老年骨质疏松骨折血清铁水平的测定及临床意义

目的：探讨老年骨质疏松骨折患者血清铁水平并分析其临床意义。方法：分别检测121例老年（60岁以上）骨质疏松骨折患者，120例中青年（50岁以下）外伤骨折患者以及70例正常人腰椎骨密度T值和血清铁蛋白水平。结果：骨质疏松骨折患者血清铁蛋白均值为253．8ng／ml，明显高于中青年骨折组（79．9ng／m1）和健康人群组（92．4ng／m1）（P〈0．01）；骨质疏松骨折患者腰椎T值为～2．26，亦明显高于中青年骨折组（0．36）和健康人群组（-0．16）（P〈0．01）。结论：老年骨质疏松骨折患者中血清铁水平明显升高，提示血清铁水平升高是老年骨质疏松的重要相关因素。

Clinical significances of serum ferritin in older people with osteoporotic fracture

Objective： To explore the relationship between osteoporosis and serum ferritin in elderly patients with osteoporotic fracture, Method：Serum ferritin was examined and T value of spine BMD was calculated in 121 elderly patients （960 years old） with osteoporotic fracture. 120 younger men（≤50 years old） with traumatic fracture and 70 healthy volunteer were selected as controls. Result：The average serum ferritin in elderly patients with osteoporotic fracture （253. 8 ng/ml） was higher than younger men with traumatic fracture （79. 9 ng/ml） and healthy volunteers （92.4 ng/ml）（P〈0.01）. T value of spine BMD in elderly patients with osteoporotic fracture was -2.26 ,and was 0.36 in younger men with traumatic fracture and was -0.16 in 70 healthy volunteers（P〈0. 01）. Conclusion：Serum ferritin level increased in elderly patients with osteoporotic fracture. Serum ferritin level in elderly patients with osteoporasis is a strong factor correlated to osteoporosis.