老年患者骨质疏松症与冠状动脉粥样硬化关系分析  

The Relationship of Osteoporosis and Coronary Atherosclerosis in Elderly Patients

作　　者：钟向红[1] 陈晞明[1] 杨妤妤 

机构地区：[1]广州医学院第三附属医院,广东广州510150

出　　处：《亚太传统医药》2012年第9期111-112,共2页Asia-Pacific Traditional Medicine

摘　　要：目的:分析老年患者骨质疏松症与冠状动脉粥样硬化关系。方法:冠心病合并骨质疏松81例(骨质疏松组)和不合并骨质疏松的冠心病患者314例(对照组)分别进行选择性冠脉造影和骨密度检查。结果:在骨质疏松组与对照组中,动脉最小斑块0.8mm,最大斑块3.2mm。最多1条血管可达4个小斑块。斑块的位置多在冠状动脉起始段分叉处。骨质疏松组中,骨密度测定骨量减少4例,其余都为骨质疏松。经过观察,骨质疏松组BMI较低、IMT较高,差异有统计学意义(P<0.05)。年龄、血Ca、血脂等指标比较,差异无统计学意义(P>0.05)。结论:老年人骨质疏松与冠状动脉粥样硬化有一定关系,患者的BMI冠状动脉IMT可作为反映老年人骨质疏松与动脉硬化关系的参考指标,值得推广应用。Objective:To analysis the relationship of osteoporosis and coronary atherosclerosis in elderly patients.Methods:81 cases of coronary heart disease and osteoporosis(the osteoporosis group) and not with osteoporosis were 314 cases of coronary heart disease(the control group) were selective coronary angiography and bone density.Results:In the osteoporosis group and the control group,arterial plaque minimum 0.8mm,maximum plaque 3.2mm.Up to a vessel of up to four small plaques.The location of plaque in the coronary artery more than the initial segment bifurcation.Osteoporosis group,bone mineral density bone loss in 4 cases,the rest are for osteoporosis.Through observation,osteoporosis,low BMI group,IMT higher,the difference was statistically significant(P<0.05).Age,blood Ca,lipids and other indicators,the difference was not statistically significant(P> 0.05).Conclusion:the elderly osteoporosis and coronary atherosclerosis have a certain relationship between the BMI of patients with coronary artery IMT as a response to the elderly the relationship between osteoporosis and atherosclerosis reference,worthy inspection applications.

关 键 词：冠状动脉粥样硬化 粥样斑块 骨质疏松 

分 类 号：R681[医药卫生—骨科学]