老年2型糖尿病患者骨质疏松症危险因素分析.docVIP

老年2型糖尿病患者骨质疏松症危险因素分析 　　[摘要] 目的 探讨老年2型糖尿病患者骨质疏松症（OP）的危险因素。方法 选取我院老年病科2012年12月~2013年12月门诊及住院的老年2型糖尿病患者192例，分为OP组（A组）和非OP组的（B组）。收集患者的一般临床资料及实验室检查结果，运用t检验对两组一般资料进行比较，并对相关危险因素进行Logistic回归分析。 结果 （1） 两组HbA1C （糖化血红蛋白A1C）、FINS （空腹胰岛素）、FBG （空腹血糖）、BMI（体重指数）差异有统计学意义（P＜0.05）；Ca2+（血钙）、P（血磷）比较差异无统计学意义（P＞0.05）。（2）HbA1C、FINS水平、病程、BMI是老年2 型糖尿病患者OP的独立危险因素（P＜0.05）。 结论 积极控制血糖、保护胰岛功能、维持理想体重，对于老年2型糖尿病患者预防骨质疏松症具有重要参考价值。 　　[关键词] 2型糖尿病；老年；骨质疏松症；危险因素 　　[中图分类号] R587.1#8195;#8195;#8195;[文献标识码] A#8195;#8195;#8195;[文章编号] 2095-0616（2014）11-53-03 　　 　　Analysis of risk factors of osteoporosis in elderly patients with type 2 diabetes 　　QI#8195;Dongxu#8195;#8195;SONG#8195;Chengwei 　　Department of Geriatrics, Fourth Hospital of Jilin University, First Auto Work General Hospital, Changchun 130013,China 　　[Abstract] Objective To investigate the risk factors of osteoporosis (OP) in elderly patients with type 2 diabetes. Methods 192 elderly outpatients and inpatients with type 2 diabetes treated in the geriatric department of our hospital from December 2012 to December 2013 were selected and divided into the OP group (group A) and the non-OP group (group B). The patients ordinary clinical data and laboratory inspection results were collected. The ordinary data of the two groups were compared using t test and relevant risk factors were analyzed using Logistic regression analysis. Results (1) The two groups were statistically different in HbA1C (glycosylated hemoglobin A1C), FINS(fasting insulin), FBG (fasting blood glucose) and BMI (body mass index)(P＜0.05). (2) HbA1C, FINS level, course of disease and BMI were independent risk factors of OP in elderly patients with type 2 diabetes(P＜0.05). Conclusion Active control of blood sugar, protection of insulin function and maintenance of ideal body weight are of important reference value for the prevention of osteoporosis in elderly patients with type 2 diabetes. 　　[Key words] Type 2 diabetes; Elderly; Osteoporosis; Risk factors 　　老年人和2型糖尿病患者均易患骨质疏松症。骨质