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目的:分析严重骨质疏松症(OP)对中老年人致残的临床特点,加强对OP早期预防和诊治意识及措施。方法:应用美国LUNAR公司的双能量X线吸收骨密度仪(DEXA-DPA-MD型),对有严重腰背痛、肢麻无力、行走障碍、卧床病人测量腰椎、股骨、挠骨骨密度(BMD),拍摄X光片,结合临床表现分析严重OP致残率及死亡率。结果:在48例OP病人中,严重OP占45.83%(22/48),在严重OP中,致残率为54.55%(12/22),致死率为18.18%(4/22).结论:严重OP致残、致死率高,是危害中老年人健康的严重疾病之一,必须加强OP的早期诊断、早期预防及治疗工作.
OBJECTIVE: To analyze the clinical features of severe osteoporosis (OP) on the disabled in middle-aged and elderly patients and to improve the awareness and measures of early prevention, diagnosis and treatment of OP. Methods: The double-energy X-ray absorptiometry (DEXA-DPA-MD) of the United States LUNAR company was used to measure the bone mineral density of lumbar spine, femur and femur with severe low back pain, weakness of limbs, BMD), X-ray film, combined with clinical manifestations of severe OP morbidity and mortality. Results: In 48 patients with OP, severe OP accounted for 45.83% (22/48). In severe OP, the morbidity was 54.55% (12/22) and the mortality was 18.18% (4 / 22). Conclusion: Severe OP disability and high mortality rate are one of the serious diseases endangering the health of the elderly. It is necessary to strengthen the early diagnosis, early prevention and treatment of OP.