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绝经后女性骨密度与中心脉压关系的探讨

Study on the Relationship between Bone Mineral Density and Central Pulse Pressure in Postmenopausal Women

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【作者】 陈鹏李继武张素勤

【Author】 CHEN Peng,LI JI-wu,ZHANG Su-qing.Department of Cardiology,The Second Affiliated Hospitol of Wenzhou Medical College,Zhejiang 325000,China

【机构】 温州医学院附属第二医院心内科

【摘要】 <正>骨质疏松症是一种全身性的骨骼疾病,随着年龄的增大而日渐严重,特别在绝经后女性人群中,这种骨代谢异常表现得尤为显著。近年来,人们注意到伴随着钙代谢异常的骨质疏松症常伴有动脉血管钙化和硬化[1,2],提示两者之间可能存在着共同的发病机制。本文通过对155例绝经后女性骨密度和有创中心动脉压测定,旨在探讨绝经后女性人群骨密度降低与动脉硬化之间的关系,为这两种绝经后女性人群常见疾病的综合防治寻找科学的理论依据。

【Abstract】 Objective To observe the relationship between bone mineral density(BMD) and central pulse pressure(CPP)in postmenopausal women.Methods One hundred and fifty five postmenopausal women aged 46-83 years old were included in this study.The levels of BMD in the lumbar spine(L1-L4) and the right femoral neck were determined in all patients with dual-energy x-ray absorptiometry(GE Lunar Co).Their brachial blood pressure was measured by mercury sphygmomanometer and the central arterial blood pressure was measured by 5F JR catheter.The levels of serum lipid(total cholesterol,triglyceride cholesterol,high-density-lipoprotein-cholesterol,low-density-lipoprotein-cholesterol),serum creatinine and fasting-plasma-sugar(FBG) were measured with Japanese automatic biochemistry analyzer.All data were analysed with SPSS software and multiple stepwise regression analysis.Results 1.Pearson’s correlation analysis showed that CPP was significantly related to age,FBG,heart rate,BMD in femoral neck and serum creatinine.2.The multiple factors stepwise regression analysis showed that the regression of CPP only with age,heart rate and BMD in the femoral neck was of great significance.Conclusions This study indicated that loss of bone mineral density in the femoral neck was an independent risk factor for CPP increase in postmenopausal women.

  • 【文献出处】 心脑血管病防治 ,Prevention and Treatment of Cardio-Cerebral-Vascular Disease , 编辑部邮箱 ,2011年02期
  • 【分类号】R580
  • 【下载频次】28
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