CAJ | 학술논문

目的：探讨新疆乌鲁木齐地区汉族、维吾尔族老年亚临床甲状腺功能减退症（老年亚临床甲减）患者促甲状腺激素水平（TSH）与骨密度（BMD）的相关性。方法选择住院的60岁以上老年人207例。根据甲状腺功能测定结果将其分为病例组即亚临床甲状腺功能减退症患者101例，对照组为甲状腺功能正常（甲功正常）患者106例，分析两组年龄、性别、民族、体质量指数（ BMI）、血压、血糖、血钙、血磷及骨质疏松发生情况。结果两组年龄、性别、民族、BMI、血压、血糖、血钙、血磷比较差异无统计学意义（P＞0．05），两组间具有可比性。亚临床甲减组患者与甲功正常患者组骨密度比较，差异有统计学意义（P＜0．05）。汉族亚临床甲减组与甲功正常患者组骨密度比较，差异有统计学意义（P＜0．05），而维吾尔族组骨密度比较差异无统计学意义（ P＞0．05）。结论亚临床甲减可能是汉族老年人群骨质疏松的危险因素。
목적：탐토신강오로목제지구한족、유오이족노년아림상갑상선공능감퇴증（노년아림상갑감）환자촉갑상선격소수평（TSH）여골밀도（BMD）적상관성。방법선택주원적60세이상노년인207례。근거갑상선공능측정결과장기분위병례조즉아림상갑상선공능감퇴증환자101례，대조조위갑상선공능정상（갑공정상）환자106례，분석량조년령、성별、민족、체질량지수（ BMI）、혈압、혈당、혈개、혈린급골질소송발생정황。결과량조년령、성별、민족、BMI、혈압、혈당、혈개、혈린비교차이무통계학의의（P＞0．05），량조간구유가비성。아림상갑감조환자여갑공정상환자조골밀도비교，차이유통계학의의（P＜0．05）。한족아림상갑감조여갑공정상환자조골밀도비교，차이유통계학의의（P＜0．05），이유오이족조골밀도비교차이무통계학의의（ P＞0．05）。결론아림상갑감가능시한족노년인군골질소송적위험인소。
Objective To discuss the correlation between subclinical hypothyroidism (SCH) and osteoporo-sis in the elderly of Han and Uygur in Xinjiang Urumqi .Methods A total of 207 patients aged 60 years or older were selected from our hospital and divided into two groups according to the result of Thyroid function test .One hundred and one cases with subclinical hypothyroidism were chosen as case group and 106 cases of normal thyroid function were chosen as control group.The age,gender,nationality,BMI,blood pressure,blood glucose,blood calcium and blood phosphorus between the two groups were analysed .Results There was no significant difference with regard to the age,gender,nationality,BMI,blood pressure,blood glucose,blood calcium and blood phosphorus between the two groups (P>0.05).The difference of bonemineral density between the two groups was statistically significant (P<0.05).The bone mineral density was statistically different (P<0.05) in Han between the two groups,but the differ-ence was not statistically significant (P>0.05) in Uygur.Conclusion The subclinical hypothyroidism may be a risk factor of osteoporosis in Han elderly .