中国医药科学
中國醫藥科學
중국의약과학
China Medicine and Pharmacy
2015年
14期
20-22
,共3页
老年%原发性高血压%骨密度
老年%原髮性高血壓%骨密度
노년%원발성고혈압%골밀도
Old person%Primary hypertension%Bone mineral density
目的 探讨60岁以上老年人原发性高血压与骨密度的关系.方法 选取60岁以上人群162例,其中原发性高血压患者82例,对照组80例,分别测量身高、体重、计算体重指数,血压.用双能X线骨密度仪检测左前臂中段、左股骨颈、腰椎(L1~4)及全身骨密度.结果 高血压组的上肢、下肢、腰椎及全身骨密度均低于对照组(P<0.05).校正年龄、身高、体重、BMI后收缩压与上肢、下肢、腰椎及全身骨密度呈负相关(P<0.05),舒张压与骨密度无关.检测人群中骨量异常组收缩压及舒张压均高于骨量正常组(P<0.05).结论 老年人群中高血压与骨密度有关,老年高血压患者各部位骨密度均减低,收缩压与骨密度呈负相关,控制收缩压可能对于老年人预防骨质疏松有一定作用,同时对老年高血压人群积极防控骨质疏松可能有助于血压的控制.
目的 探討60歲以上老年人原髮性高血壓與骨密度的關繫.方法 選取60歲以上人群162例,其中原髮性高血壓患者82例,對照組80例,分彆測量身高、體重、計算體重指數,血壓.用雙能X線骨密度儀檢測左前臂中段、左股骨頸、腰椎(L1~4)及全身骨密度.結果 高血壓組的上肢、下肢、腰椎及全身骨密度均低于對照組(P<0.05).校正年齡、身高、體重、BMI後收縮壓與上肢、下肢、腰椎及全身骨密度呈負相關(P<0.05),舒張壓與骨密度無關.檢測人群中骨量異常組收縮壓及舒張壓均高于骨量正常組(P<0.05).結論 老年人群中高血壓與骨密度有關,老年高血壓患者各部位骨密度均減低,收縮壓與骨密度呈負相關,控製收縮壓可能對于老年人預防骨質疏鬆有一定作用,同時對老年高血壓人群積極防控骨質疏鬆可能有助于血壓的控製.
목적 탐토60세이상노년인원발성고혈압여골밀도적관계.방법 선취60세이상인군162례,기중원발성고혈압환자82례,대조조80례,분별측량신고、체중、계산체중지수,혈압.용쌍능X선골밀도의검측좌전비중단、좌고골경、요추(L1~4)급전신골밀도.결과 고혈압조적상지、하지、요추급전신골밀도균저우대조조(P<0.05).교정년령、신고、체중、BMI후수축압여상지、하지、요추급전신골밀도정부상관(P<0.05),서장압여골밀도무관.검측인군중골량이상조수축압급서장압균고우골량정상조(P<0.05).결론 노년인군중고혈압여골밀도유관,노년고혈압환자각부위골밀도균감저,수축압여골밀도정부상관,공제수축압가능대우노년인예방골질소송유일정작용,동시대노년고혈압인군적겁방공골질소송가능유조우혈압적공제.
Objective To observe the relationship between primary hypertension and bone mineral density in adults over 60-year old.Methods 82 hypertension patients and 80 controllers over 60-year old were recruited. The height、weight、body mass index and blood pressure were measured .It was also detected the middle of left forearm,left femoral neck, the 1-4 lumbar spine and the whole body bone mineral density(BMD) by dual energy X-ray absorptiometry. Results The BMD of upper limbs、lower limbs、lumbar spine and whole body in hypertension group were lower than control group(P<0.05). After adjustment of age、height、weight and BMI, systolic blood pressure has negative correlation with the BMD of upper limbs、lower limbs、lumbar spine and whole body(P<0.05). But there was no correlation between diastolic blood pressure and BMD. In all subjects,osteopenia and osteoporosis group have higher systolic blood pressure and diastolic blood pressure compared with normal bone mass group.Conclusion Hypertension bave correlation with BMD in old persons. Old hypertension patients' BMD were lower than controllers. Systolic blood pressure was negative correlated with BMD. So well controlling of systolic blood pressure maybe has positive effect on prevention osteoporosis in old hypertensive patients. Prevetion and treatment osteoporosis may help blood pressure control.
