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铜蓝蛋白检测作为老年骨质疏松症患者筛查方法的实用性。

Usefulness of ceruloplasmin testing as a screening methodology for geriatric patients with osteoporosis.

作者信息

Karakas Emel Yigit, Yetisgin Alpaslan, Cadirci Dursun, Sezen Hatice, Altunbas Rıza, Kas Fehmi, Demir Mehmet, Ulas Turgay

机构信息

Department of Internal Medicine, Faculty of Medicine, Harran University, Turkey.

Department of Physical Therapy and Rehabilitation, Harran University School of Medicine, Turkey.

出版信息

J Phys Ther Sci. 2016 Jan;28(1):235-9. doi: 10.1589/jpts.28.235. Epub 2016 Jan 30.

Abstract

[Purpose] To evaluate serum ceruloplasmin levels in geriatric patients with osteoporosis. [Subjects and Methods] Seventy geriatric patients over 65 years of age were recruited. Patients were divided into two groups: group 1 ('OP', n=35) consisted of patients with osteoporosis, and group 2 (n=35) consisted of patients without osteoporosis. Dual-energy X-ray absorptiometry scanning was used in the measurement of bone mineral density in all cases. Inflammatory parameters, including C-reactive protein, sedimentation rate, and serum ceruloplasmin levels were analyzed in blood samples. [Results] No statistical differences in inflammatory parameters were observed between the two groups, however, serum ceruloplasmin levels were significantly higher in group 1 than in group 2. In Pearson analysis, serum ceruloplasmin levels were not found to be correlated with any biochemical parameters. Receiver operator characteristic curve analysis revealed that serum ceruloplasmin levels were predictive of osteoporosis with 85.7% sensitivity and 85.7% specificity over the level of 830.15. [Conclusion] Our study demonstrated that measurement of serum ceruloplasmin levels may have potential as a screening methodology for geriatric patients with osteoporosis.

摘要

[目的] 评估老年骨质疏松患者的血清铜蓝蛋白水平。[对象与方法] 招募了70名65岁以上的老年患者。患者被分为两组:第1组(“OP”,n = 35)为骨质疏松患者,第2组(n = 35)为无骨质疏松患者。所有病例均采用双能X线吸收法扫描测量骨密度。对血样中的炎症参数进行分析,包括C反应蛋白、血沉率和血清铜蓝蛋白水平。[结果] 两组之间炎症参数无统计学差异,然而,第1组的血清铜蓝蛋白水平显著高于第2组。在Pearson分析中,未发现血清铜蓝蛋白水平与任何生化参数相关。受试者工作特征曲线分析显示,血清铜蓝蛋白水平对骨质疏松的预测敏感性为85.7%,特异性为85.7%,临界值为830.15。[结论] 我们的研究表明,测量血清铜蓝蛋白水平可能具有作为老年骨质疏松患者筛查方法的潜力。

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