在中老年人群中2型糖尿病病程和FRAX评分之间相关性分析
Relationship between the fracture risk by FRAX score and duration of diabetes in middle-aged and elder people with type 2 diabetes
  
DOI:10.3969/j.issn.1006.7108.2019.11.007
中文关键词:  骨质疏松  FRAX  2型糖尿病
英文关键词:osteoporosis  FRAX  type 2 diabetes
基金项目:江阴市卫计委科研项目面上项目(M201504)
作者单位
高远 俞海燕 郭晓珍 张晓兰 黄文龙* 东南大学医学院附属江阴医院内分泌科江苏 无锡214400 
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中文摘要:
      目的 探讨FRAX评分在与糖尿病病程之间的关系。方法 选取278例糖尿病人群,并收集相关临床指标。通过FRAX公式计算2型糖尿病患者10年髋部骨折发生概率(PHF)和10年主要骨质疏松性骨折发生概率(PMOF)。研究2型糖尿病患者中FRAX与糖尿病病程之间的关系。结果 发现随着糖尿病病程的延长,L1-4、股骨颈骨密度均无明显改变(P>0.05),而随着病程的增长,PMOF、PHF水平之间有区别,差异有统计学意义,且随着病程的延长两者呈逐渐增大的趋势(P <0.05)。 结论 糖尿病病程与10年骨质疏松性骨折发生概率之间有密切相关性。
英文摘要:
      Objective To evaluate the relationship between the fracture risk by FRAX score and duration of diabetes. Methods A total of 278 people with type 2 diabetes were enrolled and their clinical data were collected. We evaluate the 10-year probability of hip fracture (PHF) and a major osteoporotic fracture (PMOF) using the FRAX algorithm in order to investigate association between FRAX score and duration of diabetes. Results Bone mineral density of the lumbar spine (L1-4) and the femoral neck (FN) in DM group increased with increasing of duration of type 2 diabetes (P>0.05). However, with the increase of duration, there was gradually increasing trend in PMOF and PHF (P<0.05). Conclusion There is close correlation among PHF, PMOF, and duration in type 2 diabetes.
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