中国骨科临床与基础研究杂志
中國骨科臨床與基礎研究雜誌
중국골과림상여기출연구잡지
CHINESE JOURNAL OF CLINICAL AND BASIC ORTHO[AEDIC RESEARCH
2014年
2期
95-98
,共4页
骨折%骨质疏松%骨密度%老年人%性别因素%年龄因素
骨摺%骨質疏鬆%骨密度%老年人%性彆因素%年齡因素
골절%골질소송%골밀도%노년인%성별인소%년령인소
Fractures%Osteoporosis%Bone mineral densty%Aged%Sex factors%Age factors
目的：分析不同性别、年龄老年骨质疏松性骨折患者不同部位的骨密度（BMD）及骨折阈值。方法选取2010年10月至2013年10月在延安大学附属医院骨科门诊就诊的180例老年骨质疏松性骨折患者作为研究对象。男90例，其中60～69岁45例、70～79岁45例；女90例，其中60～69岁45例、70～79岁45例。比较不同性别、不同年龄段患者股骨颈、Ward三角、L2～L4及大粗隆等部位的BMD；采用ROC曲线计算不同部位的骨折阈值。结果70～79岁股骨颈、Ward三角、大粗隆部位BMD明显低于60～69岁组（P＜0.05）；老年女性患者股骨颈、Ward三角、L2～L4、大粗隆部位BMD均低于老年男性患者（P＜0.05）。老年男性和女性患者股骨颈、Ward三角、L2～L4、大粗隆等部位骨折阈值分别为0.77、0.68、0.81、0.74 g/cm3和0.74、0.65、0.78、0.71 g/cm3。结论不同性别和年龄的老年骨质疏松性骨折患者不同部位BMD及骨折阈值均有所不同，年龄和绝经是影响BMD的重要因素。
目的：分析不同性彆、年齡老年骨質疏鬆性骨摺患者不同部位的骨密度（BMD）及骨摺閾值。方法選取2010年10月至2013年10月在延安大學附屬醫院骨科門診就診的180例老年骨質疏鬆性骨摺患者作為研究對象。男90例，其中60～69歲45例、70～79歲45例；女90例，其中60～69歲45例、70～79歲45例。比較不同性彆、不同年齡段患者股骨頸、Ward三角、L2～L4及大粗隆等部位的BMD；採用ROC麯線計算不同部位的骨摺閾值。結果70～79歲股骨頸、Ward三角、大粗隆部位BMD明顯低于60～69歲組（P＜0.05）；老年女性患者股骨頸、Ward三角、L2～L4、大粗隆部位BMD均低于老年男性患者（P＜0.05）。老年男性和女性患者股骨頸、Ward三角、L2～L4、大粗隆等部位骨摺閾值分彆為0.77、0.68、0.81、0.74 g/cm3和0.74、0.65、0.78、0.71 g/cm3。結論不同性彆和年齡的老年骨質疏鬆性骨摺患者不同部位BMD及骨摺閾值均有所不同，年齡和絕經是影響BMD的重要因素。
목적：분석불동성별、년령노년골질소송성골절환자불동부위적골밀도（BMD）급골절역치。방법선취2010년10월지2013년10월재연안대학부속의원골과문진취진적180례노년골질소송성골절환자작위연구대상。남90례，기중60～69세45례、70～79세45례；녀90례，기중60～69세45례、70～79세45례。비교불동성별、불동년령단환자고골경、Ward삼각、L2～L4급대조륭등부위적BMD；채용ROC곡선계산불동부위적골절역치。결과70～79세고골경、Ward삼각、대조륭부위BMD명현저우60～69세조（P＜0.05）；노년녀성환자고골경、Ward삼각、L2～L4、대조륭부위BMD균저우노년남성환자（P＜0.05）。노년남성화녀성환자고골경、Ward삼각、L2～L4、대조륭등부위골절역치분별위0.77、0.68、0.81、0.74 g/cm3화0.74、0.65、0.78、0.71 g/cm3。결론불동성별화년령적노년골질소송성골절환자불동부위BMD급골절역치균유소불동，년령화절경시영향BMD적중요인소。
Objective To determine bone mineral density (BMD) at different regions, and to analyze the threshold of fracture for elderly patients suffered from osteoporostic fractures. Methods From October 2010 to October 2013, 108 elderly patients with osteoporostic fractures from outpatient clinic in the affiliated Hospital of Yan'an University were collected and divided into two gender groups, 90 male and 90 female, in which 45 of them were 60-69 years old and 45 of them were 70-79 years old. BMD at femoral neck, Ward's triangle, L2-L4 and great trochanter were determined and compared respectively among groups with different ages and different gender, threshold value of fracture in different regions was calculated by ROC curve. Results Compared with 60-69 year-old group, BMD at femoral neck, ward's triangle and great trochanter were lower in 70-79 year-old group (P <0.05); For female patients, BMD at the above 4 regions were lower than male patients (P <0.05). The threshold value of fracture at femoral neck, Ward's triangle, L2-L4 and great trochanter in male and female patients was 0.77, 0.68, 0.81, 0.74 g/cm3 and 0.74、0.65、0.78、0.71 g/cm3 respectively. Conclusion Among different gender and different age groups, BMD and threshold value of fracture at different regions were also different for aged patients with osteoporostic fractures, age and menopause are the important factors which can influence BMD.
