| 女性2型糖尿病患者骨密度测量及骨折风险预测 |
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| 引用本文： | 邹玲梅,曹磊,郭三千,金强,席倩.女性2型糖尿病患者骨密度测量及骨折风险预测[J].安徽医学,2010,31(1):30-32. |
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| 作者姓名： | 邹玲梅 曹磊 郭三千 金强 席倩 |
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| 作者单位： | 蚌埠市第三人民医院内分泌科,233000;蚌埠市第三人民医院内分泌科,233000;蚌埠市第三人民医院内分泌科,233000;蚌埠市第三人民医院内分泌科,233000;蚌埠市第三人民医院内分泌科,233000 |
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| 摘 要： | 目的探讨女性2型糖尿病（DM）患者骨密度（BMD）的变化，了解女性2型糖尿病患者骨质疏松性骨折的风险与骨密度的关系。方法应用双能X线骨密度吸收仪测定蚌埠地区169例女性2型DM患者（年龄40～89岁）和151例女性对照人员（年龄40～84岁）L2～4及股骨近端部位BMD，并进行比较。结果①随着年龄增长，女性2型糖尿病患者50～59岁、60—69岁、70～79岁股骨近端部位BMD均低于正常人，L2～4的BMD在60～69岁年龄段低于正常人，差异均有统计学意义；②不论腰椎还是股骨近端部位骨质疏松和骨量减少检出率在女性2型糖尿病患者均明显高于对照组（P〈0．01）；③女性2型糖尿病合并骨质疏松者中有36例发生41例次骨折，骨折发生例数与BMD的T值降低增加，骨质疏松性骨折患者百分比在I区间与Ⅲ区间、Ⅱ区间与Ⅲ区间有显著差异，当BMD≤-3．0SD时骨折发生例数显著增加。结论女性2型糖尿病患者易发生骨密度下降，应引起重视以预防病理性骨折；当BMD≤-3．OSD时骨折发生率明显上升，临床上可将当BMD≤-3．0SD时作为预测骨质疏松性骨折的风险指标。
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| 关 键 词： | 骨质疏松性骨折 骨密度 2型糖尿病 女性 |
The Measured of Bone Mineral Density in female patients with type 2 diabetes and its prediction for fracture risk |
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| Zou Lingmei,Cao Lei,Guo Sanqian,et al.The Measured of Bone Mineral Density in female patients with type 2 diabetes and its prediction for fracture risk[J].Anhui Medical Journal,2010,31(1):30-32. |
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| Authors: | Zou Lingmei Cao Lei Guo Sanqian |
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| Affiliation: | Zou Lingmei,Cao Lei,Guo Sanqian,et al Department of Endocrinology,Bengbu Third People's Hospital,Bengbu 233000,China |
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| Abstract: | Objective To study the change of bone mineral density (BMD) in female patients with type 2 diabetes,and to explore the relationship between the risks of the osteoporotic fracture in female patients with type 2 diabetes and the BMD.Methods BMD was measured by dual-energy x-ray absorptiometry at lumbar vertebrae 2-4,the proximal femur (femoral neck,Ward's triangle and greater trochanter) in 169 female patients with type 2 diabetes aged 40-89 years and 151 healthy women,and the comparisons were made between th... |
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| Keywords: | Osteoporotic Fracture Bone mineral density Type 2 diebetes women |
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