老年女性髋部脆性骨折患者的Singh指数分析
发布时间：2018-10-10 17:44
【摘要】：目的探讨Singh指数在老年女性髋部脆性骨折患者骨密度评估中的应用价值。方法将216例老年女性髋部脆性骨折患者按年龄分为4组,60~70岁组53例,71~80岁组83例,81~90岁组68例,90岁组12例。行髋部X线摄影,评估患者健侧Singh指数,并将Singh指数≤Ⅳ级作为骨质疏松诊断标准。分析2名诊断医师间隔1个月前后两次评估Singh指数分级的一致性;比较各年龄组患者身高、体质量及体质量指数(BMI)及Singh指数的差异;并评价髋部Singh指数与患者年龄、BMI的相关性。结果 2名医师评估Singh指数分级的观察者内Kappa值分别为0.631、0.615,观察者间Kappa值分别为0.622、0.598。应用Singh指数诊断骨质疏松的总体检出率为89.35%(193/216)。各年龄组患者身高、体质量及BMI差异均无统计学意义(P均0.05),Singh指数差异有统计学意义(H=56.077,P0.001)。Singh指数与患者年龄呈负相关(r=-0.656,P0.001),与BMI无相关性(r=-0.008,P=0.902)。结论 X线平片Singh指数虽然相对经济、简便且较为实用,但重复性较低,不能完全反映老年女性脆性骨折患者骨密度情况。
[Abstract]:Objective to evaluate the value of Singh index in the evaluation of bone mineral density (BMD) in elderly women with fragile hip fractures. Methods 216 elderly female patients with fragile hip fracture were divided into 4 groups according to their age: 53 cases in 6070 years old group, 83 cases in 71 ~ 80 years old group, 68 cases in 81 ~ 90 years old group and 12 cases in 90 years old group. Hip radiography was performed to evaluate the healthy Singh index, and the Singh index 鈮，
本文编号：2262709
[Abstract]:Objective to evaluate the value of Singh index in the evaluation of bone mineral density (BMD) in elderly women with fragile hip fractures. Methods 216 elderly female patients with fragile hip fracture were divided into 4 groups according to their age: 53 cases in 6070 years old group, 83 cases in 71 ~ 80 years old group, 68 cases in 81 ~ 90 years old group and 12 cases in 90 years old group. Hip radiography was performed to evaluate the healthy Singh index, and the Singh index 鈮，
本文编号：2262709
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