本文關鍵詞：絕經后婦女椎體脆性骨折的雙能X線骨密度儀評估及其與血清骨轉化、骨代謝指標的關系　出處：《海南醫(yī)學院學報》2016年21期 　論文類型：期刊論文

  更多相關文章： 絕經后骨質疏松癥 骨密度 椎體脆性骨折 骨轉化 骨代謝

【摘要】：目的:研究絕經后婦女椎體脆性骨折雙能X線骨密度測量結果與血清骨轉化、骨代謝指標的關系。方法:選擇2012年4月~2015年12月期間在復旦大學附屬上海市第五人民醫(yī)院接受DXA檢查的158例絕經后婦女,根據骨密度測量結果分為骨質疏松組、骨量減少組、骨質正常組,根據胸腰椎正側位片結果分為無椎體骨折組、胸椎骨折組、腰椎骨折組、胸腰椎骨折組,采集血清并測定骨轉化和骨代謝指標。結果:胸椎骨折、胸腰椎骨折受試者的股骨頸、髖部、腰椎L1~4骨密度顯著低于無椎體骨折的受試者,腰椎骨折受試者的股骨頸、髖部、腰椎L1~4骨密度與無椎體骨折的受試者無顯著性差異;骨質疏松組、骨量減少組絕經后婦女血清中PINP、ICTP、CTX、TRACP-5b、MMP13、OPG、OPN含量顯著高于骨量正常組,25(OH)D、BGP、ON含量顯著低于骨量正常組;骨質疏松組絕經后婦女血清中PINP、ICTP、CTX、TRACP-5b、MMP13、OPG、OPN含量顯著高于骨量減少組,25(OH)D、BGP、ON含量顯著低于骨量減少組。結論:雙能X線骨密度測定對絕經后婦女胸椎脆性骨折和胸腰椎脆性骨折的預測價值明確且與骨轉化、骨代謝的改變密切相關。
[Abstract]:Objective: To study the postmenopausal women with vertebral fracture dual energy bone density measurements and X-ray conversion relationship between serum bone, bone metabolism index. Methods: April 2012 ~2015 year in December at the Fudan University affiliated Fifth People's Hospital of Shanghai, received DXA examination of 158 cases of postmenopausal women, according to the measurement of bone mineral density results were divided into osteoporosis group osteopenia group, normal group, osteoporosis, according to thoracic and lumbar radiographs were divided into non vertebral fracture group, thoracic fracture group, lumbar fracture group, thoracolumbar fracture group, serum and determination of bone turnover and bone metabolism index. Results: thoracic vertebral fracture, the subjects of the femoral neck, thoracic and lumbar fractures hip bone density in L1~4 was significantly lower than that of the subjects without vertebral fracture, lumbar fracture subjects of femoral neck, hip, there was no significant difference in bone density in L1~4 and non vertebral fracture subjects; osteoporosis group, bone mass reduction Small group of postmenopausal women in serum PINP, ICTP, CTX, TRACP-5b, MMP13, OPG, OPN were significantly higher than that in normal bone mass group, 25 (OH) D, BGP, ON were significantly lower than normal bone mass group; osteoporosis group of postmenopausal women in serum PINP, ICTP, CTX, TRACP-5b, MMP13, OPG, OPN the content was significantly higher than that of osteopenia group, 25 (OH) D, BGP, ON were significantly lower in osteopenia group. Conclusion: dual energy X-ray bone density determination of predictive value of postmenopausal women with thoracic and thoracolumbar fracture of brittle fracture of brittle bone and clear and transformation, is closely related to bone metabolism changes.

【作者單位】： 復旦大學附屬上海市第五人民醫(yī)院核醫(yī)學科;
【基金】：上海市第五人民醫(yī)院科研課題(2013WYQJ05)~~
【分類號】：R580;R683;R816.8
【正文快照】： group and osteopenia group were significantly higher than those of normal bone mass group while 25(OH)D,BGP and ON con-tent were significantly lower than those of normal bone mass group;serum PINP,ICTP,CTX,TRACP-5b,MMP13,OPGand OPN content of osteoporosi

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