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作 者:饶淑梅 田蓉 RAO Shumei;TIAN Rong(School of Medicine,Tianjin Tianshi College,Tianjin301700,China)
出 处:《中国当代医药》2022年第28期159-162,共4页China Modern Medicine
基 金:天津天狮学院校级科学研究重点培育项目(K20002)。
摘 要:目的探讨老年人骨密度T值与生活方式的相关性,旨在寻求预防老年人骨质疏松的方法。方法选取2020年2月至2022年1月在天津医科大学总医院住院的432例老年患者作为研究对象,收集患者的社会人口学资料、服用药物情况、生活习惯、骨质疏松指标等。采用SPSS 22.0统计学软件处理数据,统计分析老年人骨密度T值与生活方式的相关性。结果女性老年患者的骨密度T值低于男性,体重指数≤18.4 kg/m2老年患者的骨密度T值低于体重指数>18.4 kg/m2者,年龄≥80岁老年患者的骨密度T值低于年龄<80岁者,牛奶摄入<3次/周老年患者的骨密度T值低于牛奶摄入≥3次/周者,应用他汀类药物老年患者的骨密度T值高于未应用者,应用含维生素D3钙片老年患者的骨密度T值高于未应用者,差异有统计学意义(P<0.05)。Pearson相关性分析结果显示,老年患者的骨密度T值与年龄呈负相关(r=-0.327,P<0.05),老年患者的骨密度T值与体重指数、牛奶摄入频率、他汀类药物应用、含维生素D3钙片应用呈正相关(r=0.284、0.317、0.296、0.247,P<0.05)。结论体重指数偏低、年龄偏大的患者骨密度T值更低,更易发生骨质疏松,临床应该提高重视,并通过多喝牛奶、服用含维生素D3钙片等有效措施加强干预,以提高骨质疏松的防治效果。Objective To investigate the correlation between bone mineral density T value and lifestyle in the elderly,so as to seek a way to prevent osteoporosis in the elderly.Methods A total of 432 elderly patients hospitalized in the General Hospital of Tianjin Medical University from February 2020 to January 2022 were selected as the study subjects,and the patients′socio-demographic data,medication consumption,lifestyle habits,and osteoporosis indexes were collected.SPSS 22.0 statistical software was used to analyze the correlation between bone mineral density T value and lifestyle in the elderly.Results The T value of bone mineral density in elderly female patients was lower than that in male patients,the T value of bone mineral density in elderly patients with body mass index≤18.4 kg/m2 was lower than that in elderly patients with body mass index>18.4 kg/m2,the T value of bone mineral density in elderly patients≥80 years old was lower than that in elderly patients<80 years old,and the T value of bone mineral density in elderly patients with milk intake<3 times/week was lower than that in elderly patients with milk intake≥3 times/week,the T value of bone mineral density in elderly patients who used Statins was higher than that in those who did not use Statins,and the T value of bone mineral density in elderly patients who used Calcium Tablets containing Vitamin D3 was higher than that in those who did not use Calcium Tablets containing Vitamin D3,and the differences were statistically significant(P<0.05).Pearson correlation analysis showed that there was a negative correlation between bone mineral density T value and age in elderly patients(r=-0.327,P<0.05).The T value of bone mineral density in elderly patients was positively correlated with body mass index,milk intake frequency,Statin use,and Calcium Tablets containing Vitamin D3(r=0.284,0.317,0.296,0.247,P<0.05).Conclusion Patients with lower body mass index and older age have lower bone mineral density T value and are more likely to develop osteoporosis.Cli
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