中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
4期
372-373,376
,共3页
王萍萍%柯耀华%张浩%胡伟伟%胡云秋%李淼%傅文贞%刘玉娟%章振林
王萍萍%柯耀華%張浩%鬍偉偉%鬍雲鞦%李淼%傅文貞%劉玉娟%章振林
왕평평%가요화%장호%호위위%호운추%리묘%부문정%류옥연%장진림
骨质疏松%骨密度脆性骨折%绝经后妇女
骨質疏鬆%骨密度脆性骨摺%絕經後婦女
골질소송%골밀도취성골절%절경후부녀
Osteoporosis%Bone mineral density%Fragility fracture%Postmenopausal women
目的 探讨绝经后妇女脆性骨折部位与骨密度 (BMD) 的关系.方法 回顾性研究740例有脆性骨折的绝经后妇女,分析骨折部位和次数与BMD关系,应用双能X线吸收仪检测腰椎1～4和股骨近端BMD值.结果 740例患者中,共发生838次骨折,椎体骨折、髋部骨折、桡骨远端骨折和外周骨折分别为192次(22.9%)、53次(6.3%)、159次(19.0%)和434次(51.8%),骨质疏松检出率分别为75.0%、81.1%、57.9%和49.1%,不同部位骨折处骨质疏松检出率间差异有统计学意义(P＜0.01).同时,多次骨折组的年龄显著高于一次骨折组(P＜0.05),而其腰椎1～4、大转子(Troch)部位的BMD则显著低于一次骨折组(P＜0.05).结论 绝经后妇女脆性骨折以椎体、桡骨远端为常见,髋部骨折较少见;发生髋部骨折者常具有低BMD;多次骨折患者年龄为危险因子.
目的 探討絕經後婦女脆性骨摺部位與骨密度 (BMD) 的關繫.方法 迴顧性研究740例有脆性骨摺的絕經後婦女,分析骨摺部位和次數與BMD關繫,應用雙能X線吸收儀檢測腰椎1～4和股骨近耑BMD值.結果 740例患者中,共髮生838次骨摺,椎體骨摺、髖部骨摺、橈骨遠耑骨摺和外週骨摺分彆為192次(22.9%)、53次(6.3%)、159次(19.0%)和434次(51.8%),骨質疏鬆檢齣率分彆為75.0%、81.1%、57.9%和49.1%,不同部位骨摺處骨質疏鬆檢齣率間差異有統計學意義(P＜0.01).同時,多次骨摺組的年齡顯著高于一次骨摺組(P＜0.05),而其腰椎1～4、大轉子(Troch)部位的BMD則顯著低于一次骨摺組(P＜0.05).結論 絕經後婦女脆性骨摺以椎體、橈骨遠耑為常見,髖部骨摺較少見;髮生髖部骨摺者常具有低BMD;多次骨摺患者年齡為危險因子.
목적 탐토절경후부녀취성골절부위여골밀도 (BMD) 적관계.방법 회고성연구740례유취성골절적절경후부녀,분석골절부위화차수여BMD관계,응용쌍능X선흡수의검측요추1～4화고골근단BMD치.결과 740례환자중,공발생838차골절,추체골절、관부골절、뇨골원단골절화외주골절분별위192차(22.9%)、53차(6.3%)、159차(19.0%)화434차(51.8%),골질소송검출솔분별위75.0%、81.1%、57.9%화49.1%,불동부위골절처골질소송검출솔간차이유통계학의의(P＜0.01).동시,다차골절조적년령현저고우일차골절조(P＜0.05),이기요추1～4、대전자(Troch)부위적BMD칙현저저우일차골절조(P＜0.05).결론 절경후부녀취성골절이추체、뇨골원단위상견,관부골절교소견;발생관부골절자상구유저BMD;다차골절환자년령위위험인자.
Objective To analyze the association of fragility fracture site with bone mineral density(BMD)in postmenopausal women.Methods Totally 740 postmenopausal women with fragility fractures were retrospectively analyzed.BMD at the lumbar vertebrae 1-4 (L1-4) and proximal femur were measures by dual energy X-ray absorptiometry.Results The number of fractures is 838 occurred in 740 women.The cases of vertebral compression fracture,hip fracture,distal radius fracture and other peripheral fractures are 192(22.9%),53(6.3%),159(19.0%) and 434(51.8%)respectively,and their rates of diagnosed osteoporosis are 75.0%,81.1%,57.9% and 49.1% respectively.The Age of those who suffered from more than one fracture is higher than that of those who had only one facture (P＜0.05).But the BMD of L1-4 and greater trochanter is significantly lower in the former than in the latter(P＜0.05).Conclusion Vertebral compression and distal radius fracture are common in postmenopausal women,nevertheless hip fracture takes place less.The hip fracture patients always have a lower BMD.Increasing of age is the risk factor of incidences of the fracture.
