系统性红斑狼疮患者的肌量改变及其与骨量变化的相关性
Correlation analysis between muscle mass and bone mass changes in SLE patients
  
DOI:10.3969/j.issn.1006-7108.2019.06.019
中文关键词:  系统性红斑狼疮  肌肉含量  骨量变化  骨密度
英文关键词:systemic lupus erythematosus  muscle mass  bone mass  bone mineral density
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康丽荣# 宋国婧# 赵剑波 陈娜 刘媛* 内蒙古科技大学包头医学院第一附属医院风湿免疫科内蒙古 包头 014010 
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中文摘要:
      目的 分析系统性红斑狼疮(systemic lupus erythematosus,SLE)患者肌肉含量与骨量变化的相关性,以及导致SLE患者肌肉含量减少的相关因素。方法 选取60例SLE患者和55名正常对照者作为研究对象,两组研究对象年龄、性别差异无统计学意义。采用双能X线骨密度仪(dual energy X-ray absorptiometry,DXA)及法国MEDI-LINK超声骨密度仪对研究对象进行二维骨密度(bone mineral density,BMD)、3D体积骨密度(皮质骨、骨小梁及总体积骨密度)及肌肉含量的测定,收集患者的一般资料和临床资料,包括性别、年龄、骨折史、吸烟及饮酒史、SLE之外的既往病史、激素治疗史及SLE疾病活动度(SLEDAI)评分。结果 与正常对照组相比,SLE组患者的全身各部位的肌肉含量明显降低(P<0.05);SLE患者肌肉含量的减少与其BMD及总的体积骨密度的减低具有明显相关性(r=0.447,P=0.013);而SLE患者的总体肌肉含量与激素的使用及SLEDAI无明显相关性。结论 SLE患者的肌肉含量较正常对照组明显减少,且肌肉含量的改变与骨密度存在一定的相关性。
英文摘要:
      Objective To analyze the correlation between muscle mass and bone mass changes in patients with systemic lupus erythematosus (SLE), and to explore the factors involving in the reduction of muscle mass in SLE patients. Methods Sixty SLE patients and 55 normal controls were selected as subjects, and there were no significant differences in age and sex between the two groups. Two-dimensional bone mineral density (BMD) and 3D volumetric bone density (cortical bone) were measured by dual energy X-ray absorptiometry (DXA) and French MEDI-LINK ultrasonic bone densitometer. General data and clinical data of the patients were collected, including gender, age, fracture history, smoking history, history of diabetes, past medical history other than SLE, history of hormone therapy and SLEAI score for SLE disease activity. Results Compared with normal group, bone mass and muscle mass of all body regions in SLE group were significantly decreased (P<0.05). The decrease in muscle mass in SLE patients was significantly correlated with the decrease in BMD and total volume bone mineral density (r=0.473, P=0.008 and B=31986.725, P=0.005); whereas the overall muscle mass of SLE patients was not significantly associated with hormone use and SLEDAI score. Conclusion The muscle mass of SLE patients was significantly lower than that of the normal control group, and there was a certain correlation between the changes in muscle mass and BMD.
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