84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]李新民,王玲,蔣雯,等.中老年女性腰椎椎后肌群退變與腰椎骨密度的關(guān)系研究[J].中醫(yī)正骨,2018,30(02):16-20.
　LI Xinmin,WANG Ling,JIANG Wen,et al.A clinical study on the relationship between lumbar vertebrae posterior muscle group degeneration and lumbar bone mineral density in middle-aged and elderly females[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(02):16-20.
點擊復(fù)制

中老年女性腰椎椎后肌群退變與腰椎骨密度的關(guān)系研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年02期
頁碼:
16-20
欄目:
臨床研究
出版日期:
2018-02-20

文章信息/Info

Title:
A clinical study on the relationship between lumbar vertebrae posterior muscle group degeneration and lumbar bone mineral density in middle-aged and elderly females
作者:
李新民1; 王玲1; 蔣雯1; 婁路馨1; 陳義忠2; 江艷芬2; 于愛紅1; 程曉光1
1.北京積水潭醫(yī)院,北京 100035; 2.四川省大邑縣人民醫(yī)院,四川 大邑 611300
Author(s):
LI Xinmin1; WANG Ling1; JIANG Wen1; LOU Luxin1; CHEN Yizhong2; JIANG Yanfen2; YU Aihong1; CHENG Xiaoguang1
1.Beijing Jishuitan Hospital,Beijing 100035,China 2.The People's Hospital of Dayi county,Dayi 611300,Sichuan,China
關(guān)鍵詞:
腰椎;  骨密度;  定量CT;  肌少癥;  骨質(zhì)疏松;  女性
Keywords:
Keywords lumbar vertebrae;  bone density;  quantitative computerized tomography;  sarcopenia;  osteoporosis;  femininity
摘要:
目的:研究中老年女性腰椎椎后肌群退變與腰椎骨密度的關(guān)系。方法:以一項前瞻性中國城鄉(xiāng)流行病學研究項目招募的社區(qū)健康志愿者中的中老年女性作為研究對象,共115例。45歲≤年齡<60歲者62例(中年組),年齡≥60歲者53例(老年組)。使用定量CT分別測量其腰椎骨密度,并測量L3椎體中部層面椎后肌群的肌肉面積及脂肪面積,計算腰椎椎后肌群內(nèi)的肌肉脂肪浸潤程度(muscle fat infiltration,MFI)[MFI=脂肪面積/(肌肉面積+脂肪面積)×100%]。采用直線相關(guān)分析和多元線性回歸分析探討腰椎骨密度與腰椎椎后肌群退變的關(guān)系。結(jié)果:中年組的腰椎骨密度、椎后肌群肌肉面積均高于老年組[(132.74±35.74)mg·cm-3,(91.43±28.40)mg·cm-3,t=6.779,P=0.000;(40.68±6.62)cm2,(38.01±6.41)cm2,t=2.182,P=0.031],椎后肌群脂肪面積、MFI均低于老年組[(1.89±0.99)cm2,(2.34±1.45)cm2,t=-1.997,P=0.048;(4.48±2.11)%,(5.85±3.44)%,t=-2.604,P=0.010]; 2組的體質(zhì)量指數(shù)比較,組間差異無統(tǒng)計學意義[(23.96±3.22)kg·m-2,(24.08±3.06)kg·m-2,t=-0.190,P=0.850]。中年組、老年組及總體研究對象的腰椎骨密度均與年齡呈負相關(guān)(r=-0.552,P=0.000; r=-0.599,P=0.000; r=-0.690,P=0.000)。中年組腰椎骨密度與椎后肌群脂肪面積及MFI均呈負相關(guān)(r=-0.267,P=0.037; r=-0.304,P=0.017),與椎后肌群肌肉面積不存在直線相關(guān)關(guān)系(r=0.081,P=0.581); 老年組腰椎骨密度與椎后肌群脂肪面積及MFI均呈負相關(guān)(r=-0.331,P=0.017; r=-0.371,P=0.007),與椎后肌群肌肉面積不存在直線相關(guān)關(guān)系(r=0.235,P=0.094); 總體研究對象的腰椎骨密度與椎后肌群脂肪面積及MFI均呈負相關(guān)(r=-0.191,P=0.042; r=-0.214,P=0.023),與椎后肌群肌肉面積不存在直線相關(guān)關(guān)系(r=0.132,P=0.163)。以腰椎骨密度為因變量,以年齡、體質(zhì)量指數(shù)、腰椎椎后肌群肌肉面積和脂肪面積作為自變量,進行多元線性回歸分析,得到的回歸方程分別為,腰椎骨密度(中年組)=379.695-3.929×年齡-7.609×腰椎椎后肌群脂肪面積、腰椎骨密度(老年組)=146.419-1.190×年齡-6.350×腰椎椎后肌群脂肪面積、腰椎骨密度(總體研究對象)=269.577-2.962×年齡-5.307×腰椎椎后肌群脂肪面積。結(jié)論:中老年女性腰椎椎后肌群脂肪含量的增加可能會導(dǎo)致腰椎骨密度的下降,是骨質(zhì)疏松的重要危險因素。
Abstract:
ABSTRACT Objective:To study the relationship between lumbar vertebrae posterior muscle group degeneration and lumbar bone mineral density(BMD)in middle-aged and elderly females.Methods:One hundred and fifteen middle-aged and elderly females were selected as the subjects from community healthy volunteers that were recruited for a prospective urban and rural epidemiologic study in China.Sixty-two females ranged in age from 45 to 60 years(middle-aged group),and 53 females were≥60 years old(elder group).Their lumbar BMD were measured by using quantitative computerized tomography(CT),and muscle area and fat area of posterior vertebral muscle group were measured at the level of middle-layer of L3 vertebrae.The degree of muscle fat infiltration(MFI)(MFI=fat area/(muscle area+fat area)×100%)of lumbar vertebrae posterior muscle group was calculated.The relationship between lumbar BMD and lumbar vertebrae posterior muscle group degeneration were analyzed by using linear correlation analysis and multiple linear regression

