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目的分析2型糖尿病(2-DM)患者腰椎双能X线骨密度仪(DEXA)骨密度(BMD)测定指标。方法选择2012年6月至2013年6月来本院健康医学部接受身体检查人员,入选对象中检出2-DM患者82例,对照组为700例同期参加本院体检无2-DM患者。分析两组入选者腰椎DEXA技术扫描资料。结果 82例2-DM患者发生腰椎OP45例(54.87%),明显高于对照组(215例,30.71%)(χ2=4.771,P<0.05)。2-DM患者L1、L2、L3、L4及L1-4BMD值均明显低于对照组(P均<0.05~0.01)。结论 2-DM患者存在着明确的DEXA腰椎BMD指标减低表现,OP发生率显著增加。
Objective To analyze the measurement of bone mineral density (BMD) in patients with type 2 diabetes mellitus (DM) by dual energy X-ray absorptiometry (DEXA). Methods From June 2012 to June 2013, 82 cases of 2-DM patients were enrolled in the Department of Health Medicine of our hospital and 700 cases in the control group were enrolled in this study. Two groups of prospective lumbar DEXA scan data were analyzed. Results 82 cases of 2-DM patients had OP45 (54.87%), which was significantly higher than that of the control group (215 cases, 30.71%) (χ2 = 4.771, P <0.05). The levels of L1, L2, L3, L4 and L1-4 BMD in 2-DM patients were significantly lower than those in control group (all P <0.05-0.01). Conclusions Decreased performance of 2-DM patients with definite dementia index of BMD of lumbar spine was observed, and the incidence of OP was significantly increased.