CAJ | 학술논문

目的：探讨沈阳地区绝经后妇女不同部位骨密度值与亚洲人骨质疏松自我筛查工具（ OSTA）得分、体表面积（ BS）、体重指数（ BMI）的关系，判断OSTA评分与绝经后妇女髋关节骨折风险的相关性。方法采用双能X线骨密度仪测定沈阳地区670例绝经后妇女的骨密度值（ BMD），并与OSTA得分、体表面积、体重指数（ BMl）、绝经年限进行Pearson相关性回归分析。应用WHO骨折风险因子评估工具（ FRAX）评估绝经后妇女髋关节骨折风险，采用线性图表及Pearson相关性回归分析比较OSTA评分与绝经后妇女髋关节骨折风险是否存在相关性。结果骨密度与OSTA评分、体表面积、体重指数呈线性正相关，相关性由大到小分别为OSTA评分、体表面积、体重、身高、BMI、年龄、绝经期、肥胖度；骨密度与绝经年限呈线性正相关趋势；OSTA评分与髋关节骨折风险呈负相关。结论 OSTA得分能较好的反映出绝境后妇女骨密度减低的趋势及程度，同时也能预测绝经后妇女髋关节骨折风险的程度，在临床中应对OSTA评分较低患者应采取必要的相关性治疗及干预。
목적：탐토침양지구절경후부녀불동부위골밀도치여아주인골질소송자아사사공구（ OSTA）득분、체표면적（ BS）、체중지수（ BMI）적관계，판단OSTA평분여절경후부녀관관절골절풍험적상관성。방법채용쌍능X선골밀도의측정침양지구670례절경후부녀적골밀도치（ BMD），병여OSTA득분、체표면적、체중지수（ BMl）、절경년한진행Pearson상관성회귀분석。응용WHO골절풍험인자평고공구（ FRAX）평고절경후부녀관관절골절풍험，채용선성도표급Pearson상관성회귀분석비교OSTA평분여절경후부녀관관절골절풍험시부존재상관성。결과골밀도여OSTA평분、체표면적、체중지수정선성정상관，상관성유대도소분별위OSTA평분、체표면적、체중、신고、BMI、년령、절경기、비반도；골밀도여절경년한정선성정상관추세；OSTA평분여관관절골절풍험정부상관。결론 OSTA득분능교호적반영출절경후부녀골밀도감저적추세급정도，동시야능예측절경후부녀관관절골절풍험적정도，재림상중응대OSTA평분교저환자응채취필요적상관성치료급간예。
Objective To investigate the relationship between bone mineral density ( BMD) and osteoporosis self-assessment tool for Asians (OSTA) score, body surface area (BS), and body mass index (BMI), and to evaluate the correlation between OSTA score and the risk of the hip fractures in postmenopausal women .Methods BMD was detected using dual energy X-ray absorptiometry ( DEXA) in 670 postmenopausal women in Shenyang .Pearson correlation analysis was performed to analyze the correlation between BMD and OSTA score, BS, and BMI.The risk of the hip fractures in postmenopausal women was assessed using WHO fracture risk factor assessment tool ( FRAX) .The correlation between OSTA score and the risk of the hip fractures in postmenopausal women was analyzed using Pearson correlation analysis and linear diagram .Results BMD was positively correlated with OSTA indexes , BS, and BMI.The correlation from close to loose was OSTA score , BS, body weight, height, BMI, age, menopause, and the degree of obesity.There was positive linear correlation between BMD and the years after menopause .OSTA score was negatively correlated with the risk of the hip fractures .Conclusion OSTA score can reflect the decreasing trend and extent of BMD in postmenopausal women . It can also predict the risk of the hip fractures in postmenopausal women .So, it is necessary to provide treatment and intervention to the patients with lower OSTA score in clinical work .