絕經(jīng)后代謝綜合征女性患者血尿酸水平與骨密度的關(guān)系
發(fā)布時(shí)間:2018-06-13 08:32
本文選題:絕經(jīng)后 + 代謝綜合征 ; 參考:《廣東醫(yī)學(xué)》2017年23期
【摘要】:目的探討絕經(jīng)后代謝綜合征(MS)女性患者正常范圍內(nèi)血尿酸水平與腰椎及股骨頸骨密度之間的關(guān)系。方法選取絕經(jīng)后MS女性患者156例,其血尿酸水平均在正常范圍(150.0~360.0μmol/L)內(nèi),以血尿酸均值(252.0μmol/L)為界分為A、B兩組,A組患者尿酸水平≥150.0且≤252.0μmol/L,B組患者尿酸水平252.0且≤360.0μmol/L。比較兩組患者的臨床生化指標(biāo)和骨密度的差異。分析尿酸水平與腰椎及股骨頸骨密度之間的關(guān)系。結(jié)果 (1)B組患者的體質(zhì)指數(shù)、收縮壓、高血壓百分比明顯高于A組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);(2)B組患者的三酰甘油、肌酐、尿素氮、尿酸、腰椎骨密度明顯高于A組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);(3)患者的腰椎骨密度與尿酸呈正相關(guān),有統(tǒng)計(jì)學(xué)意義(r=0.349,P=0.029),股骨頸骨密度與尿酸無相關(guān)關(guān)系,無統(tǒng)計(jì)學(xué)意義(r=0.186,P=0.258);(4)尿酸與骨質(zhì)疏松診斷的ROC曲線提示尿酸對骨質(zhì)疏松的診斷有意義(AUC=0.773,P=0.047)。結(jié)論在尿酸水平正常的絕經(jīng)后MS婦女中,尿酸水平與腰椎骨密度呈正相關(guān),而與股骨頸骨密度無相關(guān)關(guān)系。
[Abstract]:Objective to investigate the relationship between serum uric acid level and bone mineral density of lumbar vertebrae and femoral neck in postmenopausal metabolic syndrome (MS) women. Methods 156 postmenopausal MS women were selected. The serum uric acid levels were within the normal range of 150.0 渭 mol / L, and the mean value of uric acid was 252.0 渭 mol / L, which was divided into two groups: group A, with uric acid level 鈮,
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