骨密度检测对脆性髋部骨折患者骨质疏松诊疗率的影响

To study the effect of bone mineral density measurement on the diagnosis and treatment of osteoporosis in patients with fragility hip fracture

目的观察骨密度检测对脆性髋部骨折住院患者骨质疏松诊疗的影响。方法对我院2010年1月至2012年12月560例老年脆性髋部骨折住院患者进行回顾性分析，根据是否进行双能X线骨密度仪（DXA）骨密度检测分为骨密度检测组和无骨密度检测组，比较二组患者的骨转换标志物检测和抗骨质疏松治疗情况。结果DXA骨密度检测组80例，其中接受骨转换标志物检测36例（45％），住院骨质疏松治疗率70．0％，出院后持续抗骨质疏松治疗率57．5％；无DXA骨密度检测组480例，均未进行骨转换标志物检测，住院骨质疏松治疗率42．1％，出院后持续抗骨质疏松治疗率36．7％（x2=21．51和12．44，P均〈0．001）。结论脆性髋部骨折患者的骨密度检测率和骨质疏松诊疗率低下，DXA骨密度检测和提高骨转换标志物检测率和骨质疏松症的治疗率有关。

Objectives To study the effect of bone mineral density measurement on diagnosis and treatment of osteoporosis in patients with fragility hip fracture. Methods the A retrospective analysis was conducted on 560 cases of elderly patients with fragility hip fracture in our hospital from January 2010 to December 2012. They were divided into two groups with and without the bone mineral density measurement, and compared to study the bone turnover markers detection and osteoporosis treatment. Results Among the 80 cases with the DXA bone mineral density detection, 36 cases received the bone turnover markers detection（45.0% ） ,and the rate of osteoporosis treatment in hospital was 70.0 %, while the rate of osteoporosis treatment after discharge was 57.5 %. Among the 480 cases without DXA bone mineral density detection, none received bone turnover markers detection,and the rate of osteoporosis treatment in hospital was 42. 1%,while the rate of osteoporosis treatment after discharge was 36.7%. Conclusions The detection rate of bone mineral density and the diagnosis and treatment rate of osteoporosis are low in patients with fragility hip fracture. DXA bone mineral density measurement is helpful to improve the detection rate of bone turnover markers and the treatment rate of osteoporosis.