospital，wereinv

5、olvedinthisstudy10·14daysaftertheirparturition．Thebonemineraldensity(BMD)ofthelumbarvertebraeandtheleftfemoralneckwasdetectedusingdualenergyX—rayabsorptiometry．Allthesubjectsweredividedintoosteoporosisgroup，osteopeniagroup，andnormalbonemassgroupaccordingtoBMD．Thevariationofage，bodyhe

6、ight，bodymassindex(BMI)，parity，andthequantityofcalciumintakewerecomparedamonggroups．ResultsInal1these1125subjects，65women(5．8％)werediagnosedosteoporosis，429(38．1％)osteopenia，and631women(56．1％)hadnormalbonemass．Theincidenceofosteoporosisinwomenintakingmorethan200ml／dmilkwaslowerthanth

7、atinwomenintakinglessthan200ml／dmilk(P<0．01)．Theincidenceofosteoporosisinwomenwithcalciumsupplementationduringpregnancywaslowerthanthatinwomenwithoutcalciumsupplementation(P<0．01)．Andtheincidenceofosteoporosisinwomenwithfamilyhistoryofosteoporosiswashigherthanthatinwomenwithoutfamily

8、historyofost