參考文獻/References:

[1] MURRAY TÉ,WILLIAMS D,LEE MJ.Osteoporosis,obesity,and sarcopenia on abdominal CT:a review of epidemiology, diagnostic criteria,and management strategies for the reporting radiologist[J].Abdom Radiol(NY),2017,42(9):2376-2386.
[2] DREY M,SIEBER CC,BERTSCH T,et al.Osteosarcopenia is more than sarcopenia and osteopenia alone[J].Aging Clin Exp Res,2016,28(5):895-899.
[3] 金小嵐,侯建明,李梅.肌少癥與骨質(zhì)疏松及骨折[J].中華骨質(zhì)疏松和骨礦鹽疾病雜志,2016,9(3):247-250.
[4] KÄSER L,MANNION AF,RHYNER A,et al.Active therapy for chronic low back pain:part 2.Effects on paraspinal muscle cross-sectional area,fiber type size,and distribution[J].Spine(Phila Pa 1976),2001,26(8):909-919.
[5] 王玲,汪偉,鄧微,等.定量CT測量腹部脂肪面積及分布的重復(fù)性研究[J].中國骨質(zhì)疏松雜志,2012,18(11):999-1003.
[6] 中華醫(yī)學會骨質(zhì)疏松和骨礦鹽疾病分會.肌少癥共識[J].中華骨質(zhì)疏松和骨礦鹽疾病雜志,2016,9(3):215-227.
[7] YOSHIMURA N,MURAKI S,OKA H,et al.Is osteoporosis a predictor for future sarcopenia or vice versa?Four-year observations between the second and third ROAD study surveys[J].Osteoporos Int,2017,28(1):189-199.
[8] PASCO JA,MOHEBBI M,HOLLOWAY KL,et al.Musculoskeletal decline and mortality:prospective data from the Geelong Osteoporosis Study[J].J Cachexia Sarcopenia Muscle,2017,8(3):482-489.
[9] BINKLEY N,KRUEGER D,BUEHRING B.What's in a Name revisited:should osteoporosis and sarcopenia be considered components of “dysmobility syndrome?”[J].Osteoporos Int,2013,24(12):2955-2959.
[10] LEE I,HA C,KANG H.Association of sarcopenia and physical activity with femur bone mineral density in elderly women[J].J Exerc Nutrition Biochem,2016,20(1):23-28.
[11] TARANTINO U,BALDI J,SCIMECA M,et al.The role of sarcopenia with and without fracture[J].2016,47(Suppl 4):3-10.
[12] LEE I,CHO J,JIN Y,et al.Body fat and physical activity modulate the association between sarcopenia and osteoporosis in elderly korean women[J].J Sports Sci Med,2016,15(3):477-482.
[13] MILLER PD,SIRIS ES,BARRETT-CONNOR E,et al.Prediction of fracture risk in postmenopausal white women with peripheral bone densitometry:evidence from the National Osteoporosis Risk Assessment[J].J Bone Miner Res,2002,17(12):2222-2230.
[14] 李娜,唐海,張勇,等.雙能X線吸收與定量CT對比評價北京地區(qū)中老年女性與年齡相關(guān)的骨丟失[J].中國醫(yī)學影像技術(shù),2015,31(10):1487-1491.
[15] LANG TF,SIGURDSSON S,KARLSDOTTIR G,et al.Age-related loss of proximal femoral strength in elderly men and women:the Age Gene/Environment Susceptibility Study—Reykjavik[J].Bone,2012,50(3):743-748.
[16] FORTIN M,VIDEMAN T,GIBBONS LE,et al.Paraspinal muscle morphology and composition:a 15-yr longitudinal magnetic resonance imaging study[J].Med Sci Sports Exerc,2014,46(5):893-901.
[17] CRAWFORD RJ,FILLI L,ELLIOTT JM,et al.Age- and Level-Dependence of fatty infiltration in lumbar paravertebral muscles of healthy volunteers[J].AJNR Am J Neuroradiol,2016,37(4):742-748.
[18] 李新民,王玲,侯雪,等.正常中老年女性椎后肌群增齡退變與體質(zhì)量指數(shù)關(guān)系的研究[J].重慶醫(yī)學,2017,46(22):3053-3056.
[19] VERSCHUEREN S,GIELEN E,O'NEILL TW,et al.Sarcopenia and its relationship with bone mineral density in middle-aged and elderly European men[J].Osteoporos Int,2013,24(1):87-98.
[20] CUI LH,SHIN MH,KWEON SS,et al.Relative contribution of body composition to bone mineral density at different sites in men and women of South Korea[J].J Bone Miner Metab,2007,25(3):165-171.
[21] 侯雪,王晨,張勇,等.老年女性椎后伸肌群肌肉面積及密度與腰椎定量CT骨密度的相關(guān)性研究[J].重慶醫(yī)學,2016,45(30):4190-4192.
[22] LEE DY,YANG JH,KI CH,et al.Relationship between Bone Mineral Density and Spinal Muscle Area in Magnetic Resonance Imaging[J].J Bone Metab,2015,22(4):197-204.
[23] KIM JY,CHAE SU,KIM GD,et al.Changes of paraspinal muscles in postmenopausal osteoporotic spinal compression fractures:magnetic resonance imaging study[J].J Bone Metab,2013,20(2):75-81.

