2型糖尿病患者骨质疏松相关因素分析

2型糖尿病患者骨质疏松相关因素分析
庞奕
【期刊名称】《上海医药》
【年(卷),期】2013(000)013
【摘要】目的：探讨2型糖尿病患者骨密度变化与身高、体重、体重指数、血糖、胰岛素等相关因素的关系。

方法：采用双能X线骨密度仪进行腰椎2~4及左股骨近端骨密度测定并比较结果。

结果：2型糖尿病患者的骨密度改变与血糖、糖化血红蛋白呈负相关，与胰岛细胞功能、体重、身高、体重指数呈正相关。

结论：2型糖尿病患者合并骨质疏松症的发病率明显高于对照组，低体重是发生骨折的危险因素之一。

对2型糖尿病患者应严格控制血糖，定期进行骨密度测定，防治骨质疏
松症的发生，降低骨折的危险性。

%Objective:To investigate the relationships between bone mineral density changes in the patients with type 2 diabetes complicating osteoporosis and their height, weight, body mass index, blood-glucose, glycosylated hemoglobin(HbA1c) and insulin levels. Methods:The bone mineral density in the second to fourth lumber and the proximal left femur were measured with the dual energy X BMD measuring instrument. The indicators mentioned above were compared between two groups. Results:The change of bone mineral density in the patients with type 2 diabetes was negatively correlated to the levels of blood glucose and HbA1c and positively correlated to pancreatic B cell function, weight, height and body mass. Conclusion:The incidence of osteoporosis is significantly higher in diabetes group than in control group. Lower weight
is one of the risk factors resulting in fractures. Therefore, the patients with type 2 diabetes should strictly control their blood glucose levels and regularly detect their bone mineral densities so as to prevent the occurrence of osteoporosis and reduce the risk of fractures.
【总页数】4页(P20-23)
【作者】庞奕
【作者单位】上海市黄浦区东南医院上海 200023
【正文语种】中文
【中图分类】R195.4
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