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老年男性骨质疏松与相关影响因素的关系 被引量:16

Relationship between osteoporosis and relative effective factors in old men.
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摘要 目的 测定老年男性不同年龄组骨密度及有关的影响因素 ,以探讨老年男性骨质疏松的发生与有关影响因素的关系 ,为防治老年男性骨质疏松症提供理论依据。方法 双能量X线骨密度测定仪测定前臂骨密度 ;全自动生化分析法测定血清钙 (Ca)、磷 (P) ;放免法测定甲状旁腺素(PTH)、降钙素 (CT)、1,2 5 (OH) 2 D3、2 5 (OH)D3、白介素 6 (IL 6 )。 97例老年男性分为骨质疏松组与非骨质疏松组 ,并与 6 0岁以下男性进行比较。结果 老年男性骨密度、CT、1,2 5 (OH) 2 D3、2 5 (OH)D3 随年龄增长而降低 ,PTH、IL 6随着年龄增长而升高 (P <0 0 5 )。骨质疏松组与非骨质疏松组比较 ,PTH、IL 6二者明显升高 ,CT、2 5 (OH)D3、1,2 5 (OH) 2 D33者明显下降 (P <0 0 5~ 0 0 0 1)。结论 骨质疏松有关影响因素的改变使骨吸收增加 ,骨形成降低 ,导致骨丢失 。 Objective By measuring the bone mineral density and analyzing the factors related to osteoporosis in different age groups,to study the relationship between the both,and provide the theoretical basis of the prevention and treatment of osteoporosis in old men. Methods\ Forearm bone mineral density was measured by dual energy X ray absorptiometry (DEXA);serum calcium(Ca) and phosphorus(P)were measured with a full automatic biochemical analyzer;and serum parathormone (PTH).Calcitonin (CT),1,25(OH) 2D 3,25(OH)D 3 and interleukin 6(IL 6) were determined by radio immunoassay.Ninety seven old men,divided into osteoporosis group and non osteoporosis group,were compared with normal group of men under sixty years of age. Results\ Bone mineral density,CT,1,25(OH) 2D 3 and 25(OH)D 3 decreased,while serum PTH and IL 6 increased with aging.The formers in the osteoporosis group were also significantly lower than those in the non osteoporosis group( P <0 05).The latters in the osteoporosis group were also significantly higher than those in the non osteoporosis group( P <0 05~0 001), Conclusion\ The change of the above relative factors lead to increase in bone resorption and decrease in bone formation,causing bone loss and eventual osteoporosis.
出处 《中国骨质疏松杂志》 CAS CSCD 2001年第3期221-223,共3页 Chinese Journal of Osteoporosis
关键词 骨质疏松 甲状旁腺素 降钙素 骨丢失 老年男性 骨吸收 Osteoporosis Parathormone Calcitonin 25 Hydroxy vitamin D 3 1,25 Dihydroxy vitamin D 3 Interleukin 6
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  • 1何耀华,邱贵兴.骨质疏松诊断与骨密度测量[J].中国骨质疏松杂志,1998,4(2):66-70. 被引量:17
  • 2何郁泉,潘子昂,刘京萍,王石麟,刘忠厚.男性骨质疏松[J].中国骨质疏松杂志,1995,1(1):63-66. 被引量:35
  • 3张国安 刘小朋 等.健康老年人白细胞介素6水平及诱生能力的研究[J].中华老年医学杂志,1995,14:310-313.
  • 4陶国枢 刘忠厚.老年骨质疏松症.骨质疏松学(第二版)[M].科学出版社,1998.535-543.

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