ABI和PAI与绝经后女性骨质疏松症的相关性研究
Correlation between ABI and PAI and osteoporosis in postmenopausal women
  
DOI:10.3969/j.issn.1006-7108.2020.09.016
中文关键词:  血脂  PAI  ABI  绝经后女性  骨密度  骨质疏松症
英文关键词:blood lipids  ABI  PAI  postmenopausal women  bone mineral density  osteoporosis
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张骏 潘沨 常啸 陈涛 严贤科 李璟 唐本森* 贵州省骨科医院贵州 贵阳 550001 
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中文摘要:
      目的 探索踝肱指数(ABI)及血浆致动脉粥样硬化指数(PAI)与绝经后骨质疏松症之间的关系。方法 选取 2015年2月至 2017年12月在我院病房及门诊就诊的绝经5年以上的402位女性患者,年龄45~65岁;记录和检测所有女性的绝经年龄、绝经时间、身高、体重、血脂、ABI、BMD和口服避孕药史。根据BMD在将患者分为2组,并比较两组患者的检测指标。结果 共纳入96名绝经后骨质疏松症患者,平均年龄为(58.3±6.4)岁。对照组101例绝经后非骨质疏松症妇女,平均年龄(55.8±4.7)岁。三酰甘油水平比较差异无统计学意义;然而,在骨质疏松症组中,总胆固醇、低密度脂蛋白(LDL)和PAI 及ABI水平较低,而高密度脂蛋白(HDL)水平较高,和对照组比较差异有统计学意义(P均<0.05)。同时发现血清HDL、LDL、总胆固醇、PAI及ABI水平与股骨和腰椎BMD之间存在相关性。结论 高水平HDL和低水平LDL,总胆固醇及PAI及ABI为绝经后女性骨质疏松症的危险因素。
英文摘要:
      Objective To explore the relationship between sputum index (ABI) and plasma atherogenic index (PAI) and postmenopausal osteoporosis. Methods A total of 402 women with menopause age of more than 5 years who were admitted to our ward and outpatient clinics from February 2015 to December 2017 were enrolled. They were from 45 to 80 years of age. The data of age, duration of menopause, height, weight, lipid profile, ABI, bone mineral density (BMD) value, and history of oral contraceptive use were recorded and compared. The level of significance was accepted as P<0.05. Results A total of 96 postmenopausal patients with osteoporosis were included in the study. The mean age was 58.3±6.4 years. In the control group, there were 101 postmenopausal women without osteoporosis, with a mean age of 55.8±4.7 years. There was no statistically significant difference with respect to triglyceride level. However, in the osteoporosis group, the levels of total cholesterol, low-density lipoprotein (LDL), PAI, and ABI were lower, but the level of high-density lipoprotein (HDL) was higher than those in control group (P<0.05, respectively). At the same time, we found that serum HDL, LDL, total cholesterol, PAI, and ABI levels were correlated with BMD of the femur and lumbar spine. Conclusion High level of HDL, and low levels of LDL, total cholesterol, ABI, and PAI are risk factors of BMD.
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