骨质疏松症风险一分钟测试在评价绝经后女性超声骨 密度变化中的作用
Effect of IOF ’ s one—ninute osteoporosis risk test on evaluating the change of quantitative ultrasound parameters in postmenopausal women
  
DOI:
中文关键词:  骨质疏松症  骨密度  绝经后女性  骨质疏松症风险一分钟测试
英文关键词:Osteoporosis  Bone mineral density  Postmenopausal women  One—linute osteoporosis risk test
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作者单位
解冰 殷生良 田竞*周大鹏 项良碧 沈阳军区总医院骨科沈阳110015 
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中文摘要:
      目的探讨骨质疏松症风险一分钟测试在评价绝经后女性跟骨超声骨密度变化中的作用。方法对273名门诊就诊 的绝经后妇女进行骨质疏松风险一分钟测试,并采用韩国SONOST 3000超声波骨密度检测仪测定受试者右跟骨SOS值、BUA 值、BQI值及T值,按问卷测试结果对各组进行统计学分析。结果问卷测试阳性组受试者年龄较高(P <0. 01)、身高较低(P <0. 05)、体重较轻(P <0. 01),跟骨定量超声各参数及骨密度T值均显著低于阴性组(P <0. 01)。随年龄或OSTA风险增加, 测试结果阳性率升高(P <0. 05),骨密度T值显著降低(P <0.05)。在所有测试问题中,问题2和问题4阳性回答受试者的 BQI值及骨密度T值均明显低于阴性回答受试者,差异具有统计学意义(P <0. 05)。结论骨质疏松症风险一分钟测试可以 简便、有效地反映骨质疏松骨密度改变,特别对于测试问题2或问题4阳性的绝经后女性应引起高度警惕,建议及早诊治。
英文摘要:
      Objective To investigate the effect of International Osteoporosis Foundation ’ s (IOF) one—minute osteoporosis risk test on evaluating the change of quantitative ultrasound parameters of the calcaneus in postmenopausal women. Methods A total of 273 out-patient postmenopausal women were investigated with IOF’s one—linute osteoporosis risk test. The structural functional state of bone was evaluated using an ultrasound bone densitometer ( SONOST 3000,OsteoSys Co.,Korea),and the calcaneal speed of ultrasound (SOS),broadband ultrasound attenuation (BUA),bone quality index (BQI),and T—core were detected. Groups were classified according to the test results. The statistic analysis was performed with a SPSS software. Results The patients with positive test results had elder age (P < 0. 01),shorter height (P < 0. 05),and lower weight (P < 0. 01) compared with those with negative test results. All the quantitative ultrasound parameters and T—cores were also significantly lower in positive group (P <0.01). Along with the increase of age or osteoporosis—isk by Osteoporosis Self—ssessment Tool for Asians (OSTA), higher positive rates of one—minute osteoporosis risk test and lower T—core were observed (P < 0. 05). Among all the questions, BQI value and T—core of patients with positive answers on question 2 and 4 were significantly lower than those of patients with negative answers (P < 0. 05). Conclusion The application of IOF ’ s one—linute osteoporosis risk test gives an opportunity to determine structural functional changes of bone. Women with positive answers for question 2 and 4 should be advised for early detection and treatment.
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