CAJ | 학술논문

目的分析Ⅱ型糖尿病患者骨质疏松和骨量减少与血管钙化之间的关联性，为早期诊断和预防糖尿病性骨质疏松提供依据．方法按入选标准对59例Ⅱ型糖尿病患者记录临床体征、血液实验室检查结果．采用双能x线吸收法测定腰椎和股骨颈骨密度值，x线摄片记录胸主动脉和髂动脉的血管钙化情况，并对各因素与糖尿病性骨质疏松相关性进行分析．结果腰椎骨量分析可见：骨质疏松6例（10．2％），骨量减少27例（45．8％）；股骨颈骨量分析可见：骨质疏松7例（11．8％），骨量减少28例（49％）．髂动脉钙化与腰椎（L1—L4）骨质疏松（P=0．04）和股骨颈骨质疏松（P=0．036）存在显著相关性．结论Ⅱ型糖尿病患者髂动脉钙化与骨质疏松呈正相关，发现动脉钙化可能提示骨质疏松或骨量减少的存在．
목적분석Ⅱ형당뇨병환자골질소송화골량감소여혈관개화지간적관련성，위조기진단화예방당뇨병성골질소송제공의거．방법안입선표준대59례Ⅱ형당뇨병환자기록림상체정、혈액실험실검사결과．채용쌍능x선흡수법측정요추화고골경골밀도치，x선섭편기록흉주동맥화가동맥적혈관개화정황，병대각인소여당뇨병성골질소송상관성진행분석．결과요추골량분석가견：골질소송6례（10．2％），골량감소27례（45．8％）；고골경골량분석가견：골질소송7례（11．8％），골량감소28례（49％）．가동맥개화여요추（L1—L4）골질소송（P=0．04）화고골경골질소송（P=0．036）존재현저상관성．결론Ⅱ형당뇨병환자가동맥개화여골질소송정정상관，발현동맥개화가능제시골질소송혹골량감소적존재．
Objective To evaluate the correlation between osteoporosis and arterial calcification and osteopenia so as to provide an evidence for the early diagnosis and prevention of osteoporosis complicated with T2DM. Method Clinical signs and laboratory blood results of 59 patients with type 2 diabetes mellitus diagnosed based on the selected criterion were recorded. The bone density of all patients＇ lumbar vertebra and neck of femur were assessed with dual-energy X-ray absorptiometry, the vascular calcification of thoracic aorta and iliac artery of the patients were identified with X-ray, and the correlation between the osteoporosis complicated with diabetes mellitus and the various factors were analyzed. Result The analysis of lumbar vertebra bone mass showed that 6 cases （ 10.2% ） of them were found to have osteoporosis in the lumbar spine and 27cases （45.8%） osteopenia; The analysis neck bone mass showed that there were 7 patients （11.8% ） with osteoporosis and 28 （49%） with osteopenia. There was a significant correlation between the iliac artery calcification and osteoporosis in the lumbar spine L1-L4 （P = 0. 004 ） or in the femoral neck （P = 0. 036 ）. Conclusion There was a positive correlation between the iliae artery calcification and osteoporosis in type 2 patients, the presence of arterial calcification may indicate the presence of osteoporosis.