腰椎间盘突出对绝经后妇女骨密度的影响分析

发布时间：2018-06-14 23:53

本文选题：腰椎间盘突出 + 骨密度　；参考：《中国骨质疏松杂志》2017年11期

【摘要】：目的探讨腰椎间盘突出对绝经后妇女骨密度的影响。方法随机选择绝经后妇女进行问卷调查,内容包括身高、体重、是否有腰椎间盘突出、生活习惯、健康状况等;用双能X线骨密度仪测定腰椎、髋部骨密度,并利用SPSS 20.0统计软件对数据进行分析。结果共筛选入组582例,腰椎间盘突出组133例、腰椎间盘无突出组449例。对各因素与骨质疏松的相关性分析,腰椎间盘突出与腰椎椎体骨密度具有负相关(r=-0.094,P=0.023);两组一般资料比较,日光照射、腰椎骨密度差异比较有统计学意义(P0.05);协方差分析,腰椎间盘无突出组腰椎骨密度(0.734±0.123)g/cm~2明显高于腰椎间盘突出组腰椎骨密度(0.707±0.123)g/cm~2,差异有统计学意义(F=3.968,P=0.047),髋部骨密度差异无统计学意义(P0.05);两组骨质疏松患病率比较,腰椎间盘突出组为55.6%,腰椎间盘无突出组为43.7%,两组比较差异有统计学意义(P=0.015)。结论腰椎间盘突出能够引起腰椎骨量流失,是引起骨质疏松发生的影响因素。
[Abstract]:Objective to investigate the effect of lumbar disc herniation on bone mineral density (BMD) in postmenopausal women. Methods A questionnaire survey was conducted among postmenopausal women, including height, weight, lumbar disc herniation, living habits, health status, etc. Bone mineral density of lumbar vertebrae and hip was measured by dual energy X-ray absorptiometry. SPSS 20.0 statistical software was used to analyze the data. Results A total of 582 cases were selected, 133 cases of lumbar disc herniation group and 449 cases of no lumbar disc herniation group. There was a negative correlation between lumbar disc herniation and lumbar vertebra bone mineral density. The bone mineral density (BMD) of lumbar vertebrae in lumbar disc herniation group (0.734 卤0.123)g/cm~2) was significantly higher than that in lumbar disc herniation group (0.707 卤0.123g / cm ~ (-2), the difference was statistically significant (P < 0.01), and there was no significant difference in hip bone mineral density (BMD) between the two groups (P 0.05). 55.6 in the lumbar disc herniation group and 43.7 in the non-herniated lumbar disc group. The difference between the two groups was statistically significant. Conclusion Lumbar disc herniation can cause bone loss of lumbar vertebrae, which is the influencing factor of osteoporosis.
【作者单位】：福建中医药大学;福建省中医药研究院;
【基金】：国家自然科学基金面上项目(81173280)
【分类号】：R580;R681.53

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