中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2012年
1期
31-33
,共3页
糖尿病,2型/并发症/病因学%骨质疏松/并发症/病因学%危险因素
糖尿病,2型/併髮癥/病因學%骨質疏鬆/併髮癥/病因學%危險因素
당뇨병,2형/병발증/병인학%골질소송/병발증/병인학%위험인소
Diabetes mellitus,type 2/CO/ET%Osteoporosis/CO/ET%Risk factors
目的 探讨老年2型糖尿病合并骨质疏松症患者发病的相关危险因素.方法 对本院106例老年2型糖尿病合并骨质疏松症患者的年龄、体重指数(BMI)、糖尿病病程与其骨密度(BMD)进行相关因素分析.结果 老年2型糖尿病合并骨质疏松症患者中,80岁组的腰椎[(0.756±0.099) g/cm2]、股骨颈[ (0.658±0.111) g/cm2]及Wards三角[(0.525±0.064) g/cm2] BMD值较60岁组[ (0.883±0.112) g/cm2、(0.781±0.130) g/cm2、(0.627±0.118) g/cm2]明显下降(P＜0.05).低体重组(BMI≤20 kg/m2)的腰椎[ (0.738±0.114) g/cm2)]、股骨颈[(0.664±0.112)g/cm2)] BMD值较正常体重组[(0.816±0.138)g/cm2、(0.727±0.134) g,/cm2]明显下降(P＜0.05).糖尿病病程＞ 10年组的腰椎[(0.743±0.122) g/cm2]、股骨颈[(0.719±0.147) g/cm2] BMD值较病程＜5年组[ (0.886±0.132)g/cm2、(0.792±0.122) g/cm2]明显下降(P＜0.05).骨密度与年龄、糖尿病病程呈负相关(P＜0.05),与体重指数呈正相关(P＜0.05).结论 老年2型糖尿病合并骨质疏松症患者发病与高龄、低体重指数、糖尿病病程长的危险因素密切相关.
目的 探討老年2型糖尿病閤併骨質疏鬆癥患者髮病的相關危險因素.方法 對本院106例老年2型糖尿病閤併骨質疏鬆癥患者的年齡、體重指數(BMI)、糖尿病病程與其骨密度(BMD)進行相關因素分析.結果 老年2型糖尿病閤併骨質疏鬆癥患者中,80歲組的腰椎[(0.756±0.099) g/cm2]、股骨頸[ (0.658±0.111) g/cm2]及Wards三角[(0.525±0.064) g/cm2] BMD值較60歲組[ (0.883±0.112) g/cm2、(0.781±0.130) g/cm2、(0.627±0.118) g/cm2]明顯下降(P＜0.05).低體重組(BMI≤20 kg/m2)的腰椎[ (0.738±0.114) g/cm2)]、股骨頸[(0.664±0.112)g/cm2)] BMD值較正常體重組[(0.816±0.138)g/cm2、(0.727±0.134) g,/cm2]明顯下降(P＜0.05).糖尿病病程＞ 10年組的腰椎[(0.743±0.122) g/cm2]、股骨頸[(0.719±0.147) g/cm2] BMD值較病程＜5年組[ (0.886±0.132)g/cm2、(0.792±0.122) g/cm2]明顯下降(P＜0.05).骨密度與年齡、糖尿病病程呈負相關(P＜0.05),與體重指數呈正相關(P＜0.05).結論 老年2型糖尿病閤併骨質疏鬆癥患者髮病與高齡、低體重指數、糖尿病病程長的危險因素密切相關.
목적 탐토노년2형당뇨병합병골질소송증환자발병적상관위험인소.방법 대본원106례노년2형당뇨병합병골질소송증환자적년령、체중지수(BMI)、당뇨병병정여기골밀도(BMD)진행상관인소분석.결과 노년2형당뇨병합병골질소송증환자중,80세조적요추[(0.756±0.099) g/cm2]、고골경[ (0.658±0.111) g/cm2]급Wards삼각[(0.525±0.064) g/cm2] BMD치교60세조[ (0.883±0.112) g/cm2、(0.781±0.130) g/cm2、(0.627±0.118) g/cm2]명현하강(P＜0.05).저체중조(BMI≤20 kg/m2)적요추[ (0.738±0.114) g/cm2)]、고골경[(0.664±0.112)g/cm2)] BMD치교정상체중조[(0.816±0.138)g/cm2、(0.727±0.134) g,/cm2]명현하강(P＜0.05).당뇨병병정＞ 10년조적요추[(0.743±0.122) g/cm2]、고골경[(0.719±0.147) g/cm2] BMD치교병정＜5년조[ (0.886±0.132)g/cm2、(0.792±0.122) g/cm2]명현하강(P＜0.05).골밀도여년령、당뇨병병정정부상관(P＜0.05),여체중지수정정상관(P＜0.05).결론 노년2형당뇨병합병골질소송증환자발병여고령、저체중지수、당뇨병병정장적위험인소밀절상관.
Objective To investigate the correlation factors in older type 2 diabetes patients with osteoporosis.Methods The related risk factors including their age,body mass index(BMI),history of disease and bone mineral density(BMD) were analyzed in 106 older type 2 diabetes patients with osteoporosis,who were hospitalized in the first affiliated hospital of Guangzhou Medical College during January 2000 to December 2010.Results BMD of lumbar[ (0.756 ± 0.099) g/cm2 ],neck of femur [ (0.658 ± 0.111 ) g/cm2 ] and wards triangle [ (0.525 ± 0.064) g/cm2 ] in the eighty group were distinctly reduced than the sixty group[ (0.883 ±0.112)g/cm2,(0.781 ±0.130) g/cm2,(0.627 ±0.118) g/cm2] ( P ＜0.05).BMD of lumbar[ (0.738 ± 0.114) g/cm2 ) ] and neck of femur [ ( 0.664 ± 0.112 ) g/cm2 ) ] in low weight patients ( BMI≤20 kg/m2 ) were distinctly reduced than normal BMI group [ ( 0.816 ± 0.138 ) g/cm2,( 0.727 ±0.134)g/cm2] ( P ＜0.05).BMD of lumbar[ (0.743 ±0.122) g/cm2] and neck of femur[ (0.719 ±0.147)g/cm2] in patients with course of diabetes more than 10 years were distinctly reduced than the patients with less course[ (0.886 ± 0.132 ) g/cm2,( 0.792 ± 0.122 ) g/cm2 ] ( P ＜ 0.05 ).BMD was negatively correlated with age and history of diabetes ( P ＜ 0.05 ).BMD was positively correlated with BMI ( P ＜ 0.05).Conclusions Older,low BMI and long history of diabetes are the risk factors of older type 2 diabetes patients with osteoporosis.
