老年性骨质疏松症患者腰椎骨密度对下腰部疼痛影响研究  

The research of the effect of bone mineral density of the lumbar vertebrae on low back pain in elderly patients with osteoporosis

作　　者：樊继波[1] 覃勇[1] 董泽波[1] 唐晓松[1] 张婧[1] 

机构地区：[1]三峡大学第一临床医学院康复医学科,宜昌443003

出　　处：《中国骨质疏松杂志》2015年第7期792-795,共4页Chinese Journal of Osteoporosis

基　　金：宜昌市科技发展与研发项目医疗卫生课题基金项目(A11301-13)

摘　　要：目的研究腰椎椎体骨密度变化对下腰部疼痛视觉模拟评分(visual analogue scale,VAS)评估指数的影响。方法收集2011年3月-2013年3月来我院康复医学科就诊的老年下腰部疼痛患者154例,利用双能x线骨密度仪测定腰椎椎体(L1-L4)的骨密度、骨矿含量及T值(T-score)。利用VAS评估腰部疼痛程度。结果随着腰椎骨密度(bone mineral density,BMD)值,骨矿含量(bone mineral content,BMC)和腰椎骨密度平均T值的下降,腰椎VAS疼痛指数呈上升趋势。年龄分布与腰椎VAS疼痛指数有一定的相关性,二者呈线性回归分布,(P<0.05)。结论腰椎骨密度、骨矿含量及T值对描述腰部疼痛程度有一定的临床意义。Objective To study the effect of the change of bone mineral density of the lumbar vertebrae on visual analogue scale（ VAS） index. Methods A total of 154 patients with senile lumbar pain,who attend in the rehabilitation medicine clinic of our hospital from March 2011 to March 2013,were collected. The lumbar vertebral bone mineral density（ BMD）,bone mineral content（ BMC）,and T score were determined using dual-energy X-ray absorptiometry（ DEXA） and the lowback pain was evaluated using VAS. Re sults The lumbar VAS pain index increased with the decline of BMD,BMC,and T score（ P〈0. 05）. The distribution of age was associated with VAS,and their distribution was linearly correlated. Conclusion BMC,BMD,and T score are of clinical significance in the description of the lowback pain.

关 键 词：骨密度 骨质疏松症 下腰痛 视觉模拟评分法(VAS) 

分 类 号：R589[医药卫生—内分泌]