老年股骨近端骨折患者(60 ~ 60岁)骨密度评估

Viral G. Prajapati, Pratik Prajapati, P. Patel, Ketan Kakani, S. Patil
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引用次数: 0

摘要

背景:骨质疏松症是一种无声的疾病,在首次骨折之前没有症状,是世界范围内的主要健康问题。为了减少髋部骨折-脆性骨折的数量和影响,需要早期发现和治疗骨质疏松症。目的:用双能x线吸收仪(DXA)扫描评估bb0 ~ 60岁老年股骨近端骨折患者的BMD(骨密度),并与同类无脆性骨折患者进行比较。材料与方法:本研究为前瞻性研究,研究对象为年龄50 ~ 60岁的患者。·A组:50例股骨近端骨折患者在我院住院并手术。·B组:经年龄和性别调整,无脆性骨折者50名。用DXA扫描仪评估所有患者髋部骨密度。收集数据,对两组进行统计学比较。结果:60 ~ 65岁是最常见的发病年龄组。A组患者髋部DXA扫描的骨密度或t评分明显低于b组患者。结论:印度髋部骨折患者比西方人群早10年。髋部骨密度低的患者更容易发生髋近端骨折。骨密度可以作为早期评估骨密度的指导,作为老年男性骨质疏松和骨折的预防措施。关键词:脆性骨折,骨密度,髋部骨折
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Bone Mineral Density in old age patients ( >60yrs) having proximal femur fracture
Background: Osteoporosis, the silent disease with no symptoms until the first fracture, is a major health problem worldwide. To reduce the number and impact of hip fracture-fragility fracture, early detection and treatment of osteoporosis is needed. Objectives: Evaluate BMD (bone mineral density) with DXA (Dual energy X-ray absorptiometry) scan in geriatric patients age>60 years having proximal femur fracture and compare them with similar group of patients without any fragility fractures. Material and Methods: The study was prospective study conducted on patients age of >60 years. Study Population  Group A: 50 Patients having proximal femur fracture admitted and operated in our hospital.  Group B: 50 age and sex adjusted persons having no fragility fracture. All were assessed for BMD at hip with DXA scanner. Data collected and both groups were compared statistically. Results: 60-65years is the most frequent affected age group. Significant low level of BMD or T-score as per WHO classification at hip scanned with DXA scan in group A patients than group B. Conclusion: In India patients having hip fracture is 10 years earlier than western population. Patients with low BMD at hip are more likely to develop proximal hip fracture. BMD may serve as a guidance to initiate early assessment of BMD as preventive measure of osteoporosis and fractures among ageing men population. Key words: Fragility fracture, Bone Mineral Density (BMD), Hip fracture
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Journal of Research in Medical and Dental Science
Journal of Research in Medical and Dental Science MEDICINE, RESEARCH & EXPERIMENTAL-
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