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为了解云南省各民族老年人骨质疏松的流行病学状况 ,探索防治对策 ,提高老年人的健康素质。采用多点典型抽样对云南省 9地 (州 ) 18个县 (区 )的 2 2个民族 6 4 77名老年人进行骨折、驼背流行病学现状调查、头发微量元素测定及多因素调查分析。骨质疏松 (骨折、驼背 )患病率为14 3% ,其中 :城市 12 1% ,低于农村 15 7% ;男性 11 1% ,低于女性的 17 0 % ;地区以楚雄州最高 ,为2 8 4 % ;民族以苗族居首 ,达 30 1%。吸烟、饮酒、发钙、发锶含量低组OP率高于对照组。年龄越大 ,绝经年龄越早、饮酒、吸烟越多、奶类和肉类食用量少、运动量每天少于 2h、发钙及发锶降低等均易导致骨折、驼背的发生。应采用加强健康教育 ,补充钙剂、加强营养、戒酒、戒烟适当运动以及加强对老年人的安全保护 ,对围绝经期妇女给予激素替代疗法等 ,是降低老年人骨折发生率 ,促进骨骼健康的有效措施。
In order to understand the epidemiological status of osteoporosis of the elderly in all nationalities in Yunnan Province, explore prevention and treatment measures to improve the health quality of the elderly. Multi-point sampling was used to investigate the epidemiological status of humpback, humpback hair and hair trace elements in mongolia population and the multivariate analysis of multivariate analysis of 647 elders of 2 2 ethnic groups in 18 counties (districts) in 9 prefectures and districts of Yunnan Province. The prevalence of osteoporosis (fracture, humpback) was 14.3%, of which 12.1% in urban areas, 15.7% in rural areas, 11.1% in males and 17.0% in females, and the highest in Chuxiong prefecture was 28.4% of the population were ethnic minorities, with Miao ethnic groups toping 30.1%. Smoking, drinking, calcium, hair strontium low OP group was higher than the control group. The older the menopause, the earlier age, alcohol, smoking more milk and meat less consumption, exercise less than 2h per day, hair calcium and strontium reduction are easy to lead to fractures, humpback occurred. Should be used to strengthen health education, calcium supplementation, nutrition, alcohol, appropriate exercise to stop smoking and enhance the safety of the elderly, perimenopausal women given hormone replacement therapy, etc., is to reduce the incidence of fracture in the elderly and promote bone health Effective measures.