老年女性严重骨质疏松有无骨折患者骨密度、骨转换指标和FRAX评估差异的研究

来源 :第七届国际骨质疏松及骨矿盐疾病学术会议 | 被引量 : 0次 | 上传用户:bellwang99
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目的 比较老年女性严重骨质疏松有无骨折患者骨密度(面积骨密度、体积骨密度),骨转换指标和FRAX评估骨折风险概率的不同,探讨二者之间存在的差异.方法 根据我国骨质疏松诊断标准,横断面研究30例严重骨质疏松老年女性,其中骨折组与无骨折组各15例.进行问卷调查收集相关资料及基本情况筛查后,采用双能X线吸收仪(DXA)测量腰椎1~4及左髋部面积骨密度(aBMD)、单能定量CT(QCT)测量腰椎2~4及左髋部体积骨密度(vBMD);用ELISA法检测血清骨钙素(OC)、骨源性碱性磷酸酶(BAP)、抗酒石酸酸性磷酸酶(TRAP-5b)及尿Ⅰ型胶原交联C端顶端肽(UCTX);使用WHO推荐的骨折风险评估软件(FRAX)计算10年内骨质疏松引起的主要骨折及髋骨骨折概率.
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