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目的分析骨质疏松与腰腿痛的关系。方法回顾性分析浙江中医药大学附属第三医院2009年1月—2010年1月1年间收治的110例慢性腰腿痛患者并作为实验组,健康的对照组120例,2组年龄范围50~66岁。应用单光子骨矿测定仪器对患者进行骨密度指标的检测,主要的检测指标有骨矿含量(BMC)、横径(BW)、骨密度(BMC/BW)的数值。结果实验组骨密度正常者44例,减低者66例,占60%,其中男性36例,骨密度为(0.605±0.052)g/cm2;女性30例,骨密度为(0.501±0.031)g/cm2;对照组男性71例,骨密度为(0.799±0.048)g/cm2;女性49例,骨密度为(0.698±0.039)g/cm2,2组比较差别有统计学意义(P<0.01)。实验组患者经治疗后症状明显减轻或消失,骨密度含量明显增加,说明慢性腰腿痛与骨密度有一定关系。结论骨质疏松会使骨密度含量下降,造成患者腰腿疼痛等症状。及时地进行骨质疏松的治疗,可以明显缓解患者的临床症状,提高骨密度。
Objective To analyze the relationship between osteoporosis and low back pain. Methods Retrospective analysis of 110 cases of chronic low back pain patients admitted to the Third Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine between January 2009 and January 2010 and as a control group, 120 healthy controls, two groups of 50 ~ 66 years old. Bone mineral density (BMC), transverse diameter (BW), and bone mineral density (BMC / BW) were measured using single photon bone mineralogy equipment. Results In the experimental group, there were 44 cases with normal BMD, 66 cases were reduced, accounting for 60% of the total, including 36 males with BMD of (0.605 ± 0.052) g / cm2 and 30 females with BMD of (0.501 ± 0.031) g / cm2. The control group had 71 male patients with bone density of (0.799 ± 0.048) g / cm 2 and 49 female patients with bone mineral density of 0.698 ± 0.039 g / cm 2 (P <0.01). After treatment, the symptoms of patients in the experimental group significantly reduced or disappeared, and the bone mineral density increased significantly, indicating that chronic low back pain and bone mineral density have a certain relationship. Conclusion Osteoporosis can reduce the bone mineral density and cause symptoms such as waist and leg pain. Timely treatment of osteoporosis can significantly alleviate the clinical symptoms of patients and improve bone mineral density.