老年2型糖尿病患者并发骨质疏松的危险因素分析  

Risk factors of osteoporosis in elderly patients with type 2 diabetes mellitus

作　　者：郭玉珠 黄爽[1] GUO Yuzhu;HUANG Shuang(Tianjin Hospital,Tianjin,300211,China)

机构地区：[1]天津市天津医院,300211

出　　处：《护理实践与研究》2021年第15期2241-2244,共4页Nursing Practice and Research

摘　　要：目的探讨老年2型糖尿病(T2DM)患者并发骨质疏松(OP)的危险因素及其防护对策。方法选取2018年6月—2019年12月在医院接受住院治疗的201例老年T2DM患者为研究对象,将并发OP患者85例作为病例组,不伴有OP患者116例作为对照组。采用单因素和多因素Logistic回归分析老年T2DM患者并发OP的独立危险因素。结果单因素分析结果显示,性别、年龄、BMI、握力水平、吸烟史、四肢骨骼肌质量指数(ASMI)、血磷浓度、维生素D代谢异常、贫血是影响老年T2DM患者并发骨质疏松的因素(P<0.05);多因素Logistic回归分析结果显示,年龄≥75岁、低握力、HbA1c≥7.5%、女性、ASMI偏低、贫血为影响T2DM患者并发OP的独立危险因素(P<0.05)。结论老年T2DM患者并发OP发生率偏高,影响因素诸多且复杂,针对上述独立危险与保护因素,临床医护人员应尽早评估,并采取个体化干预对策,以降低OP并发风险,改善预后。Objective To explore the risk factors and the preventive measures of osteoporosis(OP)in elderly patients with type 2 diabetes mellitus(T2DM).Methods A total of 201 hospitalized elderly patients with T2DM in the hospital from June 2018 to December 2019 were selected as the research subjects.85 patients with complicated OP were selected as the case group,116 patients without complicated OP were selected as the control group.Univariate and multivariate Logistic regression were applied to analyze the independent risk factors for complication of OP in elderly patients with T2DM.Results Univariate analysis showed that,gender,age,BMI,grip strength level,smoking history,limb skeletal muscle mass index(ASMI),blood phosphorus concentration,abnormal vitamin D metabolism,anemia were the infl uential factors of osteoporosis in elderly patients with type 2 diabetes(P<0.05).Multivariate Logistic regression analysis result showed that,age≥75 yrs old,low grip strength,HbA1c≥7.5%,female,comparatiely low ASMI,anemia were the independent risk factors for complication of OP in T2DM patients(P<0.05).Conclusion The incidence of complication of OP in elderly patients with T2DM was high and the infl uencing factors were various and complex,according to the above independent risk and protective factors,medical staff s should assess as soon as possible and take individualized intervention measures to reduce the risk of complication of OP and improve the prognosis.

关 键 词：老年2型糖尿病 骨质疏松 危险因素 防护对策 

分 类 号：R473.58[医药卫生—护理学]