摘要
目的通过分析本地区农村中老年妇女不明原因腰背疼痛与骨密度的关系,阐明本地区农村妇女骨质疏松的临床症状特点,为骨质疏松的早期诊断提供理论依据。方法对本地区50岁以上农村女性不明原因腰背疼痛患者433例,测量腰椎(lumbar spine,LB)正位(L2～L4)、髋部股骨颈(Neck)、三角区(Ward)、大转子(Troch)的骨密度值,统计各部位的T值(T-Score),比较不同年龄组和不同疼痛程度患者的T值。结果骨密度下降最显著在50～59岁之间,以T值≤-2为骨质疏松患者,腰部316例(73.0%);髋部Neck 251例(58.0%);Ward 273例(63.0%);Troch 187例(43.2%);有354例(81.6%)有1处或多处骨质疏松。年龄越大,骨质疏松发生率越高,超过80岁患者,100%有1处或多处骨质疏松。结论不明原因腰背疼痛的女性不同部位骨密度丢失率均较高,对这一群体的中老年女性进行骨密度检查,有利于提高骨质疏松的检出率,对早期治疗有重要意义。50～59岁是防治骨质疏松的最佳时机。
Objective By analyzing the relationship of the middle age and older female in countryside with chronic low back pain and their bone mineral density （BMD）, and to explore the clinical characteristic of osteoporosis in the female living in rural region and the clued of early diagnosis of osteoporosis. Methods There were 433 women living in the countryside over the age of 50 and with chronic unknown cause of low back pain. The bone mineral density of lumbar vertebra （L2 - L4 ） in normotopia and hip bone mineral density （neck, ward, troeh） were measured with dual energy X-ray bone mineral density detector, and the T-score of each part were analyzed. Results With the criteria of T-score 〈 - 2 to diagnose osteoporosis, the patients with osteoporosis in lumbar vertebra were 316 （73.0%）, and in the hip neck, ward and troch were 251 （58.0%）, 273 （63.0%） and 187 （43.2%） respectively. There were 354 （81.6%） patients who had one or more bones with osteoporosis. In the patients over 80 years old, 100% of them were detected one or more bones with osteoporosis. Conclusion In the women over 50 years old with unknown cause of chronic low back pain, the incidences of bone mineral density loss were very high, and bone mineral density measure may benefit early diagnosis and further more early prevention of osteoporosis in these patients. The optimization opportunity for treatment of osteoporosis is between 50 and 60 years old.
出处
《中国骨质疏松杂志》
CAS
CSCD
2008年第12期880-882,886,共4页
Chinese Journal of Osteoporosis
基金
贺州市科学技术局科研课题资助项目(0605002Y)
关键词
农村中老年妇女
腰背疼痛
骨密度
骨质疏松症
Middle-aged and older female in countryside
Low back pain
Bone mineral density （BMD）
Osteoporosis
