Loãng xương nguyên phát ở phụ nữ sau mãn kinh

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Tác giả: Thị Hằng Lê, Thị Phương Thủy Nguyễn

Ngôn ngữ: Vie

Ký hiệu phân loại: 616.7 *Diseases of musculoskeletal system

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam) 2023

Mô tả vật lý: 227-231

Bộ sưu tập: Metadata

ID: 407040

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Tóm tắt
Chủ đề

Nghiên cứu nhằm khảo sát tình trạng loãng xương ở phụ nữ sau mãn kinh. Đối tượng và phương pháp nghiên cứu: Thiết kế nghiên cứu mô tả cắt ngang được thực hiện trên 94 phụ nữ mãn kinh đến khám tại Khoa khám bệnh, Bệnh viện đa khoa tỉnh Thanh Hóa. Bệnh nhân được đo mật độ xương cột sống thắt lưng và cổ xương đùi bằng máy đo DEXA. Bệnh nhân được xếp loại mật độ xương dựa vào chỉ số T-score: T ≤ -2,5 SD là loãng xương
T>
-2,5 SD là không loãng xương, gồm nhóm bình thường (T>
-1 SD) và giảm mật độ xương (-1SD ≥ T >
-2,5 SD). Kết quả: Tỉ lệ loãng xương cổ xương đùi là 23,4%, loãng xương cột sống thắt lưng là 52,1% và 55,3% số bệnh nhân có loãng xương ít nhất một trong hai vị trí. Các yếu tố liên quan tới nguy cơ loãng xương cao hơn bao gồm: độ tuổi từ 60 trở lên, mãn kinh trên 10 năm, sinh nhiều hơn 2 con, hoạt động thể lực dưới 4 giờ mỗi tuần, rối loạn lipid máu và có bệnh khác. Kết luận: Hầu hết phụ nữ sau mãn kinh tới khám tại Khoa khám bệnh bệnh viện đa khoa tỉnh Thanh Hóa bị loãng xương hoặc giảm mật độ xương., Tóm tắt tiếng anh, Study to investigate osteoporosis status in postmenopausal women. Subjects and methods: A cross-sectional descriptive study was conducted o 94 postmenopausal female patients visiting the department of medical examination, Thanh Hoa Provincial General Hospital. The patient's lumbar spine bone density and femoral neck were measured using a DEXA meter. Patients were graded bone density based on the T-score: T≤ 2.5 SD was osteoporosis
T>
-2.5 SD was non-osteoporosis, including the normal group (T>
-1 SD) and decreased bone density (-SD≥ T>
-2.5 SD). Results: The rate of femoral neck osteoporosis was 23.4%, lumbar spine osteoporosis was 52.1%. There was 55.3% of the patients had osteoporosis in at least one of the two locations. Factors associated with a higher risk of osteoporosis included: age 60 or older, menopause for more than 10 years, having more than two children, less than 4 hours of physical activity per week, dyslipidemia, having another disease. Conclutions: Most of the post-menopausal women who came to the Department of Examination, General Hospital of Thanh Hoa Province, had osteoporosis or reduced bone density.

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