老年骨关节炎和骨质疏松症相关性的临床研究

摘要

目的 分析老年人(≥60岁)骨关节炎(OA)与骨质疏松症(OP)的关系. 方法 OA组126例,平均年龄(63.9±7.2)岁；对照组102例,平均年龄(65.8±6.7)岁.应用双能X线吸收法测定腰椎及股骨颈骨密度、Z值及T值,分析年龄与对应T值的相关性及OA与OP的相关性. 结果 OA组平均T值为-0.9±2.3,对照组平均T值为-2.1±1.9,2组比较差异有显著性(P＜0.05).2组T值与年龄呈明显负相关. 结论 OA延缓OP的发生,骨质疏松的程度随着年龄的增大而增加.%Objective To investigate the correlation between senile osteoarthritis (OA) and osteoporosis (OP).Methods There were 126 patients in the OA group,with an average age of (63.9 ±7.2) years old,and 102 patients in the control group,with an average age of (65.8 ±6.7) years old.Dual energy X ray absorptiometry(DEXA) was used to measure the bone mineral density and Z value,T value of lumbar spine and femoral neck.The correlation of age with the corresponding T value relevance,and the correlation between OA and OP were analyzed.Results The average T value was-0.9 ± 2.3 in OA group,compared with-2.1 ± 1.9 in control group (P ＜ 0.05).T value correlated negatively with age.Conclusions OA can delay the occurrence of OP,while the degree of OP increases with age.