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慢性腰腿痛与骨质疏松的临床研究 被引量:7

Clinical study of chronic lumbocrural pain and osteoporosis
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摘要 目的分析骨质疏松与腰腿痛的关系。方法回顾性分析浙江中医药大学附属第三医院2009年1月一2010年1月1年间收治的110例慢性腰腿痛患者并作为实验组,健康的对照组120例,2组年龄范围50~66岁。应用单光子骨矿测定仪器对患者进行骨密度指标的检测,主要的检测指标有骨矿含量(BMC)、横径(BW)、骨密度(BMC/BW)的数值。结果实验组骨密度正常者44例,减低者66例,占60%,其中男性36例,骨密度为(0.605±0.052)g/cm2;女性30例,骨密度为(0.501±0.031)g/cm2;对照组男性71例,骨密度为(0.799±0.048)g/cm2;女性49例,骨密度为(0.698±0.039)g/cm2,2组比较差别有统计学意义(P〈0.01)。实验组患者经治疗后症状明显减轻或消失,骨密度含量明显增加,说明慢性腰腿痛与骨密度有一定关系。结论骨质疏松会使骨密度含量下降,造成患者腰腿疼痛等症状。及时地进行骨质疏松的治疗,可以明显缓解患者的临床症状,提高骨密度。 Objective To study the osteoporosis with waist and leg pain. Methods 110 cases of chronic lumbocrural pain patients were systematically retrospectively analyzed from January 2009 to January 2010 in our hospital and treated as experimental group, 120 cases of healthy as control group, the age range was 50 to 66 years old. To apply single photon bone mineral measurement instrument to detect patients with bone density index, main measurements of bone mineral con- tent( BMC),width (BW), bone mineral density (BMC/BW). Results 44 cases had normal bone mineral density, re- duced was 66 cases, accounting for 60% , with 36 cases of men, bone mineral density of (0. 605 ± 0. 052 ) cm2 ;30 cases of women, bone mineral density was(0. 501 ± 0. 031 )gcm2 ;in control group,71 cases of male, with bone mineral density of (0.799 ± 0.048 ) g/cm2 ; women in 49 cases, with bone mineral density of ( 0. 698 ± 0. 039 ) g/cm2, P 〈 0.01, the difference had significant statistical significance. The symptoms in experimental group were significantly reduced or disap- peared after treatment, bone mineral density levels increased significantly. Chronic lumboerural was related with bone min- eral density. Conclusion Osteoporosis caused the dropped levels bone density, resulted in patients with lumbocrural pain and other symptoms, timely treating osteoporosis can obviously alleviate the patient' s clinical symptoms and improve bone density.
作者 陈小刚 吕一
出处 《中华全科医学》 2014年第5期748-749,共2页 Chinese Journal of General Practice
关键词 骨质疏松 腰腿疼痛 骨密度 Osteoporosis Waist pain Bone mineral density
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