Abstract：Objective: To analyze the incidence of osteoporosis and osteopenia and the related influencing factors in 1 month postpartum women. Methods: The clinical data of 100 cases of parturient in our hospital were studied retrospectively. According to the measurement results of BMD in one month after delivery, the parturient were divided into group A (normal bone mass), group B (decreased bone mass) and group C (osteoporosis). The age, gestational age, gestational times, birth times, body mass index (BMI), birth weight of newborn, family history of osteoporosis, milk intake per week during pregnancy and calcium supplement of the three groups were compared. The influencing factors of postpartum osteoporosis were analyzed by multivariate logistic regression. Results: Of the 100 cases, 57 (57.00%) had normal bone mass, 35 (35.00%) had decreased bone mass and 8 (8.00%) had osteoporosis. There was no significant difference between the three groups in terms of age, pregnancy, birth and birth weight (P>0.05). There were significant differences among the three groups in BMI, family history of osteoporosis, milk intake per week during pregnancy and calcium supplementation after childbirth (P<0.05). Multiple logistic regression analysis showed that BMI < 18.5 kg/m2, family history of osteoporosis and no calcium supplementation were independent risk factors of osteoporosis (P<0.05). Conclusion: The decrease of bone mass and osteoporosis account for a certain proportion in the women one month after delivery, which is closely related to the factors such as low BMI, family history of osteoporosis, lack of calcium supplementation after delivery. It is suggested that postpartum calcium supplementation and maintenance of BMI in the normal range should be paid attention to, at the same time, the monitoring of bone density value should be strengthened, and osteoporosis should be diagnosed timely, treated and intervened as soon as possible.
习亮, 梁伟. 产后1个月妇女骨质疏松和骨量减少发生率及相关影响因素分析[J]. 河北医学, 2020, 26(5): 836-840.
XI Liang, LIANG Wei. Analysis on the Incidence of Osteoporosis and Osteopenia and The Related Influencing Factors in 1 Month Postpartum Women. HeBei Med, 2020, 26(5): 836-840.
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2020, Vol. 26 
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