CAJ | 학술논문

目的探讨绝经后骨质疏松症患者脂肪含量与骨密度的关系.方法选择自2010年10月至2011年1月广东省部分地区行骨密度检测诊断为骨质疏松症的144例女性患者,年龄为50～75岁.根据中医辨证分型分为肾阳虚衰组、肝肾阴虚组、脾肾阳虚组、气滞血瘀组.4组患者均行全身脂肪含量检测,所得数据采用SPSS 16.0统计软件建立数据库进行统计分析.结果 L1～4平均骨密度(BMD)比较,肾阳虚衰组最大、脾肾阳虚组次之、气滞血瘀组、较小,四组之间比较均有统计学意义(P＜0.05).脂肪含量比较,肾阳虚衰组脂肪含量较少,脾肾阳虚组次之,气滞血瘀组含量较多,肾阳虚衰组、肝肾阴虚组、脾肾阳虚组两两比较无统计学意义(P＞0.05);三组分别与气滞血瘀组比较均有统计学意义(P＜0.05)；脂肪含量、L1～4平均BMD值呈负相关.结论 4组中,气滞血瘀型的骨质疏松重于其他组；脂肪含量与骨密度呈负相关.
목적 탐토절경후골질소송증환자지방함량여골밀도적관계.방법 선택자2010년10월지2011년1월광동성부분지구행골밀도검측진단위골질소송증적144례녀성환자,년령위50～75세.근거중의변증분형분위신양허쇠조、간신음허조、비신양허조、기체혈어조.4조환자균행전신지방함량검측,소득수거채용SPSS 16.0통계연건건립수거고진행통계분석.결과 L1～4평균골밀도(BMD)비교,신양허쇠조최대、비신양허조차지、기체혈어조、교소,사조지간비교균유통계학의의(P＜0.05).지방함량비교,신양허쇠조지방함량교소,비신양허조차지,기체혈어조함량교다,신양허쇠조、간신음허조、비신양허조량량비교무통계학의의(P＞0.05);삼조분별여기체혈어조비교균유통계학의의(P＜0.05)；지방함량、L1～4평균BMD치정부상관.결론 4조중,기체혈어형적골질소송중우기타조；지방함량여골밀도정부상관.
Objective To explore the relationship between fat content of postmenopausal osteoporosis patients and bone mineral density (BMD).Methods 144 female osteoporotic patients with the age of 50～75 years were choosen from guangdong province from October 2010 to January 2011.According to TCM syndrome differentiations,these patients were divided into kidney Yang deficiency group,liver-kidney Yin deficiency group,spleen and kidney Yang deficiency group and Qi stagnancy and blood stasis group.Four groups of patients were performed total body fat content detection.The data were analyzed by software SPSS 16.0.Results Comparing of L1～4 average BMD in four groups showed:BMD of Kidney Yang deficiency group was maximum,followed by spleen and kidney Yang deficiency group,and the BMD of Qi stagnancy and blood stasis group was minimum.Comparison between the four groups showed statistical significance (P＜0.05).Comparing of body fat content Iin the four groups showed:the body fat content in the kidney Yang deficiency group was minimum,followed by spleen and kidney Yang deficiency group,and body fat content in Qi stagnancy and blood stasis group was maximum.Pair-comparison in kidney Yang deficiency group,liver-kidney Yin deficiency group,spleen and kidney Yang deficiency group showed no statistical significance (P＞0.05).While these three groups showed statistical difference when comparing with Qi stagnancy and blood stasis group (P＜0.05).The body fat content and L1～4 average BMD had negative correlation.Conclusion Osteoporosis in Qi stagnancy and blood stasis group was more serious than the other three other groups.Fat content was negatively related with bone density.