漯河地区中老年骨质疏松性骨折与股骨近端骨密度相关性研究  

Study on the correlation between osteoporotic fractures and bone mineral density in the proximal femur in the elderly in Luohe

作　　者：赵军[1] 张玉艳[2] 张兵[1] 

机构地区：[1]河南省漯河医学高等专科学校第三附属医院骨外科,河南漯河462002 [2]河南省漯河医学高等专科学校第三附属医院彩超室,河南漯河462002

出　　处：《中国骨质疏松杂志》2014年第10期1216-1218,1221,共4页Chinese Journal of Osteoporosis

摘　　要：目的调查漯河地区中老年骨密度（BMD）的变化规律和骨折之间的关系。方法采用法国Medlink公司的的双能X线骨密度仪对漯河地区649名中老年人进行健侧髋部股骨颈、大转子、粗隆间和全髋的骨密度值测量。结果骨折组各年龄段、各部位的BMD均比非骨折组低（P〈0.05）。随着年龄的增长股骨近端骨量逐渐丢失,除了45~组,其余区域各年龄段骨折组的患病率明显高于非骨折组（P〈0.05）,骨密度值越低,骨折危险性越大。结论中老年人骨近端骨密度值与发生骨质疏松性骨折之间存在密切关系,不容忽视。Objective To investigate the relationship between the change of bone mineral density（BMD） and fractures in the elderly in Luohe.Methods BMD of the bilateral femoral necks,intertrochanter bone,trochanter,and total hip bone was measured using dual energy X-ray absorptiometry（DEXA,Medlink Delphi） for 649 elderly in Luohe area.Results The BMD in fracture group was lower than in non-fracture group in all ages and locations（P 0.05）.With the growth of age,bone mass in the proximal femur was gradually lost.The fracture incidence was higher in fracture group of all ages and locations than in non-fracture group except that in the group of age over 45 years（P 0.05）.The lower the BMD is,the higher the risk of fractures.Conclusion There is close relationship between the changes of BMD and fractures in the elderly,which can not be ignored.

关 键 词：骨密度 骨质疏松 患病率 骨折 

分 类 号：R681.1[医药卫生—骨科学]