老年糖尿病合并骨质疏松的危险因素分析

目的:分析老年2型糖尿病怠者合并骨质疏松的危险因素。方法:回顾性分析192例2型糖尿病患者的临床资料,按是否合并骨质疏松将其分为骨质疏松组与非骨质疏松组,骨质疏松组93例,非骨质疏松组99例,比较两组的实验室检查结果,对相关危险因素进行Logistic回归分析。结果:骨质疏松组的骨密度显著低于非骨质疏松组,差异具统计学意义(P<0.05);骨质疏松组患者的骨密度值与年龄、糖尿病病程、总胆固醇呈负相关,与血钙呈正相关,而与性别、收缩压无相关性。结论:积极控制血糖、保护胰岛素功能、维持正常体重,对老年2型糖尿病患者预防骨质疏松有着重要的参考意义。

Objective： to analyze the risk factors in elderly patients with type 2 diabetescomplicated with osteoporosis. Methods： a retrospective analysis of the clinical data of 192 cases of patients with type 2 diabetes complicated with osteoporosis, according to whether it will be divided into osteoporosis groupand non osteoporosis group, osteoporosis group 93 cases, non osteoporosisgroup 99 cases, the results of laboratory examinations of the two groups were compared, Logistic regression analysis of related risk factors. Results： bouedensityosteoporosis group was significantly lower than that of non osteoporosis group, the difference has statistical significance（P〈0.05）;bonedensityosteoporosis group patients was negatively correlated with age,duration of diabetes, total cholesterol, serum calcium was positively relatedwith sex, systolic blood pressure, but no correlation. Conclusion： positivecontrol of blood sugar and insulin fimctionprotection, maintaining a normal body weight on the elderly patients with type 2 diabetes prevention osteoporosis has important reference significance.