济南市230例3个月～2岁儿童超声骨密度检测结果分析.docVIP

济南市230例3个月?2岁儿童超声骨密度检测结果分析 【摘要】日的：分析探讨3个月?2岁不同性别不同年龄组儿童的 超声骨密度检测结果，为临床预防儿童低骨密度提供依据。方法：对在本 院儿保科门诊查体的儿童，随机抽取已排除骨代谢疾病的3个月?2岁儿 童230例，采用超声骨密度仪测量胫骨中段骨密度，根据同性别、同年龄 骨密度测得的Z值评分数分为正常，轻度骨强度不足，屮度骨强度不足， 重度骨强度不足。结果：济南地区3个月?2岁儿童骨强度Z值为(-0. 0439 ±0. 9324),骨强度不足检出率为16.08%。其中女童骨强度不足检出率 (22.01%)高于男童(10.74%),比较差异有统计学意义(字2=5. 3998, P0. 05)o结论：济南3个月?3岁儿童骨强度不足检出率不同，其中〈1岁 组检出率最高，女童高于男童，超声骨密度检测对指导儿童补钙及预防小 儿佝偻病有指导意义。 【关键词】儿童；骨密度；胫骨 【Abstract】 Objective： To analyze the ultrasonic bone mineral density testing results in different gender different in 3 months to 2 years old age group chiIdren, provide the basis for cl inical prevention of children, s low bone mineral density? Method： Children were atte nded the outpatie nt clinic physical exam in ation, and 230 children with 3 mon ths to 2 years old who had been ruled out of bone metabolic diseases were selected. Middle tibia bone density was measured by ultrasonic bone mineral density instTument, according to the same gender, age, bone mineral density of Z value evaluation scores were divided into normal, mild, moderate, severe lack of bone strength? Result： Ji nan area for 3 months to 2 years old children s bone strength Z value was (-0. 0439±0. 9324)? Bone strength was insufficient detection rate of 16.08%. Girls lack of bone strength detection rate (22.01%) was higher than boys (10.74%), the difference was statistically significant ( 字 2=5.3998, P0.05)? Conclusion： Ji nan 3 months to 3 years old chilclren，s lack of bone strength detection rate is different, where 〈1, the highest detection rate of the group, girls were highest, ultrasonic bone mineral density testing for guiding children calcium supplements and the prevention of infanti1e rickets. [Key words] Child； Bone density； Shin bone First-authorJ s address: Ji nan Maternity and Child Care Hospital, Ji nan 250001, China doi： 10. 3969/j. issn. 1674-4985. 2015. 01. 029 骨骼矿物质强度，简称骨密度，是判断骨骼强度的一个重耍指标，是 预测骨折危险性，判断骨质疏松程度的一个重要依据。超声骨密度测定法, 由于其无辐射，无痛苦，安全无害，操作简便，被广泛应用于临床。骨密 度检查是一种最适合的检查儿童时期骨骼的方法[