骨质疏松症与血脂、血糖、血尿酸水平的相关性研究
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国家重点研发计划项目(2020YFC2004901);


Correlation analysis of osteoporosis with the expression of blood lipids,blood glucose and serum uric acid
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    摘要:

    目的:探讨骨质疏松症的发生与血脂、血糖、血尿酸水平的相关性。方法:回顾性分析接受骨密度筛查的447例患者的临床资料,依据骨密度(BMD)测量T值结果,将患者分为骨质疏松组(n=119)和非骨质疏松组(n=328)。比较两组患者一般资料、腰椎(L1-L4)BMD、尿酸(UA)、血糖(GLU)、血脂等指标水平及其与骨质疏松症的相关性。结果:两组患者性别、L1-L4 BMD、尿酸、空腹血糖、总胆固醇有统计学差异(P<0.05)。多因素Logistic回归分析提示,总胆固醇、尿酸、空腹血糖是诱发骨质疏松的独立危险因素(P<0.05)。受试者工作特征(ROC)曲线分析显示,尿酸、空腹血糖、总胆固醇对骨质疏松诊断有一定的预测价值,三者联合预测骨质疏松的效能较高。结论:在骨质疏松发生的风险中,总胆固醇、尿酸、空腹血糖是独立危险因素,上述指标联合预测骨质疏松的效能较高。

    Abstract:

    Objective:To explore the correlation between the onset of osteoporosis(OP)and the levels of blood lipids,blood glucose and serum uric acid.Methods:The clinical data of 447 patients who came to our hospital for bone mineral density(BMD)screening were retrospectively analyzed,and they were divided into osteoporosis group(n=119)and non-osteoporosis group(n=328)according to the results of BMD T-value.The general data,lumbar spine(L,-L4)BMD,uric acid(UA),blood glucose(GLU),blood lipid and other index levels and their correlation with OP were compared between the two groups.Re-sults:There were statistically significant differences in gender,L-L4 bone mineral density,uric acid,fasting blood glucose,and total cholesterol between the two groups.Multivariate Logistic regression analysis showed that total cholesterol,uric acid,fast-ing blood glucose were independent risk factors for OP.The receiver operating characteristic(ROC)curve analysis showed that UA,fasting GLU and total cholesterol had certain predictive value for the occurrence of OP,and the combined performance of the three had a higher efficacy.Conclusion:In the risk of OP,total cholesterol,UA,and fasting GLU are independent risk fac-tors,and the combination of these indicators has a higher predictive power for OP.

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刘婷婷;何清华;.骨质疏松症与血脂、血糖、血尿酸水平的相关性研究[J].川北医学院学报,2025,40(9):1114-1118.

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  • 在线发布日期: 2025-10-14
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