[1]熊义博,刘学员,邓泽熙,等.老年人骨质疏松与动脉硬化的关系[J].医学信息,2019,32(19):106-108.[doi:10.3969/j.issn.1006-1959.2019.19.033]
　XIONG Yi-bo,LIU Xue-yuan,DENG Ze-xi,et al.Relationship Between Osteoporosis and Arteriosclerosis in the Elderly[J].Journal of Medical Information,2019,32(19):106-108.[doi:10.3969/j.issn.1006-1959.2019.19.033]
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老年人骨质疏松与动脉硬化的关系()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年19期
页码:
106-108
栏目:
临床研究
出版日期:
2019-10-01

文章信息/Info

Title:
Relationship Between Osteoporosis and Arteriosclerosis in the Elderly
文章编号:
1006-1959（2019）19-0106-03
作者:
熊义博; 刘学员; 邓泽熙; 唐伟雄; 黄心元; 何 杰
（解放军联勤保障部队第九二四医院，广西 桂林 541004）
Author(s):
XIONG Yi-bo; LIU Xue-yuan; DENG Ze-xi; TANG Wei-xiong; HUANG Xin-yuan; HE Jie
(The 924th Hospital of the Joint Service of the People's Liberation Army,Guilin 541004,Guangxi,China)
关键词:
骨质疏松; 颈动脉硬化; 腹动脉硬化; 下肢动脉硬化
Keywords:
Osteoporosis; Carotid atherosclerosis; Abdominal arteriosclerosis; Lower extremity arteriosclerosis
分类号:
R541.4
DOI:
10.3969/j.issn.1006-1959.2019.19.033
文献标志码:
A
摘要:
目的 探讨老年人群骨质疏松与动脉硬化的关系。方法 选取2015年1月~2018年7月我院老年科就诊的老年患者245例作为研究对象，根据骨密度测定T值分为骨质疏松组（79例）和非骨质疏松组（166例），比较两组一般资料情况（年龄、BMI）生化检测结果（血钙、血磷）及动脉硬化情况（颈动脉、腹主动脉及下肢动脉硬化），采用Logistic回归分析骨质疏松与动脉硬化的关系。结果 两组BMI、Ca和P比较，差异无统计学意义（P＞0.05）；骨质疏松组年龄大于非骨质疏松组[（80.47±10.15）岁vs（75.32±14.43）岁]，差异有统计学意义（P＜0.05）。骨质疏松组颈动脉硬化和腹动脉硬化高于非骨质疏松组[（8.22±2.46）vs（3.90±2.02）]、[（12.21±2.38）vs（2.13±2.08）]，差异有统计学意义（P＜0.05）；两组下肢动脉硬化比较，差异无统计学意义（P＞0.05）。Spearman相关分析结果显示：年龄和骨质疏松、动脉硬化存在正相关性（r=0.368，P＜0.05；r=0.268，P＜0.05）；年龄在调控之后，动脉硬化和骨质疏松存在正相关性（r=0.326，P＜0.05）。Logistic回归分析结果显示，年龄是动脉硬化的高危因素。结论 老年患者发生骨质疏松的风险较高，骨质疏松、年龄是动脉硬化的高危因素。因此，早期进行骨密度测定并对骨质疏松的老年患者采取预防和干预措施，可缓解骨质疏松老年患者动脉硬化症状。
Abstract:
Objective To compare the relationship between osteoporosis and arteriosclerosis in the elderly. Methods A total of 245 elderly patients from the Department of Geriatrics in our hospital from January 2015 to July 2018 were enrolled. The T-values were divided into osteoporosis group (79 cases) and non-osteoporosis group (166 cases), comparing the two groups of general data (age, BMI) biochemical test results (blood calcium, blood phosphorus) and arteriosclerosis (carotid, abdominal aorta and lower extremity arteriosclerosis), using logistic regression analysis of osteoporosis and arteriosclerosis relationship.Results There were no significant differences in BMI, Ca and P between the two groups (P>0.05). The age of the osteoporosis group was greater than that of the non-osteoporosis group [(80.47±10.15) years old vs (75.32±14.43) years old], the difference was Statistical significance (P<0.05). Carotid atherosclerosis and abdominal atherosclerosis in the osteoporosis group were higher than those in the non-osteoporosis group [(8.22±2.46) vs (3.90±2.02)], [(12.21±2.38) vs (2.13±2.08)], the difference was statistical significance (P<0.05). There was no significant difference in lower extremity arteriosclerosis between the two groups (P>0.05). Spearman correlation analysis showed that there was a positive correlation between age and osteoporosis and arteriosclerosis (r=0.368,P<0.05;r=0.268,P<0.05). There was a positive correlation between arteriosclerosis and osteoporosis after age adjustment(r=0.326,P<0.05).Logistic regression analysis showed that age was a risk factor for arteriosclerosis. Conclusion The risk of osteoporosis is higher in elderly patients. Osteoporosis and age are risk factors for arteriosclerosis. Therefore, early bone density measurement and prevention and intervention measures for elderly patients with osteoporosis can alleviate the symptoms of arteriosclerosis in elderly patients with osteoporosis.

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更新日期/Last Update: 2019-10-01