成年男性骨质疏松和骨量减少与心血管疾病危险因素的关系  

Study on the Relationship Between Osteoporosis,Osteopenia and Cardiovascular risk Factors in Adult Males

作　　者：李娜[1] 邬月琴[2] LI Na;WU Yueqin(Baotou Medical College of Inner Mongolia University of Science and Technology,Baotou 014000 China;Endocrine Department of the First Affiliated Hospital of Baotou Medical College,Baotou 014010 China)

机构地区：[1]内蒙古科技大学包头医学院,内蒙古包头014040 [2]包头医学院第一附属医院内分泌科,内蒙古包头014010

出　　处：《内蒙古医学杂志》2023年第4期439-442,共4页Inner Mongolia Medical Journal

摘　　要：目的探究成年男性骨质疏松和骨量减少与心血管疾病危险因素的关系,提高对成年男性人群骨质疏松症的重视。方法选取2018年12月至2021年12月于本院体检科进行骨密度检测的284例成年男性(18~60岁),根据骨密度检测结果分为骨量正常组(190例)和骨量异常组(94例,包括骨量减少和骨质疏松),收集心血管疾病危险因素指标(年龄、BMI、高血压、空腹血糖、同型半胱氨酸、血脂、血尿酸、脂肪肝、吸烟史、饮酒史等),分析其相关性。结果本院体检的成年男性骨量异常的检出率为33.10%,其中骨量减少的检出率(29.58%)高于骨质疏松(3.52%)。骨量异常组肥胖的比例显著低于骨量正常组;骨量异常组的年龄、空腹血糖、同型半胱氨酸、总胆固醇水平以及合并高血压的比例均高于骨量正常组;两组脂肪肝、吸烟史、饮酒史、血尿酸、甘油三酯、高密度脂蛋白和低密度脂蛋白比较,差异均无统计学意义(P>0.05)。结论体检的成年男性中,骨密度水平与多种心血管疾病危险因素(年龄、BMI、高血压、空腹血糖、同型半胱氨酸、总胆固醇)相关,应及早重视,针对性预防成年男性骨质疏松与心血管疾病的发生。Objective To understand the relationship between osteoporosis and osteopenia and risk factors of cardiovascular disease in adult males,and to pay more attention to osteoporosis in adult males.Methods The adult male who underwent bone mineral density test in the physical examination department of our hospital from December 2018 to December 2021 were divided into 190 cases of normal bone mass group and 94 cases abnormal bone mass group(including osteopenia and osteoporosis)according to the bone mineral density test results,and the cardiovascular disease risk factors(age,BMI,hypertension,fasting blood glucose,homocysteine,blood lipids,blood uric acid,fatty liver,smoking history,drinking history,etc)were collected.Results The detection rate of abnormal bone mass in adult males was 33.10%,and the detection rate of decreased bone mass(29.58%)was higher than that of osteoporosis(3.52%).The proportion of obesity in the group with abnormal bone mass was significantly lower than that in the group with normal bone mass;The age,fasting blood glucose,homocysteine,total cholesterol levels and the proportion of hypertension in the abnormal bone mass group were higher than those in the normal bone mass group;There was no significant difference in fatty liver,smoking history,drinking history,blood uric acid,triglyceride,high-density lipoprotein and low-density lipoprotein between the two groups(P>0.05).Conclusion Among the adult males in physical examination,the level of bone mineral density is related to a varie⁃ty of cardiovascular disease risk factors(age,BMI,hypertantion,fasting blood glucose,homocysteine,total cholester⁃ol),which should be paid attention to as early as possible to prevent osteoporosis and cardiovascular disease in adult males.

关 键 词：骨质疏松 骨量减少 心血管疾病 危险因素 

分 类 号：R681[医药卫生—骨科学]