亚洲骨质疏松自我评价工具在女性糖尿病患者中的筛检效果评估

Screnning values of osteoporosis by self-assessment tool for Asian in postmenopause diabetic women

目的:研究亚洲骨质疏松自我评价工具(OSTA)指数在绝经后女性糖尿病患者中的作用。方法:143名绝经后女性糖尿病患者进行腰椎和髋部骨密度的测定,同时与OSTA指数筛查出的低危险性、中危险性和高危险性人群进行比较。结果:1.OSTA指数与腰椎和髋部骨密度之间存在良好的相关性,相关系数分别为0.308和0.478;2.按照OSTA指数分组时,腰椎和髋部骨密度之间无显著性区别。而按照体重指数分组时,腰椎和髋部骨密度间存在显著性区别;3.将OSTA指数大于等于0作为低危险性分组时,筛查髋部骨质疏松的效果与骨密度测定的一致性较好。结论:女性糖尿病患者,OSTA指数与腰椎和髋部骨密度之间存在良好的相关性;绝经后女性糖尿病患者以OSTA指数大于等于0作为低危险性分组筛查髋部骨质疏松时与骨密度测定结果一致性较好。

Objectives To study the values of osteoporosis self-assessment tool for Asian(OSTA) in postmenopaual diabetic women. Methods To measure the spine and lumbar bone mineral density(BMD) of143 cases of postmenopausal diabetic women, meanwhile compare with the results of lowrisk, median risk and high risk of osteoporosis by OSTA index. Results 1. OSTAindex have good correlations with spinal and lumbar BMD, the correlations index are 0.308 and 0.478 relatively; 2. Classified by OSTA index spinal and lumbar BMD showed no difference. while classified by body mass index(BMI) spinal and lumbar BMD showed significant difference; 3. If classified low risk as OSTA is more than zero, the effects of screnning osteoporosis of OSTA had good correlations with the results of lumbar BMD. Conclusions OSTA index has good correlations with bone mineral density of lumbar and hip for postmenopausal diabetic women; when classifing low risk groups as OSTA index greater than(or equal to) zero,the screnning effects of hip osteoporosis with OSTA are in good consistency with that of BMD.