骨矿含量测定在老年人骨关节病康复评价中的价值

The role of bone density measuremeat in the senile persons with osteoarthropathy during the rehabilita- tion assessment

目的：探讨骨矿含量测定在老年人骨关节病康复评价中的价值。方法：使用ＳＰＡ－ＩＶ型骨矿分析仪器对１０７例６０岁以上老年人骨关节病患者进行骨矿含量测定，并对其中４１例在治疗前后的骨矿含量与其症状改变的关系进行分析。结果：４９例男性的测定值为：０．５９４士０．０９７（ｇ／ｃｍ２）；５８例女性为：０．４６９±０．０８９（ｇ／ｃｍ２）；均显著低于四川省普查结果的正常值（Ｐ≤０．０５）；其中８６例低于该正常值（即检出率为：８０．３７％）：在７２例有Ｘ线片“骨质密度改变”老中的６４例低于该正常值，即两者符合率为：８８．８９％。有４１例经过康复治疗，其中３６例的症状有缓解，其骨矿含量由治疗前男性０．５８５士０．０８１（ｇ／ｃｍ２）和女性０．４６３±０．０７９（ｇ／ｃｍ２）分别增加至治疗后的０．５９１士０．０９２（ｇ／ｃｍ２）和０．４９６土０．０９０（ｇ／ｃｍ２），结论：采用该法测定骨矿含量，简便、快速、精度高，属量化指标，无创伤，对老年人骨关节病的康复评价有一定价值；老年人骨关节病的发生发展可能与其骨矿含量有一定关系。

Objective : To explore the assessment role of bone density measurement for the elderly with osteoarthropathy. Methods , The bone density measurement was analysed in 107 osteoarthropathy patients over 60 years by Type SPA - IV Bone Mineral Analyzer. Among them , the relation between the bone density level and clinical symptoms was analysed in 41 cases before and after treatment. Results , The bone density level in 49 male patients and 58 female patients was 0. 594±0. 097 and 0. 469±0. 089 (g/cm. )respectively. The bone density levels of 86 cases were significantly lower than the normal level resulting from general survey of Sichuan province. The detected rate was 80. 37 %. ln 72 cases having the bone density alteration by X ray , the bone density level in 64 cases was lower than the normal val- ue. Among 41 cases had been treated with rehabilitation treatment , the symptom alleviation and bone density increase were 36 cases. The bone density in male and female was from 0. 585 ±0. 081 to 0. 591 ± 0. 092 and 0. 463±0. 079 to 0. 496±0. 090(g/cm2) respectively. Conclusions: lt is suggested that the method is a rapid , high precision , quantization and un - invasive rehabilitation assessment for the senile persons with osteoarthropathy.