绝经后妇女骨质疏松与颈动脉粥样硬化的相关性分析  

Analysis of the correlation between osteoporosis and carotid atherosclerosis in postmenopausal women

作　　者：赵英[1] 任全刚[1] 郭海[1] 解春生[1] 陈奇[1] 李霞[1] 

机构地区：[1]北京市房山区第一医院,北京102400

出　　处：《中国医药导报》2012年第22期61-62,64,共3页China Medical Herald

摘　　要：目的探讨绝经期妇女骨质疏松与颈动脉粥样硬化斑块之间的相关性。为此类患者的综合诊治和预防寻找科学依据,进一步提高她们的健康水平和生活质量。方法绝经期妇女30例及对照组30例,均采用PHILIPS IU22彩色多普勒超声显像仪,选择频率7～12 MHz线阵专用血管探头,于前、侧颈部两个方向行连续纵、横切面探查,测定双侧颈总动脉、颈内动脉内膜-中层厚度(IMT),同时观察颈总动脉、颈内动脉斑块的数量,软硬斑块及其形态;对所有病例均检测骨钙素(BGP),并用双能X线测定骨形态发生蛋白(BMD),用SMAC技术检测碱性磷酸酶(ALP)、Ca、P含量。结果绝经期妇女BGP、BMD明显降低的同时,超声特点表现突出的为软斑块,突出于管腔内膜面,局部呈不同程度的低回声,硬斑块为局部回声增强,BGP、BMD与对照组比较差异有高度统计学意义(P<0.01),ALP增高(P<0.05)。Ca、P无变化。结论绝经期妇女BGP、BMD降低的同时伴有颈动脉粥样硬化斑块形成,雌激素水平降低,与骨代谢、骨密度密切相关,与软、硬斑块的形态有关。因此检测BGP、BMD及彩色多普勒超声检查,对提高健康水平和生活质量有重要的临床意义。Objective To study the correlation between osteoporosis and carotid atherosclerosis in postmenopausal women in order to find a seientifie basis on comprehensive treatment and prevention and further improve their health and quality of life. Methods Intima-media thickness of bilateral common carotid arteries and internal carotid artery were examined with PHILIPS IU22 color Doppler ultrasound, the number of plaque, the hard and soft plaque and its form were observed in 30 cases of postmenopausal women and 30 cases of controls. BGP, BMD, ALP, Ca and P were measured. Results BGP and BMD decreased significantly in postmenopausal women, soft plaque was the outstanding ultrasonic characteristic, outstanding on tube antrum face, local showed different degrees of hypoeehoie, hard plaque enhanced local eeho. There was a significant difference between BGP and BMD in the two groups （P 〈 0.01）. ALP increased （P 〈0.05）. Ca and P did not change, there was no statistical significance. Conclusion There is a decrease of BGP and BMD in postmenopausal women, at the same time with the development of carotid atherosclerotic plaque and the decrease of estrogen. This is closely related to bone metabolism, the bone mineral density and soft and hard plaque forms. So there is a clinical significance to measure BGP, BMD and to carry out color Doppler ultrasound examination for the improvement of the health and the quality of life .

关 键 词：绝经后妇女 骨钙素 骨密度 超声检查 

分 类 号：R681[医药卫生—骨科学]