慢性下腰痛患者的骨密度评估
Evaluation of bone mineral density in patients with chronic low back pain.
作者信息
Al-Saeed Osama, Mohammed Ahmed, Azizieh Fawaz, Gupta Renu
机构信息
Department of Radiology, Faculty of Medicine, Kuwait University, Kuwait.
出版信息
Asian Spine J. 2013 Jun;7(2):104-10. doi: 10.4184/asj.2013.7.2.104. Epub 2013 May 22.
STUDY DESIGN
This was designed as a retrospective study.
PURPOSE
We investigated the relationship between bone mineral density (BMD) and chronic lower back pain (LBP).
OVERVIEW OF LITERATURE
In spite of a large number of epidemiological surveys on the prevalence of LBP and BMD measurements completed separately in the general population, the relationship between the two has not been well documented.
METHODS
The study included 171 patients with chronic LBP who underwent the BMD study. The control group was selected from our database regarding BMD without LBP.
RESULTS
A total of 678 subjects, aged 18 to 100 years (mean, 49.9±12.9 years) were included in the study, 25% (n=171) of the subjects had LBP. Compared to those patients without LBP, patients exhibiting LBP had statistically significant lower mean weight, hip and spine BMD and T-score. Lower BMD and T-scores were significant regardless of the age group, gender, menopausal status, and obesity classification.
CONCLUSIONS
Chronic LBP has a negative correlation with hip and spine bone mineral density.
研究设计
本研究设计为回顾性研究。
目的
我们调查了骨密度（BMD）与慢性下腰痛（LBP）之间的关系。
文献综述
尽管在普通人群中分别完成了大量关于LBP患病率和BMD测量的流行病学调查，但两者之间的关系尚未得到充分记录。
方法
该研究纳入了171例接受BMD研究的慢性LBP患者。对照组从我们关于无LBP的BMD数据库中选取。
结果
本研究共纳入678名年龄在18至100岁（平均49.9±12.9岁）的受试者，其中25%（n = 171）的受试者患有LBP。与无LBP的患者相比，有LBP的患者平均体重、髋部和脊柱BMD及T值在统计学上显著更低。无论年龄组、性别、绝经状态和肥胖分类如何，较低的BMD和T值均具有显著性。
结论
慢性LBP与髋部和脊柱骨密度呈负相关。
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