中国骨质疏松杂志
中國骨質疏鬆雜誌
중국골질소송잡지
CHINESE JOURNAL OF OSTEOPOROSIS
2014年
7期
810-814
,共5页
骨密度%腰椎%髋关节%T值%维吾尔族%汉族
骨密度%腰椎%髖關節%T值%維吾爾族%漢族
골밀도%요추%관관절%T치%유오이족%한족
Bone mineral density%Lumbar vertebrae%Hip%T-score%Uyghur%Han
目的：了解新疆维吾尔族、汉族老年男性人群腰椎、髋关节T值的差异和特点，为临床合理选择骨密度检测提供科学依据。方法收集2011年10月至2013年8月入住我院干部病房的维、汉老年男性高血压或（和）糖尿病患者320例，根据民族、年龄段分为12组；使用法国DMS生产的双能X线骨密度仪（ Duel energy X－ray absorptiometry， DEXA）测量腰椎、髋关节骨密度（ Bone mineral density， BMD） T值，统计各组腰椎、髋关节T值平均值，采用t检验及卡方检验对数据进行分析整理。结果（1）维吾尔族老年男性腰椎、髋关节T值均比汉族老年男性低，差异有统计学意义（ P＜0．05）；随年龄增加，维、汉两族老年男性腰椎、髋关节T值均呈下降趋势。（2）相同民族同年龄段组间比较，腰椎T值均高于髋关节。维吾尔族老年男性患者在60～64岁、65～69岁、70～74岁、75～79岁、≥85岁5个年龄段，腰椎T值与髋关节T值比较差异有统计学意义（P＜0．05），80～84岁年龄段两者比较差异无统计学意义；汉族老年男性患者在60～64岁、70～74岁、75～79岁、80～84岁、≥85岁5个年龄段，腰椎T值与髋关节T值比较差异有统计学意义（ P＜0．05），65～69岁年龄段两者比较差异无统计学意义。结论骨密度T值受民族因素的影响；相同民族间腰椎与髋关节T值也存在差异。本研究为新疆地区不同民族、不同年龄段老年男性人群合理选择优势部位骨密度检测提供了一定的临床指导意义。
目的：瞭解新疆維吾爾族、漢族老年男性人群腰椎、髖關節T值的差異和特點，為臨床閤理選擇骨密度檢測提供科學依據。方法收集2011年10月至2013年8月入住我院榦部病房的維、漢老年男性高血壓或（和）糖尿病患者320例，根據民族、年齡段分為12組；使用法國DMS生產的雙能X線骨密度儀（ Duel energy X－ray absorptiometry， DEXA）測量腰椎、髖關節骨密度（ Bone mineral density， BMD） T值，統計各組腰椎、髖關節T值平均值，採用t檢驗及卡方檢驗對數據進行分析整理。結果（1）維吾爾族老年男性腰椎、髖關節T值均比漢族老年男性低，差異有統計學意義（ P＜0．05）；隨年齡增加，維、漢兩族老年男性腰椎、髖關節T值均呈下降趨勢。（2）相同民族同年齡段組間比較，腰椎T值均高于髖關節。維吾爾族老年男性患者在60～64歲、65～69歲、70～74歲、75～79歲、≥85歲5箇年齡段，腰椎T值與髖關節T值比較差異有統計學意義（P＜0．05），80～84歲年齡段兩者比較差異無統計學意義；漢族老年男性患者在60～64歲、70～74歲、75～79歲、80～84歲、≥85歲5箇年齡段，腰椎T值與髖關節T值比較差異有統計學意義（ P＜0．05），65～69歲年齡段兩者比較差異無統計學意義。結論骨密度T值受民族因素的影響；相同民族間腰椎與髖關節T值也存在差異。本研究為新疆地區不同民族、不同年齡段老年男性人群閤理選擇優勢部位骨密度檢測提供瞭一定的臨床指導意義。
목적：료해신강유오이족、한족노년남성인군요추、관관절T치적차이화특점，위림상합리선택골밀도검측제공과학의거。방법수집2011년10월지2013년8월입주아원간부병방적유、한노년남성고혈압혹（화）당뇨병환자320례，근거민족、년령단분위12조；사용법국DMS생산적쌍능X선골밀도의（ Duel energy X－ray absorptiometry， DEXA）측량요추、관관절골밀도（ Bone mineral density， BMD） T치，통계각조요추、관관절T치평균치，채용t검험급잡방검험대수거진행분석정리。결과（1）유오이족노년남성요추、관관절T치균비한족노년남성저，차이유통계학의의（ P＜0．05）；수년령증가，유、한량족노년남성요추、관관절T치균정하강추세。（2）상동민족동년령단조간비교，요추T치균고우관관절。유오이족노년남성환자재60～64세、65～69세、70～74세、75～79세、≥85세5개년령단，요추T치여관관절T치비교차이유통계학의의（P＜0．05），80～84세년령단량자비교차이무통계학의의；한족노년남성환자재60～64세、70～74세、75～79세、80～84세、≥85세5개년령단，요추T치여관관절T치비교차이유통계학의의（ P＜0．05），65～69세년령단량자비교차이무통계학의의。결론골밀도T치수민족인소적영향；상동민족간요추여관관절T치야존재차이。본연구위신강지구불동민족、불동년령단노년남성인군합리선택우세부위골밀도검측제공료일정적림상지도의의。
Objective To investigate the difference and characteristics of the T-score of bone mineral density ( BMD) of the lumbar vertebrae and the hip between elderly Uyghur and Han males, and to provide the scientific basis for BMD detection. Methods A total of 320 elderly male Uyghur and Han patients, who were hospitalized in cadre wards in the First Affiliated Hospital of Xinjiang Medical University and diagnosed as hypertension or diabetes from October 2011 to August 2013, were selected.All the patients were divided into 12 groups according to ethnicity and gender.BMD of the lumbar vertebrae and the hip was detected using Lexos dual energy X-ray absorptiometry ( DEXA, DMS Co.Ltd, France) .The average T-scores in each group were calculated and the differences were analyzed using t-test and Chi-square test.Results The T-score of the lumbar vertebrae and the hip in the elderly Uygur males was significantly lower than that in Han males (P<0.05).Along with the increase of age, the T-scores of the lumbar vertebrae and the hip in both Uyghur and Han males decreased.When compared within same ethnicity and same age, the T-score of the lumbar vertebrae was higher than that of the hip.And significant difference was observed in every elderly male Uyghur age group (P<0.05) except in 80~84 year old group.Meanwhile, no difference was observed in the 65~69 year old group in the Han patients.Conclusion Ethnic factor has an important role in BMD.Even for people with the same ethnicity, there are significant differences between T-scores of the lumbar vertebrae and the hip.Our research provides some clinical significance for different nationality and different age groups in elderly male people and directes them how to choose the dominant position to detect the BMD.
