高血压冠心病与骨质疏松骨量的相关性研究

目的探讨高血压冠心病与骨质疏松骨量的关系。方法93例骨质疏松及骨量减少的绝经后女性，其中无高血压和冠心病组（A组）53例，有高血压或冠心病组（B组）40例，经双能X线骨密度仪测定腰椎、髋部骨密度．生化检测各项血脂指标即总胆固醇（TC）、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）。比较2组血脂及各部位骨密度的相关性变化。结果2组患者TC、LDL-C及腰椎骨密度有显著性差异（P〈0．05），A组TC、LDL．C均高于B组，腰椎骨密度低于B组；Ward三角、左侧股骨近端总骨密度、TG、HDL．C2组间无显著性差异。结论心血管疾病与骨质疏松之间存在一定的相关性。

Study on the relationship between hypertension coronary atherosclerotic heart disease and osteoporosis

Objective To study the relationship between hypertension coronary atherosclerotic heart disease and osteoporosis. Methods Ninety-three postmenopausal patients were divided into two groups(group A,53 patients who had no hypertension and coronary atherosclerotic heart disease;group B,40 patients who had hypertension with or without coronary atherosclerotic heart disease) and all had osteoporosis or osteopenia. The dural-energy X-ray absorptiometry scanner was applied to measure the bone mineral density of lumbar vertebrae and hipbone.The indexes of blood lipid were also measured. Results The cholesterol and LDL-C of group B were significantly higher than those of group A (P<0.05),and the bone mineral density of lumbar vertebrae of group B was significantly lower than that of group A. Conclusion Cardiovascular disease was related with osteoporosis.