老年男性2型糖尿病患者合并骨质疏松症的影响因素分析  

Analysis of influencing factors of osteoporosis in elderly male patients with type 2 diabetes mellitus

作　　者：李苗 范林豪 LI Miao;FAN Linhao(Xi'an Medical University,Xi'an 710021;Hanzhong Second People's Hospital,Hanzhong 723000,China)

机构地区：[1]西安医学院,陕西西安710021 [2]汉中市第二人民医院,陕西汉中723000

出　　处：《临床医学研究与实践》2024年第36期41-44,共4页Clinical Research and Practice

摘　　要：目的探究老年男性2型糖尿病(T2DM)患者合并骨质疏松(OP)的影响因素。方法回顾性分析2022年1月至12月住院治疗的206例老年男性T2DM患者的临床资料,根据双能X线骨密度仪(DAX)检查结果将其分为非OP组和OP组。比较两组的一般资料及实验室检查结果;分析老年男性T2DM患者合并OP的影响因素。结果206例老年男性T2DM患者中,42例合并OP,OP发生率为20.39%。Logistic回归分析结果显示,吸烟史、低体质指数(BMI)、低N-端骨钙素(N-OST)、低总维生素D、高空腹血糖(FBG)、低空腹C肽(FCP)是老年男性T2DM患者合并OP的危险因素(P<0.05)。结论吸烟史、低BMI、低N-OST、低总维生素D、高FBG、低FCP与老年男性T2DM患者合并OP有关。Objective To explore the influencing factors of osteoporosis(OP)in elderly male patients with type 2 diabetes mellitus(T2DM).Methods The clinical data of 206 elderly male patients with T2DM who were hospitalized from January to December 2022 were retrospectively analyzed.According to the results of dual-energy X-ray absorptiometry(DAX),the patients were divided into non-OP group and OP group.The general data and laboratory examination results of the two groups were compared;the influencing factors of OP in elderly male patients with T2DM were analyzed.Results Among 206 elderly male patients with T2DM,42 cases were complicated with OP,and the incidence of OP was 20.39%.Logistic regression analysis results showed that smoking history,low body mass index(BMI),low N-osteocalcin(N-OST),low total vitamin D,high fasting blood glucose(FBG)and low fasting C-peptide(FCP)were risk factors for OP in elderly male patients with T2DM(P<0.05).Conclusion Smoking history,low BMI,low N-OST,low total vitamin D,high FBG and low FCP were associated with OP in elderly male patients with T2DM.

关 键 词：老年 男性 2型糖尿病 骨质疏松 

分 类 号：R587.202[医药卫生—内分泌]