老年人髋部骨折与骨密度相关性研究  

Study on correlation between hip fracture and bone mineral density in the elderly

作　　者：张赫 刘曼 倪嘉鸿 王斯佳 孙明 蔡振存[1] ZHANG He;LIU Man;NI Jia-hong;WANG Si-jia;SUN Ming;CAI Zhen-cun(Department of Orthopedics,Central Hospital Affiliated to Shenyang Medical College,Shenyang 110075,China;Department of Radiology,Central Hospital Affiliated to Shenyang Medical College,Shenyang 110075,China;Department of Emergency,Central Hospital Affiliated to Shenyang Medical College,Shenyang 110075,China;School of Basic Medicine,Shenyang Medical College,Shenyang 110034,China)

机构地区：[1]沈阳医学院附属中心医院骨科,辽宁沈阳110075 [2]沈阳医学院附属中心医院放射科,辽宁沈阳110075 [3]沈阳医学院附属中心医院急诊科,辽宁沈阳110075 [4]沈阳医学院基础医学院,辽宁沈阳110034

出　　处：《临床军医杂志》2024年第2期153-155,共3页Clinical Journal of Medical Officers

基　　金：沈阳医学院硕士研究生科技创新基金项目(Y20220525);沈阳市科技计划项目基金(22-321-32-13);国家骨科与运动康复临床医学研究中心创新基金(2021-NCRC-CXJJ-PY-02)。

摘　　要：目的探讨老年人髋部骨折与骨密度(BMD)的相关性。方法选取自2020年1月至2022年10月沈阳医学院附属中心医院收治的196例髋部骨折患者为研究对象。根据髋部骨折部位将患者分为A组(股骨颈部骨折,n=136)与B组(股骨粗隆部骨折,n=60)。所有研究对象均应用双能X线BMD仪检查腰椎和双侧股骨的BMD。记录并比较两组患者腰椎BMD、双股骨总BMD的T值,以及健侧股骨BMD、患侧股骨BMD的T值。比较所有患者患侧股骨与健侧股骨BMD的T值。结果A组患者腰椎BMD的T值、双股骨总BMD的T值均高于B组,差异均有统计学意义(P<0.05)。A组患侧股骨BMD的T值、健侧股骨BMD的T值均高于B组,差异均有统计学意义(P<0.05)。所有髋部骨折患者患侧股骨BMD的平均T值为(-1.59±1.16),高于健侧股骨BMD的平均T值(-2.13±1.33),差异有统计学意义(P<0.05)。结论髋部骨折患者的健侧股骨骨量更低,其中股骨粗隆部骨折患者骨质疏松更为严重,在诊治时更应注意骨质疏松症的治疗,预防健侧二次骨折的发生。Objective To investigate the correlation between hip fracture and bone mineral density(BMD)in the elderly.Methods 196 patients with hip fracture admitted to the Central Hospital of Shenyang Medical College from January 2020 to October 2022 were selected as the study objects.Patients were divided into group A(femoral neck fracture,n=136)and group B(femoral trochanter fracture,n=60)according to the location of hip fracture.BMD of lumbar spine and bilateral femur was examined by gual-energy x-ray absorptiometry in all subjects.The T values of lumbar BMD,total BMD of both femurs,and BMD of healthy and affected femurs were recorded and compared between the two groups.The T values of BMD on the affected and healthy femur of all patients were compared.Results The T value of lumbar BMD and double femur BMD in group A were higher than those in group B,with statistical significance(P<0.05).The T value of the BMD of the affected side and the healthy side of the femur in group A were higher than those in group B,with statistical significance(P<0.05).The mean T value of the BMD on the affected side was(-1.59±1.16),which was higher than that on the healthy side(-2.13±1.33),and the difference was statistically significant(P<0.05).Conclusion The healthy femur bone mass is lower in patients with hip fracture,and the osteoporosis is more serious in patients with femoral trochanteric fracture.More attention should be paid to the treatment of osteoporosis in diagnosis and treatment to prevent the occurrence of secondary fractures on the healthy side.

关 键 词：老年人 骨密度 髋部骨折 骨质疏松症 

分 类 号：R683.4[医药卫生—骨科学] R580[医药卫生—外科学]