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| 老年性骨质疏松症患者腰椎骨密度对下腰部疼痛影响研究 |
| The research of the effect of bone mineral density of the lumbar vertebrae on low back pain in elderly patients with osteoporosis |
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| DOI：10.3969/j.issn.1006.7108.2015.07.006 |
| 中文关键词: 骨密度 骨质疏松症 下腰痛 视觉模拟评分法（VAS) |
| 英文关键词:Bone mineral density Osteoporosis Low back pain Visual analogue scale |
| 基金项目:宜昌市科技发展与研发项目医疗卫生课题基金项目 (A1130-13) |
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| 中文摘要: |
| 目的 研究腰椎椎体骨密度变化对下腰部疼痛视觉模拟评分(visual analogue scale，VAS)评估指数的影响。方法 收集2011年3月-2013年3月来我院康复医学科就诊的老年下腰部疼痛患者154例，利用双能X线骨密度仪测定腰椎椎体 (L1-L4)的骨密度、骨矿含量及T值(T-score)。利用VAS评估腰部疼痛程度。结果 随着腰椎骨密度（bone mineral density，BMD)值，骨矿含量(bone mineral content，BMC)和腰椎骨密度平均T值的下降，腰椎VAS疼痛指数呈上升趋势。年龄分布与腰椎VAS疼痛指数有一定的相关性，二者呈线性回归分布，(P <0. 05)。结论 腰椎骨密度、骨矿含量及T值对描述腰部疼痛程度有一定的临床意义。 |
| 英文摘要: |
| Objective To study the effect of the change of bone mineral density of the lumbar vertebrae on visual analogue scale (VAS) index. Methods A total of 154 patients with senile lumbar pain，who attend in the rehabilitation medicine clinic of our hospital from March 2011 to March 2013，were collected. The lumbar vertebral bone mineral density (BMD)，bone mineral content (BMC)，and T score were determined using dual-energy X-ray absorptiometry (DEXA) and the low back pain was evaluated using VAS. Results The lumbar VAS pain index increased with the decline of BMD，BMC，and T score(P < 0.05). The distribution of age was associated with VAS，and their distribution was linearly correlated. Conclusion BMC，BMD，and T score are of clinical significance in the description of the low back pain. |
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