Zhu H
Zhonghua Yi Xue Za Zhi. 1990 May;70(5):248-51, 18.
This paper reports the results of roentgenography of calcaneum in 2,041 persons without any underlying disease causing osteoporosis. The trabecular patterns of calcaneum were divided into 5 grades according to Jhamaria method. The incidence of osteoporosis is 18.18%, 25.96%, 54.80%, 67.33%, 85.45% and 90% and the average grading of calcaneum were 2.98, 2.96, 2.53, 2.11 and 2.14 in male and 3.50, 2.89, 2.50, 2.06, 1.60 and 1.61 in female in these aged groups respectively Serum Ca, P, Mg and Vitamin D were determined in 1,798 persons over 60 years of age. There is no significant difference among them Bone density was determined in 381 cases, showing 0.507 +/- 0.003, 0.598 +/- 0.095, 0.673 +/- 0.052, and 0.0645 +/- 0.095 among Jhamaria grading index I, II, III, IV. There is significant difference between 1-2 and 3-4 grading index, suggesting Jhamaria method gives a reliable, simple and applicable criterion for diagnosis of osteoporosis. The relevant factors influencing osteoporosis are discussed.
本文报告了2041名无任何导致骨质疏松症基础疾病的人群跟骨的X线检查结果。根据Jhamaria方法，将跟骨的小梁模式分为5级。这些年龄组中男性骨质疏松症的发生率分别为18.18%、25.96%、54.80%、67.33%、85.45%和90%，跟骨平均分级分别为2.98、2.96、2.53、2.11和2.14；女性分别为3.50、2.89、2.50、2.06、1.60和1.61。对1798名60岁以上的人测定了血清钙、磷、镁和维生素D。它们之间无显著差异。对381例进行了骨密度测定，在Jhamaria分级指数I、II、III、IV级中分别为0.507±0.003、0.598±0.095、0.673±0.052和0.0645±0.095。1 - 2级和3 - 4级分级指数之间有显著差异，提示Jhamaria方法为骨质疏松症的诊断提供了可靠、简单且适用的标准。并讨论了影响骨质疏松症的相关因素。
