【摘要】：目的探討Singh指數(shù)在老年女性髖部脆性骨折患者骨密度評(píng)估中的應(yīng)用價(jià)值。方法將216例老年女性髖部脆性骨折患者按年齡分為4組,60~70歲組53例,71~80歲組83例,81~90歲組68例,90歲組12例。行髖部X線攝影,評(píng)估患者健側(cè)Singh指數(shù),并將Singh指數(shù)≤Ⅳ級(jí)作為骨質(zhì)疏松診斷標(biāo)準(zhǔn)。分析2名診斷醫(yī)師間隔1個(gè)月前后兩次評(píng)估Singh指數(shù)分級(jí)的一致性;比較各年齡組患者身高、體質(zhì)量及體質(zhì)量指數(shù)(BMI)及Singh指數(shù)的差異;并評(píng)價(jià)髖部Singh指數(shù)與患者年齡、BMI的相關(guān)性。結(jié)果 2名醫(yī)師評(píng)估Singh指數(shù)分級(jí)的觀察者內(nèi)Kappa值分別為0.631、0.615,觀察者間Kappa值分別為0.622、0.598。應(yīng)用Singh指數(shù)診斷骨質(zhì)疏松的總體檢出率為89.35%(193/216)。各年齡組患者身高、體質(zhì)量及BMI差異均無統(tǒng)計(jì)學(xué)意義(P均0.05),Singh指數(shù)差異有統(tǒng)計(jì)學(xué)意義(H=56.077,P0.001)。Singh指數(shù)與患者年齡呈負(fù)相關(guān)(r=-0.656,P0.001),與BMI無相關(guān)性(r=-0.008,P=0.902)。結(jié)論 X線平片Singh指數(shù)雖然相對(duì)經(jīng)濟(jì)、簡便且較為實(shí)用,但重復(fù)性較低,不能完全反映老年女性脆性骨折患者骨密度情況。
[Abstract]:Objective to evaluate the value of Singh index in the evaluation of bone mineral density (BMD) in elderly women with fragile hip fractures. Methods 216 elderly female patients with fragile hip fracture were divided into 4 groups according to their age: 53 cases in 6070 years old group, 83 cases in 71 ~ 80 years old group, 68 cases in 81 ~ 90 years old group and 12 cases in 90 years old group. Hip radiography was performed to evaluate the healthy Singh index, and the Singh index 鈮，

本文編號(hào)：2262709