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尿脱氧吡啶啉及骨源性碱性磷酸酶在骨质疏松症中的临床意义
引用本文:霍维玲,陈新军,李香业,王建强,王继华.尿脱氧吡啶啉及骨源性碱性磷酸酶在骨质疏松症中的临床意义[J].中国骨质疏松杂志,2005,11(2):181-183.
作者姓名:霍维玲  陈新军  李香业  王建强  王继华
作者单位:1. 221006,徐州医学院第二附属医院骨科
2. 徐州医学院第二附属医院检验科
摘    要:目的探讨骨源性碱性磷酸酶(BAP)及尿脱氧吡啶啉(DPD)排泄率对骨质疏松症患者的诊断价值及两者的相关性。方法对73例骨质疏松症患者在其治疗前后进行血钙(Ca)、血磷(P)、血碱性磷酸酶(ALP)、血BAP、尿DPD、尿Cr及跟骨密度(BMD)测定,并同时测定50例正常健康人作对照。结果骨质疏松症患者BAP比正常对照组(213±8.13U/L 比142±6.69U/L)、DPD排泄率较正常对照组(6.11±2.14nmol/mmolCr比3.24± 1.62nmol/mmolCr)均明显增高(P<0.01),且治疗前后差异有显著性(P<0.01)。两者之间成正相关(r=0.52)。结论 BAP、DPD/Cr是监测骨质疏松症患者的敏感指标。

关 键 词:骨源性碱性磷酸酶  骨质疏松症  临床意义  尿脱氧吡啶啉(DPD)  正常对照组  血碱性磷酸酶  治疗前后  正常健康人  诊断价值  同时测定  敏感指标  排泄率  BAP  患者  相关性  骨密度  显著性  正相关  Cr
修稿时间:2004年8月1日

Clinic significance of urinary deoxypyridinoline and bone alkaline phosphatase in osteoporosis
HUO Weiling,CHEN Xinjun,LI Xiangye,et al..Clinic significance of urinary deoxypyridinoline and bone alkaline phosphatase in osteoporosis[J].Chinese Journal of Osteoporosis,2005,11(2):181-183.
Authors:HUO Weiling  CHEN Xinjun  LI Xiangye  
Institution:HUO Weiling,CHEN Xinjun,LI Xiangye,et al. The Second Affiliated Hospital of Xuzhou Medical College,Xuzhou 221006,China
Abstract:Objective To investigate diagnostic value and association of BAP and excretion rate of DPD in osteoporosis. Methods Seventy-three patients with osteoporosis were tested for Ca2 , P, ALP, BAP in serum, DPD, Cr of urine and BMD of Nol to 4 lumbar vertebra and the results was compared with that of 50 healthy people. Results Both of the BAP and excretion rate of DPD were higher than the control groups (P<0. 01) , and there was a great difference after therapy (P<0. 01) . A positive correlation was found between BAP and DPD/Cr. Conclusions BAP and DPD/Cr are sensitive index in monitoring osteoporosis.
Keywords:Urinary deoxypyridinoline  Bone alkaline phosphatase  Osteoporosis
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