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[1]蔣雪生,李建有,張文均,等.骨質疏松性骨折風險與脊柱活動能力的相關性研究[J].中醫(yī)正骨,2013,25(09):16-18.
 Jiang Xuesheng*,Li Jianyou,Zhang Wenjun,et al.A correlation analysis of the relationship between risk of osteoporotic fracture and spinal mobility[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(09):16-18.
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骨質疏松性骨折風險與脊柱活動能力的相關性研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年09期
頁碼:
16-18
欄目:
臨床研究
出版日期:
2013-09-30

文章信息/Info

Title:
A correlation analysis of the relationship between risk of osteoporotic fracture and spinal mobility
作者:
蔣雪生1李建有1張文均2王華軍3陳庭瑞4藍文銳 4李義凱4陳超4
1.浙江省湖州市中心醫(yī)院,浙江 湖州 313000;
2.深圳平樂骨傷科醫(yī)院,廣東 深圳 518010;
3.河北省石家莊市骨科醫(yī)院,河北 石家莊 050011;
4.南方醫(yī)科大學,廣東 廣州 510515
Author(s):
Jiang Xuesheng*Li JianyouZhang WenjunWang HuajunChen TingruiLan WenruiLi YikaiChen Chao.*
Huzhou Central Hospital,Huzhou 313000,Zhejiang,China
關鍵詞:
骨質疏松 骨折 脊柱 相關分析 危險性評估
Keywords:
Osteoporosis Fracturesbone Spine Correlation analysis Risk assessment
摘要:
目的:探討骨質疏松性骨折風險與脊柱活動能力的相關性。方法:利用FRAX骨折風險測評工具計算107位中老年人10年內主 要骨質疏松性骨折的發(fā)生概率,同時采用Idiag SpinalMouse脊柱電子測量儀測量受檢者從直立位到前屈位胸椎曲度變化(直-屈 胸曲變化)、直立位到前屈位腰椎曲度變化(直-屈腰曲變化)、直立位到背伸位胸椎曲度變化(直-伸胸曲變化)、直立位到背伸位 腰椎曲度變化(直-伸腰曲變化)、負重位時的胸椎曲度變化(負重胸曲變化)、負重位時的腰椎曲度變化(負重腰曲變化)及負重位 時的軀干前傾角變化(負重前傾角變化)。結果:受檢者10年內主要骨質疏松性骨折的發(fā)生概率為(10.55±5.91)%,與直-屈胸 曲變化(14.55°±5.74°)呈負相關(r=-0.315,P=0.001),與負重胸曲變化(5.50°±5.26°)和負重前傾角變化(2.35° ±2.91°)呈正相關(r=0.235,P=0.015; r=0.283,P=0.003)。結論:骨質疏松性骨折風險與胸椎活動能力及保持脊柱形態(tài)的 能力相關。
Abstract:
Objective:To analyse the correlation between risk of osteoporotic fracture and spinal mobility.Methods:The fracture risk assessment tool(FRAX)was used to determine 10-year risk of major osteoporotic fracture in 107 old people.Meanwhile,such parameters of the patients were measured with a SpinalMouse(Idiag,Switzerland)as the thoracic curvature changes from upright position to anterior flexion position(upright-flexional thoracic curvature changes),the lumbar curvature changes from upright position to anterior flexion position(upright-flexional lumbar curvature changes),the thoracic curvature changes from upright position to dorsiflexion position(upright-stretch thoracic curvature changes),the lumbar curvature changes from upright position to dorsiflexion position(upright-stretch lumbar curvature changes),the thoracic curvature changes in weight-bearing position(weight-bearing thoracic curvature changes),the lumbar curvature change in weight-bearing position(weight-bearing lumbar curvature changes)and anteversion angle changes of the trunk in weight-bearing position(weight-bearing anteversion angle changes).Results:The occurrence probability of major osteoporotic fracture was(10.55±5.91)% in the patients within ten years,and it was negatively correlated with upright-flexional thoracic curvature changes((14.55°±5.74°),r=-0.315,P=0.001),and was positively correlated with weight-bearing thoracic curvature changes and weight-bearing anteversion angle changes((5.50°±5.26°),r=0.235,P=0.015;(2.35°±2.91°),r=0.283,P=0.003).Conclusion:The risk of osteoporotic fracture were related to the activity ability of thoracic vertebra and the ability of spine to keep its normal shape.

參考文獻/References:

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備注/Memo

備注/Memo:
2012-08-10收稿 2013-01-18修回
基金項目:國家自然科學基金資助項目(30700893),湖州市科技攻關計劃資助項目(2010GS09)
通訊作者:陳超 E-mail:[email protected]
更新日期/Last Update: 2013-09-30