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胃癌对老年患者骨密度的影响
引用本文:李婷婷,吴本俨. 胃癌对老年患者骨密度的影响[J]. 军医进修学院学报, 2010, 31(9): 869-870
作者姓名:李婷婷  吴本俨
作者单位:解放军总医院,老年消化内科,北京,100853
基金项目:军队"十一·五"计划
摘    要:
目的评估骨质疏松和(或)骨量减少在老年胃癌患者中的发生率,寻找老年胃癌患者发生严重骨密度下降的主要因素。方法回顾分析经病理确诊为胃癌、行股骨及腰椎骨密度(BMD)检测的35例老年患者,并与同期住院、无胃癌等恶性肿瘤病史、行BMD检测的35例老年患者(对照组)比较。结果老年胃癌患者股骨及腰椎骨的BMD均明显低于对照组,组间比较有统计学差异(P〈0.05);BMD与患胃癌年限呈显著负相关,与体质量指数呈显著正相关(P〈0.05)。结论胃癌可引起老年人骨量减少,提示在治疗胃癌的同时应加强对骨质疏松的防治。

关 键 词:胃肿瘤  骨密度  骨质疏松  老年人

Effect of gastric cancer on bone mineral density in elderly patients with gastric cancer
LI Ting-ting,WU Ben-yan. Effect of gastric cancer on bone mineral density in elderly patients with gastric cancer[J]. Academic Journal of Pla Postgraduate Medical School, 2010, 31(9): 869-870
Authors:LI Ting-ting  WU Ben-yan
Affiliation:Department of Geriatric Gastroenterology,Chinese PLA General Hospital,Beijing 100853,China
Abstract:
Objective To evaluate the incidence of osteoporosis and osteopenia in elderly patients with gastric cancer and to find the major factors for their severely decreased bone mineral density.Methods Bone mineral density(BMD) of femur and lumbar spine in 35 elderly patients with gastric cancer was retrospectively analyzed and compared with 35 controls.Results The BMD of femur and lumbar spine was significantly lower in patients with gastric cancer than in controls(P0.05).BMD was negatively related with the course of gastric cancer and positively related with body mass index(P0.05).Conclusion Attention should be paid to the prevention and treatment of osteoporosis during the treatment of gastric cancer in elderly people since it can induce osteopenia.
Keywords:Stomach Neoplasms  Bone Density  Osteoporosis  Aged
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