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目的探索长沙市围绝经期妇女原发性骨质疏松症患病的影响因素,为围绝经期妇女保健提供依据。方法湖南省妇幼保健院接受体检的全市各单位围绝经期妇女,采用双能X线骨密度测定仪测定骨密度,对确诊为原发性骨质疏松症患者及非患者分别进行相关因素的调查。对所获资料进行χ2检验、单因素及多因素Logistic回归分析,探索城市围绝经期妇女原发性骨质疏松症的影响因素。结果单因素Logistic回归分析表明体重指数高是妇女原发性骨质疏松症的保护性因素,而年龄、怀孕次数、生育次数是妇女原发性骨质疏松症的危险因素。多因素Logistic回归分析表明,体重指数高是妇女原发性骨质疏松症的保护性因素,OR值为0.430,而年龄是妇女原发性骨质疏松症的危险因素,OR值为3.580。结论围绝经期妇女维持适当的体重有可能对骨量丢失有保护作用,并可能降低其骨质疏松症发病的危险。
Objective To explore the influencing factors of the prevalence of primary osteoporosis in perimenopausal women in Changsha and to provide basis for the health care of perimenopausal women. Methods Hunan Province Maternal and Child Health Hospital in the city for medical examination of the perimenopausal women, the use of dual-energy X-ray absorptiometry determination of bone mineral density, diagnosed as primary osteoporosis patients and non-patients were investigated respectively . The data obtained χ2 test, single factor and multivariate Logistic regression analysis to explore the impact of urban perimenopausal women with primary osteoporosis. Results Single factor Logistic regression analysis showed that high body mass index is a protective factor in women with primary osteoporosis, but age, number of pregnancies and number of births are risk factors for primary osteoporosis in women. Multivariate Logistic regression analysis showed that high body mass index was a protective factor for women with primary osteoporosis, OR was 0.430, while age was a risk factor for women with primary osteoporosis, OR was 3.580. Conclusion Peri-menopausal women maintain appropriate body weight may have a protective effect on bone loss and may reduce the risk of osteoporosis.