老年住院患者骨质疏松与认知障碍的相关性分析

目的 探究老年住院患者骨质疏松与认知障碍的相关性.方法 回顾性分析2018年1月至2021年3月中国科学技术大学附属第一医院老年医学科收治的38例老年患者临床资料,依据,否患有骨质疏松分组,将其中17例骨质疏松患者设为观察组,21例无骨质疏松患者设为对照组进行比较.采用logistic回归模型分析性别、教育程度以及认知障碍对患者骨质疏松的影响,采用Pearson相关分析检验简易精神状态检查(MMSE)评分与骨密度(BMD)的关联性.结果 多因素logistic回归分析显示,认知障碍,老年住院患者发生骨质疏松的危险因素(OR=6.910,95％CI:1.358～35.166,P=0.020),MMSE评分与患者腰椎骨密度T值(r=0.497,P=0.002)及髋关节骨密度T值(r=0.367,P=0.024)均存在线性相关关系.结论 认知障碍可能,老年住院患者患骨质疏松的风险因素之一,应当引起医务工作者及老年患者家属的重视.

Correlation analysis between osteoporosis and cognitive impairment in elderly hospitalized patients

Objective To explore the correlation between cognitive impairment and osteoporosis in elderly hospitalized patients. Methods A retrospective analysis was conducted in 38 elderly in-patients who were admitted to the Department of Geriatrics, theFirst Affiliated Hospital of University of Science and Technology of China from January 2018 to March 2021. They were divided into the observation group (n=17) and the control group (n=21) based on osteoporosis diagnosis. A logistic regression model was used to analyze the correlation between the patients'' gender, education level, cognitive impairment and osteoporosis. A Pearson''s correlation model was used to verify the linear correlation between the mini-mental state examination (MMSE) score and bone mineral density (Bone Mineral Density, BMD). Results The multivariable logistic regression showed that cognitive impairment might be a possible risk factor for osteoporosis in hospitalized elderly patients (OR=6.910, 95%CI:1.358~35.166, P=0.020). There was a linear correlation between the MMSE score and the patients'' lumbar spine bone mineral density T value (r=0.497,P=0.002) and hip joint bone mineral density T value (r=0.367, P=0.024). Conclusions Cognitive impairment may be one of the risk factors for osteoporosis in elderly hospitalized patients, and it should be paid attention to by medical workers and their families.