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[骨质疏松症医学筛查系统的现状]

[Present situation of medical screening system for osteoporosis].

作者信息

Yamauchi Hirose, Sasaki Toshiyuki, Hosoi Takayuki

机构信息

Japan Osteoporosis Foundation.

出版信息

Nihon Rinsho. 2011 Jul;69(7):1300-4.

Abstract

Medical screening system for osteoporosis is important method for detection of osteopenia or osteoporosis in the community. The medical screening for osteoporosis was done for female subjects at age 40, 45, 50, 55, 60, 65, 70 year-old people according to the Health Promotion Act in Japan. The number of females received the screening was 287,782 in 2008, and the number corresponded to 4.7% of the estimated numbers of subjects for the screening in the population. Sixty six percentages of institutions measured bone mass and/or bone mineral density with the purpose other than that proposed by Health Promotion Act at 2009. Calcaneus bone mass was measured in 81% of institutions by quantitative ultrasound(QUS). Because QUS is inexpensive, involves no radiation exposure, and is easily portable, this method should be suitable for medical screening for osteoporosis and its prevalent use in Japan supports this assumption.

摘要

骨质疏松症医学筛查系统是在社区中检测骨质减少或骨质疏松症的重要方法。根据日本《健康促进法》,对40岁、45岁、50岁、55岁、60岁、65岁、70岁的女性进行骨质疏松症医学筛查。2008年接受筛查的女性人数为287,782人,该数字相当于该人群中估计筛查对象数量的4.7%。2009年,66%的机构测量骨量和/或骨矿物质密度的目的并非《健康促进法》所规定的目的。81%的机构通过定量超声(QUS)测量跟骨骨量。由于QUS成本低廉、无辐射暴露且便于携带,该方法应适用于骨质疏松症的医学筛查,其在日本的广泛应用支持了这一假设。

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