The Investigation And Analysis Of Female Postmenopausa Osteoporosis Prevalence Survey In Guangdong Province

ObjectiveThis research is mainly through the investigation of women with postmenopausal osteoporosis among Guangdong Province citys, to analysis the postmenopausal women with osteoporosis prevalence and the trend of bone mineral density. Cluster analysised the different TCM syndromes and evaluated different syndromes of female population status of life quality, using Statistical analysis to make sure of the risk factors on bone mineral density of the influence degree. Discussing the corelation on different parts of thin tissue content, fat content, correlation between muscle force and bone mass.MethodFrom2010October to2011January we had selected274cases which fit for the inclusion criteria for primary osteoporosis patients, at the age of50years old to85years old. By using DXA instrument to measure the bone density, bone mass, fat, thin tissue levels, body mass index. Electron back force meter, forearm grip strength measurements measured lumbar dorsal extensor, maximum grip strength. Meanwhie, we Investigated osteoporosis patients in traditional Chinese medicine syndromes and questionnaired for patients with general information and the quality of life scale evaluation. By using the software of Epidate and the Excle software to dual check and match entry patient survey information and data, finally into SPSS17.0statistical software to analyze data.Result1. postmenopausal women with osteoporosis prevalence rate is11.1%～19.2%, overall15.5%, in each city of the Guangdong province.2. Osteoporosis in patients with lumbar T-value and leisure activities, health status correlation coefficient (R=-0.218, R=-0.205, P<0.05); health and housework, daily life, leisure activities, mental score correlation coefficient (R=0.444, R=0.405, R=0.578, R=0.664, P<0.01)3. Used cluster analysis and based on professional knowledge and our previous studies done, TCM can be divided for kidney yang deficiency, yin deficiency of liver and kidney, spleen kidney yang deficiency, stagnation of Qi and blood stasis.4. Lumbar spine-T value and lineal fracture, menopause, pregnancy times, the hunchback history was statistically significant (P<0.05), the estimation of the OR values were5.47,1.21,0.45,0.125; and the history, times of induced abortion, were not statistical significance.5. There was partially correlation coefficient between Body mass index and bone mineral density of the lumbar spine (R=0.448, P<0.01) and hip bone mineral density (R=0.217, R<0.05), menopause and bone mineral density of the lumbar spine, hip bone mineral density correlation coefficient respectively (R=-0.28, R=-0.323, P<0.05)6. Torso bone mass and fat content, lean tissue content, strength coefficient of correlation (R=0.46, R=0.24, R=0.31, P<0.05) the regression equation is Y=0.2X1+0.4X2+0.2X37. The upper arm bone mass and lean tissue content, fat content, strength was better coefficient of correlation (R=0.56, R=0.48, P<0.05) The regression equation is Y=0.66X1+0.44X2Conclusion1. Guangdong Province city female postmenopausal osteoporosis prevalence and domestic other province of the reported results.2. Women after the age of50different ages of lumbar spine is L1-4bone mineral density values increase with age was gradually reduced, especially in the55to65years old and70to79years old between two phase decreased rate of speed.3. This research through cluster analysis that TCM can be divided for kidney yang deficiency, yin deficiency of liver and kidney, spleen kidney yang deficiency, stagnation of Qi and blood stasis.4. Menopause and lumbar spine, hip bone mineral density were-negatively association; body mass index and lumbar spine, hip BMD was positively association.5. Torso bone mass and fat content, lean tissue content, strength positively correlation.6. The upper arm bone mass and lean tissue content, fat content positively correlation.