相似文獻/References:

[1]徐幫杰,楊楠,白偉杰,等.坐位定點旋轉(zhuǎn)整復(fù)法治療腰椎間盤突出癥的療效觀察[J].中醫(yī)正骨,2015,27(11):17.
　XU Bangjie,YANG Nan,BAI Weijie,et al.Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):17.
[2]白春曉,賈育松,孫旗,等.中醫(yī)藥在腰椎間盤突出癥圍手術(shù)期應(yīng)用的研究進展[J].中醫(yī)正骨,2015,27(11):65.
[3]王少純,周英杰.郭維淮教授運用活血益氣通經(jīng)湯治療腰椎間盤突出癥的經(jīng)驗[J].中醫(yī)正骨,2015,27(11):75.
[4]鄧紅軍.硫酸鈣骨水泥椎體成形聯(lián)合后路短節(jié)段椎弓根螺釘 內(nèi)固定治療創(chuàng)傷性胸腰椎骨折[J].中醫(yī)正骨,2015,27(10):35.
[5]張莉,秦丹霞,張細姣.腹針治療椎間盤源性腰痛[J].中醫(yī)正骨,2015,27(10):38.
[6]蘇洪,張雪林.患側(cè)下肢牽引配合腰椎斜扳法治療 極外側(cè)型腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(10):40.
[7]吳青坡,孫國紹,王林杰.后路椎管減壓聯(lián)合腰椎椎弓根釘動態(tài)穩(wěn)定裝置內(nèi)固定 治療單節(jié)段腰椎退行性疾病[J].中醫(yī)正骨,2015,27(10):42.
[8]謝冬群,黃中梁,葉金麗.加強隔附子餅灸治療腎陽虛型腰椎間盤突出癥的 臨床研究[J].中醫(yī)正骨,2015,27(09):18.
　XIE Dongqun,HUANG Zhongliang,YE Jinli.Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney-yang-deficiency-type lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):18.
[9]沈海良,錢萬鋒,周驍棟.針刀松解聯(lián)合局部封閉與口服中藥治療腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(09):46.
[10]王仁燦,黃炎洪,潘偉江,等.45°肩踝懸吊牽引下撞擊腰椎療法治療L5S1椎間盤突出癥[J].中醫(yī)正骨,2015,27(08):51.

備注/Memo

備注/Memo:
基金項目:北京市衛(wèi)生系統(tǒng)高層次衛(wèi)生技術(shù)人才培養(yǎng)項目(2009-2-03; 2013-3-033) 通訊作者:于愛紅 E-mail:[email protected]
更新日期/Last Update: 2018-07-02