兰州市城关区中老年人群骨质疏松症三种诊断标准的检出率比较

目的比较骨质疏松症的国际卫生组织(WHO)诊断标准、中国老年学学会骨质疏松委员会(OCCGS)标准差诊断标准及骨量丢失百分率诊断标准在兰州市城关区中老年人群中应用的异同。方法采取多阶段整群分层随机抽样方法抽取城关区年龄在50岁以上的社区人员2500人进行问卷调查,分别应用WHO标准、OCCGS(标准差)标准与OCCGS(百分率)标准,比较原发性骨质疏松症(POP)的检出率及诊断的一致性。结果 WHO标准、OCCGS(标准差)标准和OCCGS(百分率)标准的POP检出率分别为13.89%、25.65%和45.32%。WHO标准与OCCGS(标准差)标准、WHO标准与OCCGS(百分率)标准以及OCCGS(标准差)标准与OCCGS(百分率)标准的检出POP一致率分别为13.89%、13.69%和25.44%。WHO标准和OCCGS(标准差)标准呈高度一致,OCCGS(标准差)标准和OCCGS(百分率)标准呈中度一致,WHO标准和OCCGS(百分率)标准呈低度一致。结论三种诊断标准在诊断POP上存在差异,建议对兰州市人群骨质疏松症的诊断采用OCCGS诊断标准。

Comparison of the osteoporosis detection rate among three different diagnostic criteria in middle-aged and elderly people in Chengguan district of Lanzhou city

Objective To compare the similarities and differences of diagnosis of osteoporosis among the World Health Organization (WHO) standard, Osteoporosis Committee of China Gerontological Society criteria, and bone loss percentage diagnostic standard in the middle-aged and elderly people in Chengguan district of Lanzhou city. Methods Two thousand and five hundred community members who were over 50 years old were extracted by stratified cluster random sampling method and conducted a questionnaire survey. The detection rate and diagnostic consistency of osteoporosis were compared using WHO criteria, OCCGS (SD) criteria, and OCCGS (percentage) criteria. Results The detection rate of osteoporosis was 13.89% with WHO criteria, 25.65% with OCCGS (SD) criteria, and 45.32% with OCCGS (percentage) criteria, respectively. The consistency between WHO criteria and OCCGS (SD) criteria, WHO criteria and OCCGS (percentage) criteria, and OCCGS (SD) criteria and OCCGS (percentage) criteria was 13.89%, 13.69%, and 25.44%, respectively. WHO criteria and OCCGS (SD) criteria was highly consistent. OCCGS (SD) criteria and OCCGS (percentage) criteria was moderately consistent. WHO criteria and OCCGS (percentage) criteria was lowly consistent. Conclusion There are differences among the three diagnostic criteria in the diagnosis of osteoporosis. OCCGS diagnostic criteria are more suitable for Lanzhou population.