老年骨质疏松骨折血清铁水平的测定及临床意义  

Clinical significances of serum ferritin in older people with osteoporotic fracture

作　　者：田青[1] 刘勇[1] 李国庆[1] 杨述华[1] 杜靖远[1] 邵增务[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院骨科,武汉430022

出　　处：《临床急诊杂志》2013年第3期111-112,116,共3页Journal of Clinical Emergency

摘　　要：目的:探讨老年骨质疏松骨折患者血清铁水平并分析其临床意义。方法:分别检测121例老年(60岁以上)骨质疏松骨折患者,120例中青年(50岁以下)外伤骨折患者以及70例正常人腰椎骨密度T值和血清铁蛋白水平。结果:骨质疏松骨折患者血清铁蛋白均值为253.8ng/ml,明显高于中青年骨折组(79.9ng/ml)和健康人群组(92.4ng/ml)(P<0.01);骨质疏松骨折患者腰椎T值为-2.26,亦明显高于中青年骨折组(0.36)和健康人群组(-0.16)(P<0.01)。结论:老年骨质疏松骨折患者中血清铁水平明显升高,提示血清铁水平升高是老年骨质疏松的重要相关因素。Objective： To explore the relationship between osteoporosis and serum ferritin in elderly patients with osteoporotic fracture, Method：Serum ferritin was examined and T value of spine BMD was calculated in 121 elderly patients （960 years old） with osteoporotic fracture. 120 younger men（≤50 years old） with traumatic fracture and 70 healthy volunteer were selected as controls. Result：The average serum ferritin in elderly patients with osteoporotic fracture （253. 8 ng/ml） was higher than younger men with traumatic fracture （79. 9 ng/ml） and healthy volunteers （92.4 ng/ml）（P〈0.01）. T value of spine BMD in elderly patients with osteoporotic fracture was -2.26 ,and was 0.36 in younger men with traumatic fracture and was -0.16 in 70 healthy volunteers（P〈0. 01）. Conclusion：Serum ferritin level increased in elderly patients with osteoporotic fracture. Serum ferritin level in elderly patients with osteoporasis is a strong factor correlated to osteoporosis.

关 键 词：血清铁水平 老年人 骨折 骨质疏松 

分 类 号：R683.4[医药卫生—骨科学]