CAJ | 학술논문

目的：研究腰椎椎体骨密度变化对下腰部疼痛视觉模拟评分（ visual analogue scale， VAS）评估指数的影响。方法收集2011年3月－2013年3月来我院康复医学科就诊的老年下腰部疼痛患者154例，利用双能x线骨密度仪测定腰椎椎体（ L1－L4）的骨密度、骨矿含量及T值（ T－score）。利用VAS评估腰部疼痛程度。结果随着腰椎骨密度（ bone mineral density， BMD）值，骨矿含量（ bone mineral content， BMC）和腰椎骨密度平均T值的下降，腰椎VAS疼痛指数呈上升趋势。年龄分布与腰椎VAS疼痛指数有一定的相关性，二者呈线性回归分布，（ P＜0．05）。结论腰椎骨密度、骨矿含量及T值对描述腰部疼痛程度有一定的临床意义。
목적：연구요추추체골밀도변화대하요부동통시각모의평분（ visual analogue scale， VAS）평고지수적영향。방법수집2011년3월－2013년3월래아원강복의학과취진적노년하요부동통환자154례，이용쌍능x선골밀도의측정요추추체（ L1－L4）적골밀도、골광함량급T치（ T－score）。이용VAS평고요부동통정도。결과수착요추골밀도（ bone mineral density， BMD）치，골광함량（ bone mineral content， BMC）화요추골밀도평균T치적하강，요추VAS동통지수정상승추세。년령분포여요추VAS동통지수유일정적상관성，이자정선성회귀분포，（ P＜0．05）。결론요추골밀도、골광함량급T치대묘술요부동통정도유일정적림상의의。
Objective To study the effect of the change of bone mineral density of the lumbar vertebrae on visual analogue scale ( VAS) index.Methods A total of 154 patients with senile lumbar pain, who attend in the rehabilitation medicine clinic of our hospital from March 2011 to March 2013, were collected.The lumbar vertebral bone mineral density (BMD), bone mineral content ( BMC) , and T score were determined using dual-energy X-ray absorptiometry ( DEXA) and the low back pain was evaluated using VAS.Results The lumbar VAS pain index increased with the decline of BMD, BMC, and T score ( P <0.05 ) .The distribution of age was associated with VAS, and their distribution was linearly correlated.Conclusion BMC, BMD, and T score are of clinical significance in the description of the low back pain.