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| 维、汉民族差异对全髋关节置换术后绝经后骨质疏松妇女骨密度的影响 |
| The effect of ethnic difference on bone mineral density of postmenopausal osteoporotic women with total hip arthroplasty |
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| DOI：10.3969/j.issn.1006-7108.2012.06.011 |
| 中文关键词: 全髋关节置换术 骨质疏松；绝经；女性；骨密度 |
| 英文关键词:Total hip arthroplasty Osteoporosis Post-menopause Femineity Bone mineral density |
| 基金项目:本课题为新疆骨质疏松诊疗基地，民政部“十一?五”课题的子课题（民人教科字（2007）18-1-39） |
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| 中文摘要: |
| 目的 探讨维、汉民族差异对全髋关节置换术(THA)后绝经期后女性骨质疏松患者骨密度(BMD)的影响差别。方法 将180例绝经期后女性骨质疏松THA患者,按照民族分为维族THA组和汉族THA组,采用双能X线 骨密度仪(DXA)检测两组术前1d和术后3个月正位腰椎和健侧髋部的BMD。结果 维族THA组患者术后3个月腰椎下降6.9%，健侧髋部下降4.1%；汉族THA组患者术后3个月腰椎下降5.2%，健侧髋部下降2.7%。维族THA组患者的腰椎、检测髋部估量丢失均高于汉族THA组患者(P<0.05)。结论 THA后维族女性骨质疏松THA患者骨量丢失速度快于汉族女性骨质疏松THA患者。THA术后应针对不同民族给予个性化抗骨质疏松治疗方案。 |
| 英文摘要: |
| Objective To explore the effect of ethnic difference on bone mineral density of postmenopausal osteoporotic women with total hip arthroplasty (THA) in Xinjiang. Methods One hundred and eighty postmenopausal osteoporotic patients with THA were divided into the Uyghur-THA group and Han-THA group. BMD of the vertebrae and the healthy hip of these patients were measured with DEXA 1-day before and 3-month after THA. Results BMD of patients in Uyghur group decreased 6.9% in the vertebrae and 4.1% in healthy hip in 3 months after THA. BMD of patients in Han group decreased 5.2% in the vertebrae and 2.7% in the healthy hip in 3 months after THA. The decrease of BMD of patients in Uyghur group was higher than that in Han group in Xinjiang (P<0.05). Conclusion The bone loss of postmenopausal osteoporotic women with THA in Uyghur group is faster than that in Han group. Individualized anti-osteoporosis therapy should be provided to patients with THA according to different nationality. |
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