摘要
目的:探究睡眠障碍与绝经后女性骨密度及骨折发生率的相关性。方法:选取2018年10月—2020年10月在长春中医药大学附属医院骨科中心住院的绝经后女性患者156名,用PSQI量表(匹兹堡睡眠质量指数量表)和个人问卷调查对睡眠质量进行评估,得出的PSQI分数可分为睡眠无障碍组(0~7分)、睡眠轻度障碍组(7~11分)、睡眠中度障碍组(12~16分)和睡眠重度障碍组(17~21分);同时测量骨密度及统计骨折发生率。结果:绝经后女性睡眠障碍与骨密度存在相关性,随着睡眠障碍程度的加重,各部位骨密度均有所下降(r=-0.89,F=755.7,P=0.000);随着睡眠障碍程度的加重,骨折发生率逐渐上升(χ^(2)趋势=33.29,P=0.000)。结论:绝经后女性骨质密度和骨折发生率与睡眠障碍密切关联,睡眠障碍程度的不断加重,导致骨密度减低,骨折发生率增高,睡眠质量的改善能够显著降低绝经后女性骨质疏松所致骨折的发生率,从而提高生活品质。
Objective:To explore the correlation between sleep disturbance and bone mineral density and fracture incidence in postmenopausal women.Methods:From October 2018 to October 2020,156 postmenopausal female patients who were hospitalized in the Orthopaedic Center of the Affiliated Hospital of Changchun University of Traditional Chinese Medicine were selected.The obtained PSQI scores can be divided into sleep disorder group(0-7 points),mild sleep disorder group(7-11 points),moderate sleep disorder group(12-16 points)and severe sleep disorder group(17 to 21 points);BMD and fracture incidence were measured at the same time.Results:There was a correlation between sleep disturbance and bone mineral density in postmenopausal women.With the aggravation of sleep disturbance,the bone mineral density of all parts decreased(r=-0.89,F=755.7,P=0.000);The incidence of fracture gradually increased(χ^(2) trend=33.29,P=0.000).Conclusion:The bone mineral density and fracture incidence of postmenopausal women are closely related to sleep disorders.The continuous aggravation of sleep disorders leads to a decrease in bone mineral density and an increase in the incidence of fractures.The improvement of sleep quality can significantly reduce the incidence of osteoporosis in postmenopausal women.The incidence of fractures,thereby improving the quality of life.
作者
卞李军
冷向阳
BIAN Lijun;LENG Xiangyang(Changchun University of Traditional Chinese Medicine,Jilin Changchun 130117,China)
出处
《中医药临床杂志》
2022年第2期364-367,共4页
Clinical Journal of Traditional Chinese Medicine
关键词
绝经后女性
骨密度
睡眠障碍
骨折发生率
骨质疏松
Postmenopausal women
Bone mineral density
Sleep disturbance
Fracture incidence
Osteoporosis
