摘要
目的探讨维、汉民族差异对全髋关节置换术(THA)后绝经期后女性骨质疏松患者骨密度(BMD)的影响。方法将180例绝经期后女性骨质疏松THA患者,按照民族分为维族THA组和汉族THA组,采用双能X线骨密度仪(DXA)检测两组术前1d和术后3个月正位腰椎和健侧髋部的BMD。结果维族THA组患者术后3个月腰椎下降6.9%,健侧髋部下降4.1%;汉族THA组患者术后3个月腰椎下降5.2%,健侧髋部下降2.7%。维族THA组患者的腰椎、检测髋部骨量丢失均高于汉族THA组患者(P<0.05)。结论 THA后维族女性骨质疏松THA患者骨量丢失速度快于汉族女性骨质疏松THA患者。THA术后应针对不同民族给予个性化抗骨质疏松治疗方案。
Objective To explore the effect of ethnic difference on bone mineral density of postmenopausal osteoporotic women with total hip arthroplasty （THA） in Xinjiang. Methods One hundred and eighty postmenopausal osteoporotic patients with THA were divided into the Uyghur-THA group and Han-THA group. BMD of the vertebrae and the healthy hip of these patients were measured with DXA 1-day before and 3-month after THA. Results BMD of patients in Uyghur group decreased 6.9% in the vertebrae and 4. 1% in healthy hip in 3 months after THA. BMD of patients in Han group decreased 5.2% in the vertebrae and 2. 7% in the healthy hip in 3 months after THA. The decrease of BMD of patients in Uyghur group was higher than that in Han group in Xinjiang （ P 〈 0.05）. Conclusion The bone loss of postmenopausal osteoporotic women with THA in Uyghur group is faster than that in Han group. Individualized antiosteoporosis therapy should be provided to patients with THA according to different nationality.
出处
《中国骨质疏松杂志》
CAS
CSCD
北大核心
2012年第6期539-541,共3页
Chinese Journal of Osteoporosis
基金
新疆骨质疏松诊疗基地
民政部"十一.五"课题的子课题(项目编号:民人教科字(2007)18-1-39)
关键词
全髋关节置换术
骨质疏松
绝经
女性
骨密度
Total hip arthroplasty
Osteoporosis
Post-menopause
Femineity
Bone mineral density
