老年男性健康及几种疾病状态骨矿含量测量结果分析

Analysis in bone mass density in aged male among health and several diseases

目的 探讨老年男性在慢性阻塞性肺部疾患、糖尿病、心脑血管疾病及健康状况时骨矿含量的差异 ,分析老年男性骨质疏松易患规律。方法 年龄大于 6 0岁的男性 32 2例 ,分为慢性阻塞性肺部疾患、糖尿病、心脑血管病、健康人群 4组 ,全部采用双能X光骨密度仪检测腰椎、髋关节、左前臂远端骨密度。分别对 4组的骨密度进行比较 ,根据骨密度计算各组骨质疏松的患病率。结果 骨质疏松患病率为严重的慢性阻塞性肺部疾患组 10 0 % ;糖尿病组 6 5 % ;心脑血管病组 6 1 5 % ;健康状况组 6 0 %。严重的慢性阻塞性肺部疾患组除Ward s部位外 ,各部位骨密度与其他 3组比最低 ,且均有显著性差异。结论 严重的慢性阻塞性肺部疾患是老年男性骨质疏松的易患人群。糖尿病组、心脑血管病组与健康状况组骨质疏松患病率相当。

Objective Discussing the difference of the bone mass density among severe chronic obstructive pulmonary disease, diabetes mellitues, cardio-cerebral-vascular disease and health in the aged male, analysis the easily suffering rule in the aged male osteoporosis. Methods Exceeding 60 years male 322 cases, divided into four groups: severe chronic obstructive pulmonary disease group; diabetes mellitus group; cardio-cerebral-vascular disease group and health group. All detecting BMD in lumbar, hip, forearm using DEXA inspector. Comparing BMD in the four groups. stated osteoporosis incidence of a disease in each group. Results Osteoporosis incidence of a disease in each group were: Severe chronic obstructive pulmonary disease group was 100%, diabetes mellitus group 65%, cardio-cerebral-vascular disease group 61.5% and health group 60%. BMD in Severe chronic obstructive pulmonary disease groiup was the lowest excepting Ward's, compare with the other groups in other positions had significant difference. Conclusions Chronic obstructive pulmonary disease group was easily complicated osteoporosis. Osteoporosis incidence of a disease were the same in diabetes mellitus and cardio-cerebral-vascular disease and health group.