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目的探讨产后妇女骨量水平及骨量异常影响因素。方法采用现况调查的研究方法,随机抽取2013年1月至2013年9月在广州市白云区妇幼保健院进行检查的产后妇女,对产后妇女进行问卷调查和骨质状态检验,骨质状态利用高频声波测定足跟(跟骨),问卷调查内容包括社会人口学特征、病史、身高、体重、产次、婴儿出生体重、婴儿喂养方式、孕期及产后饮食及运动情况等,采用单因素分析和非条件Iogistic回归分析等方法对产后妇女骨密度的影响因素进行分析。结果202名研究对象平均年龄为(28.35±5.01)岁,以高中或中专人群为主(29.70%,60/202)。骨量异常者(骨量减少及骨质疏松)61例,骨量异常发生率为30.20%(61/202),其中骨量减少的发生率为21.29%(43/202),骨质疏松的发生率为8.91%(18/202)。非条件logistic回归分析显示,产后缺钙症状是产妇骨量异常的危险因素(OR=5.40),产后补充钙剂是骨量异常的保护因素(OR=0.23)。结论产后妇女骨质疏松的发生率较高,有缺钙症状、产后补充钙剂是产后骨量水平的影响因素。
Objective To investigate the influencing factors of bone mass and abnormal bone mass in postpartum women. Methods According to the research methods of current situation survey, women from post-natal hospital of Guangzhou Baiyun District from January 2013 to September 2013 were randomly selected. Postpartum women were surveyed by questionnaire and bone status, The heel (calcaneus) was measured by high-frequency acoustic wave. The questionnaire survey included the socio-demographic characteristics, medical history, height, weight, parity, birth weight, infant feeding pattern, pregnancy and postnatal diet and exercise status. Univariate analysis And non-conditional Iogistic regression analysis of postpartum women’s bone mineral density were analyzed. Results The average age of 202 subjects was (28.35 ± 5.01) years old, mainly in high school or secondary school (29.70%, 60/202). 61 cases of abnormal bone mass (osteopenia and osteoporosis), the incidence of abnormal bone mass was 30.20% (61/202), the incidence of osteopenia was 21.29% (43/202), osteoporosis The incidence was 8.91% (18/202). Non-conditional logistic regression analysis showed that postpartum calcium deficiency was a risk factor for maternal bone mass abnormality (OR = 5.40), and postpartum calcium supplementation was a protective factor of bone mass loss (OR = 0.23). Conclusions The incidence of osteoporosis in postpartum women is high, with calcium deficiency. Postpartum calcium supplementation is the influencing factor of postpartum bone mass.