腰椎间盘突出与骨质疏松症的关系及其影响因素分析

The relationship between lumbar disc herniation and osteoporosis and the analysis of influencing factors of osteoporosis

目的分析骨质疏松症与腰椎间盘突出的相关性,同时分析骨质疏松症的发病因素是否与腰椎间盘突出相关,为临床诊疗这两种疾病提供新的思路,同时为骨质疏松症的发病提供参考。方法采用独立样本t检验比较不同组别的临床资料,使用Spearman进行变量相关性检验,采用多因素Logistic回归分析研究女性骨质疏松症发生的影响因素。结果腰椎间盘突出组与非腰椎间盘突出组比较,两组在年龄、身高、骨密度、是否患有骨质疏松症方面存在差异(P<0.05)。骨质疏松症组与非骨质疏松症组比较,两组在年龄、绝经时长、体重、BMI、是否患有腰椎间盘突出方面存在差异(P<0.05)。Logistic回归分析结果显示,高BMI是女性发生骨质疏松症的保护因素(OR<1,P<0.05),而绝经时长是女性发生骨质疏松症的危险因素(OR>1,P<0.05)。结论腰椎间盘突出与骨质疏松症有一定的相关性,BMI、绝经时长是骨质疏松症发生的影响因素,临床可据此为患者提供更加合理的诊疗方案与建议。

Objective To analyze the correlation and comorbid factors between osteoporosis and lumbar disc herniation,as well as to assess the influencing factors for the occurrence of osteoporosis.This analysis aims to provide new insights for the clinical diagnosis and treatment of these two conditions and to offer reference points for the onset factors of osteoporosis.Methods Independent sample t-tests were utilized to compare clinical data across different groups.The Spearman method was employed for variable correlation tests,and multifactorial logistic regression analysis was conducted to study the influencing factors of osteoporosis in females.Results Comparing the lumbar disc herniation group with the non-lumbar disc herniation group,differences were found in age,height,bone density,and the incidence of osteoporosis(P<0.05 for all).Between the osteoporosis group and the non-osteoporosis group,differences were observed in age,duration of menopause,weight,BMI,and the incidence of lumbar disc herniation(P<0.05 for all).Logistic regression analysis indicated that a higher BMI is a protective factor against osteoporosis in females(OR<1,P<0.05),while the duration of menopause is a risk factor(OR>1,P<0.05).Conclusion There is a certain correlation between lumbar disc herniation and osteoporosis.Factors such as the presence of lumbar disc herniation,BMI,and the duration of menopause influence the occurrence of osteoporosis.Clinically,these findings can be used to provide more rational diagnostic and treatment plans and recommendations for patients.