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老年男性2型糖尿病合并骨质疏松症患者血浆同型半胱氨酸与骨密度的相关性分析
引用本文:徐晓明,鲁厚根,汪娅. 老年男性2型糖尿病合并骨质疏松症患者血浆同型半胱氨酸与骨密度的相关性分析[J]. 医学综述, 2011, 17(23): 3642-3644
作者姓名:徐晓明  鲁厚根  汪娅
作者单位:1. 长江大学医学院,湖北,荆州,434000
2. 华中科技大学同济医学院附属荆州医院骨科,湖北,荆州,434000
摘    要:目的探讨血浆同型半胱氨酸(Hcy)与老年男性2型糖尿病患者指骨骨密度(BMD)的关系。方法 96例老年男性2型糖尿病患者按照指骨BMD分为三组,骨质疏松(A)组30例、低骨量(B)组38例及骨量正常(C)组28例。选取健康对照(D)组26例,分别比较各组BMI、收缩压(SBP)、舒张压(DBP)、血浆三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、总胆固醇(TC)、HbA1c、Hcy、血钙、血磷及碱性磷酸酶(ALP)水平。结果 A组与B组Hcy的水平明显高于C组与D组,且A组高于B组,C组高于D组(P<0.05);血浆Hcy的水平与指骨BMD呈负相关(r=-0.601,P<0.05);BMI与骨质疏松是Hcy的影响因素(回归系数b1=-2.108,b2=2.787,P<0.05)。结论老年男性2型糖尿病合并骨质疏松症患者高血浆Hcy水平可能与其指骨BMD减低有关,血浆Hcy水平升高可能为老年男性2型糖尿病患者骨质疏松症发病的独立危险因素之一。

关 键 词:同型半胱氨酸  老年男性  2型糖尿病  骨密度

Correlation between Plasma Homocysteine and Bone Mineral Density in Elderly Male Type 2 Diabetes Patients with Primary Osteoporosis
XU Xiao-ming,LU Hou-gen,WANG Ya. Correlation between Plasma Homocysteine and Bone Mineral Density in Elderly Male Type 2 Diabetes Patients with Primary Osteoporosis[J]. Medical Recapitulate, 2011, 17(23): 3642-3644
Authors:XU Xiao-ming  LU Hou-gen  WANG Ya
Affiliation:XU Xiao-ming1,LU Hou-gen2,WANG Ya1.(1.Yangtze University Medical School,Jingzhou 434000,China,2.Department of Orthopaedic,Affiliated Jingzhou Hospital to Tongji Medical College of Huazhong Science University,China)
Abstract:Objective To study the relationship between plasma homocysteine(Hcy)and phalangeal bone mineral density(BMD)in elderly male type 2 diabetes patients with primary osteoporosis.Methods 96 elderly male patients with type 2 diabetes were divided into three groups:patients in group A(30 cases)were osteoporosis group,patients in group B(38 cases)were osteopenia group,and patients in group C(28 cases)were normal group.26 additional eligible cases as normal contrast group(D)were chosen.BMI,SBP,DBP,TG,LDL-C,HDL-C,TC...
Keywords:Homocysteine  Elderly male  Type 2 diabetes  Bone mineral density  
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