老年慢性阻塞性肺疾病患者骨质疏松的发病现况

发布时间：2018-05-08 06:01

本文选题：慢性阻塞性肺疾病 + 骨质疏松　；参考：《中国老年学杂志》2014年11期

【摘要】：目的检测老年慢性阻塞性肺疾病(COPD)患者中骨质疏松(OP)的发病情况。方法收集该院呼吸内科2010年12月至2012年6月诊治的COPD患者84例,根据1 s用力呼气容积(FEV1)将患者分为轻度(n=21)、中度(n=36)、重度(n=27)肺功能损伤组。另取该院同期门诊体检的非COPD老年人80例作为对照。双能X线吸收骨密度仪(DTX-200)测量股骨颈(Neck)、大转子(Troch)和Ward区的骨密度(BMD)。结果COPD组和对照组中OP的发病率分别为34.5%和18.8%,COPD组中OP的发病率(34.5%)显著高于对照组(18.8%)(P0.05)。肺功能损伤轻度、中度、重度COPD患者中Neck、Troch和Ward区的BMD之间具有显著性差异(P0.05),其中中度组显著低于低度组(P0.05),重度组显著低于中度组(P0.05)。结论 COPD患者存在OP高发病率,积极防治OP的发生、发展,有助于老年COPD患者肺功能的改善以及临床的治疗效果。
[Abstract]:Objective to detect the incidence of osteoporosis and OPV in elderly patients with chronic obstructive pulmonary disease (COPD). Methods 84 patients with COPD treated by Department of Respiratory Medicine from December 2010 to June 2012 were divided into three groups according to 1 s forced expiratory volume (FEV1). Another 80 cases of non-COPD aged in the same period of outpatient examination in our hospital were taken as control. Dual energy X-ray absorptiometry (DTX-200) was used to measure the bone mineral density (BMD) of the femoral neck, trochchus trochanter and Ward. Results the incidence of op in the COPD group and the control group was 34.5% and 34.5%, respectively, which was significantly higher than that in the control group (18.8%). There was a significant difference between the BMD of Necktor troch and Ward in patients with mild, moderate and severe COPD. The degree group was significantly lower than that of the low grade group (P 0.05) and the severe group was significantly lower than the moderate group (P 0.05). Conclusion there is a high incidence of op in patients with COPD. The prevention and treatment of op is helpful to the improvement of pulmonary function and clinical therapeutic effect in elderly patients with COPD.
【作者单位】：南阳市中心医院急诊内科;
【分类号】：R563.9;R580

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