《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (04): 222-223.

• 临床研究 • 上一篇    下一篇

广州地区647例妇女跟骨定量超声骨量研究

刘兴漠; 苏汝   

  1. 广州市第六人民医院骨科 广东广州市 510655
  • 收稿日期:2003-12-25 出版日期:2004-04-25 发布日期:2004-04-25

Quantitative ultrasound test of calcaneus in 647 women in Guangzhou area

LIU Xing-mo, SU Ru-kun   

  1. Department of Orthopedic Surgery, The 6th People’s Hospital of Guangzhou, Guangzhou 510655, Guangdong, China
  • Received:2003-12-25 Published:2004-04-25 Online:2004-04-25

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被引次数

5

摘要： 目的探讨广州地区妇女骨质变化规律,为骨质疏松症防治提供科学依据。方法采用超声骨密度/骨质量测量仪对广州地区647例妇女进行跟骨骨质测量及评估。结果在各参数中,超声振幅衰减平均值(BUA)在绝经期呈明显递减(P<0.01),而绝经后早期下降相对平缓(P>0.05),但老年期开始又呈明显递减(P<0.01)。超声传播速度(SOS)值在骨峰值出现后随年龄增加而有规律地递减,进入绝经期后呈明显递减(P<0.01),但81岁以上则不再明显下降(P>0.05)。骨硬度指数(STI)值在绝经期开始即明显递减(P<0.01),且下降幅度较大、敏感、直观。结论定量超声骨质测量仪不仅可以提供反映骨量的指标,而且可以对骨结构进行评估,无辐射,成本低廉,操作方便,在骨质疏松症的诊断以及妇女和老年保健方面可发挥重要作用。

关键词: 妇女, 骨质疏松, 定量超声骨质测量

Abstract: ObjectiveTo study changes of bone measured with quantitative ultrasound (QUS) in women of Guangzhou area and provide scientific basis for prevention and treatment of osteoporosis (OP).MethodsCalcaneus measurement was done with QUS in 647 women of Guangzhou area, and measurement data was analyzed.ResultsIn menopause and aged women, broadband ultrasound attenuation (BUA) showed a significantly decrease (P<0.01), whereas it decreased only slightly in early postmenopausal women (P>0.05). After the peak of BMD, speed of sound (SOS) showed a stepwise decline, and significantly decrease in menopause (P<0.01), but not significant over eighties (P>0.05). In contrast, stiffness index (STI) significantly decreased from the menopause, and it was a better indicator than BUA or SOS.ConclusionQUS can not only test bone mass but also assess microarchitecture, and it is nonradioactive, cheaper, easier to use, and may play a important role in diagnosis of osteoporosis and women and senile health.

Key words: women, osteoporosis, quantitative ultrasound (QUS)