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影响男性2型糖尿病中老年患者骨量减少的因素分析

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目的 探讨影响男性2型糖尿病(T2DM)中老年患者骨量减少的因素.方法 选取2022年4月1日至2023年4月1日湖州市第一人民医院内分泌科住院治疗的268例男性T2DM中老年患者.收集患者年龄、糖尿病病程、吸烟史和饮酒史等基本资料;同时检测患者的血液生化免疫指标,包括糖化血红蛋白(HbA1c)、血肌酐(Scr)、同型半胱氨酸(Hcy)、降钙素(CT)和β-胶原特殊序列(β-CTx)等.通过双能X线吸收仪对所有患者进行骨密度检测,根据检测结果将患者分为骨量正常组和骨量减少组,比较两组患者的一般情况和检测指标,采用二元logistic回归分析影响男性T2DM中老年患者骨量减少的危险因素.结果 骨量正常组167例,骨量减少组101例.与骨量正常组比较,骨量减少组患者年龄更大,β-CTx和Hcy水平较高,BMI较低(均P<0.05).二元logistic回归分析结果显示高年龄、高β-CTx水平、低BMI为男性T2DM中老年患者骨量减少的危险因素(均P<0.05).结论 男性T2DM中老年患者骨量减少与其年龄、BMI、β-CTx、Hcy相关,高年龄、高β-CTx水平、低BMI为男性T2DM中老年患者骨量减少的危险因素.
Factors related to osteopenia in middle and old-aged males with type 2 diabetes mellitus
Objective To analyze the risk factors of osteopenia in middle and old-aged male patients with type 2 diabetes mellitus(T2DM).Methods A total of 268 middle and old-aged male patients with T2DM admitted to the endocrinology department of Huzhou First People's Hospital from April 1,2022 to April 1,2023 were enrolled in the study.The clinical data and laboratory test results of patients were collected.Bone mineral density was detected by dual-energy X-ray absorptiometry(DXA),and according to DXA results,the patients were divided into the normal bone mass group(n=167)and the osteopenia group(n=101).The basic conditions and laboratory indicators were compared between two groups,and the risk factors of osteopenia were analyzed with binary logistic regression model.Results Compared with the normal bone mass group,patients in the osteopenia group had older average age,higher serum beta-C-terminal telopeptide of type 1 collagen(β-CTx)and homocysteine Hcy levels,and lower BMI(all P<0.05).Binary logistic regression analysis showed that high age,high β-CTx,and low BMI were independent risk factors for bone loss in middle and old-aged male T2DM patients(all P<0.05).Conclusion Male T2DM patients with older age,low BMI,high serum β-CTx and Hcy levels are likely to have bone loss,high age,high β-CTx,and low BMI were independent risk factors for bone loss.

Type 2 diabetes mellitusOsteopeniaRisk factorsOld and middle-aged males

嵇龙飞、李杰、蔡云祥

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313000 湖州市第一人民医院检验科

2型糖尿病 骨量减少 危险因素 中老年男性

湖州市科学技术局公益性应用研究项目

2018GYB10

2024

浙江医学
浙江省医学会

浙江医学

CSTPCD
影响因子:0.428
ISSN:1006-2785
年,卷(期):2024.46(3)
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