论文部分内容阅读
目的:探讨老年患者骨质疏松与动脉钙化之间的相关性。方法:对123例老年住院患者采用双能X线吸收法测定腰椎正位(L1～4)、股骨颈(左股骨、右股骨)骨密度T值,分析骨密度与冠状动脉钙化的关系;同时按AJ-130、Volume-130两种评分标准进行心脏冠状动脉钙化评分;将123例患者按年龄段分为A、B、C三组各41例,观察比较各年龄段骨量减少、骨质疏松、动脉钙化情况。结果:骨量减少、骨质疏松者冠状动脉钙化严重程度显著高于骨量正常者(P<0.01),钙化评分与骨密度呈负相关;骨量减少、骨质疏松、动脉钙化严重程度随年龄增加呈显著上升趋势(P<0.01)。结论:老年骨质疏松患者较非骨质疏松者更易发生动脉钙化病变,同时存在动脉钙化病变者也易致骨量丢失,提示骨质疏松与动脉钙化之间可能存在共同危险因素。
Objective: To investigate the correlation between osteoporosis and arterial calcification in elderly patients. Methods: T-scores of lumbar spine (L1 ~ 4) and femoral neck (left femur and right femur) were measured by dual-energy X-ray absorptiometry in 123 elderly inpatients. The relationship between BMD and coronary artery calcification was analyzed. According to AJ-130, Volume-130 two grades of coronary heart calcification score; 123 patients by age group divided into A, B, C three groups of 41 cases, observed in all age groups decreased bone mass, Loose, arterial calcification. Results: The severity of coronary artery calcification in osteoporosis patients was significantly higher than that in normal controls (P <0.01). Calcification score was negatively correlated with BMD. The severity of osteopenia, osteoporosis and arterial calcification The age increased significantly (P <0.01). Conclusion: Elderly patients with osteoporosis are more prone to arterial calcification than those without osteoporosis, and those with arterial calcification are also prone to loss of bone mass, suggesting that there may be common risk factors between osteoporosis and arterial calcification.