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目的:比较两种诊断标准对社区老年自然人群骨质疏松症分布的影响。方法:抽取2009年上海市浦东新区北蔡社区6O岁以上人群626例进行双能X线骨密度仪(DXA)测定,分别按照国际标准,国内标准诊断。结果:国内标准,626例中共有304例诊断为OP,患病率48.6%;国际标准,626例中共有184例诊断为OP,患病率29.4%。两种标准诊断OP具有显著性差异(χ2=48.356,P=0)。结论:上海市浦东新区北蔡社区6O岁以上社区自然人群骨质疏松症患病率较高,不同诊断标准对骨质疏松症比例有明显的影响,国内诊断标准比国际诊断标准更有利于早期发现人群。
OBJECTIVE: To compare the effects of the two diagnostic criteria on the distribution of osteoporosis in elderly, natural populations in the community. Methods: Totally 626 cases of 6O-year-olds in Beicai community of Pudong New District in Shanghai were enrolled in this study. DXA was performed and diagnosed according to international and national standards respectively. Results: According to the national standard, a total of 304 cases were diagnosed as OP in the 626 cases with a prevalence of 48.6%. In the international standard, a total of 184 cases of 626 cases were diagnosed as OP with a prevalence of 29.4%. There was a significant difference between the two standard diagnostic OPs (χ2 = 48.356, P = 0). Conclusion: The prevalence of osteoporosis in Beizai community of over 6O in Shanghai Pudong New Area is high. Different diagnostic criteria have a significant impact on the proportion of osteoporosis. The domestic diagnostic criteria are more favorable than the international diagnostic criteria in early stage Discover the crowd.