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目的:探讨脆性骨折骨密度(BMD)在骨质疏松症(OP)中的早期诊断价值。方法:选取2010年4月~2013年4月间我院确诊的脆性骨折患者258例,采用双能X线骨密度仪(DXA)测定BMD,分析其临床特征及危险因素。结果:不同骨折部位OP检出率差异有显著性(P<0.05),以髋部、椎体检出率较高(57.78%、53.61%);OP检出组的年龄、有症状人数比例高于非检出组(P<0.05),但非检出组危险因素总数较OP检出组高(P<0.05)。结论:结合脆性骨折患者临床特征和危险因素,选择合适部位测量BMD可增加OP的早期诊断。
Objective: To investigate the early diagnostic value of bone mineral density (BMD) in osteoporosis (OP). Methods: A total of 258 patients with fragility fractures diagnosed in our hospital from April 2010 to April 2013 were selected. BMD was measured by dual energy X-ray absorptiometry (DXA), and their clinical characteristics and risk factors were analyzed. Results: The detection rate of OP in different fracture sites was significantly different (P <0.05), and the detection rate of hip and vertebral body was higher (57.78%, 53.61%). The age, the proportion of symptomatic patients in OP group were higher (P <0.05), but the total number of risk factors in non-detection group was higher than that in OP detection group (P <0.05). Conclusion: Combining the clinical features and risk factors of patients with brittle fracture, measuring the appropriate site to measure BMD can increase the early diagnosis of OP.