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老年性骨质疏松患者股骨近端骨质量的改变 被引量:25

Changes of bone mass of proximal femur in patients with senile osteoporosis
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摘要 目的:骨质疏松主要表现为骨质含量减少,钙量减少,骨质量定量评估为骨质疏松的治疗提供了客观依据,为此探讨老年性骨质疏松股骨近端骨质量的改变。方法:调查于2002-08/2004-03在广东省第二人民医院完成,采用骨密度测量仪(NorlandXR36,USA)对40例老年测试者股骨近端骨质量进行测量,同时进行血清钙和磷含量的检测。结果:股骨颈的骨密度值为(0.735±0.118)g/cm2,股骨转子的骨密度值为(0.584±0.121)g/cm2,血清钙值为(2.7±0.6)mmol/L,血清磷值为(0.99±0.40)mmol/L。结论:老年人股骨近端骨密度明显降低,易并发股骨颈或股骨转子间骨折。骨密度测量为骨质疏松提供定量评估依据,并为预防股骨近端骨折并发症的发生提供理论基础。 AIM:Osteoporosis is mainly manifested as the decrease of bone mineral content and bone calcium content.The quantitative evaluation of bone mass has provided a subject evidence for the treatment of osteoporosis.The aim of this study is to investigate the changes of bone mass of proximal femur in patients with senile osteoporosis. METHODS:The survey was performed in the Second People's Hospital of Guangdong Province from August 2002 to March 2004.The bone mineral density(BMD) of proximal femurs in 40 patients with senile osteoporosis was measured with a densitometer for BMD(Norland XR36 USA). Meanwhile,the levels of serum calcium and phosphorus were determined. RESULTS:The BMD of femur neck was (0.735±0.118) g/cm2,and (0.584±0.121) g/cm2 of the femur trochanter.The level of serum calcium was(2.7±0.6) mmol/L and the level of serum phosphorus was (0.99±0.40) mmol/L. CONCLUSION:The BMD was obviously decreased in proximal femur of the elderly people.Femoral neck fracture or intertrochanteric fracture easily occurred.The measurement for BMD provides a subjective evidence for quantitative evaluation of osteoporosis,and also a theoretical basis for preventing the complication of proximal femur fracture.
出处 《中国临床康复》 CSCD 北大核心 2005年第3期200-201,共2页 Chinese Journal of Clinical Rehabilitation
基金 广东省医学科学技术研究基金资助项目(A2002549)~~
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