吉尔吉斯共和国低地居民骨质疏松综合症和慢性阻塞性肺病的危险因素分析

A. A. Asanbaeva, O. V. Lobanchenko, N. N. Brimkulov
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摘要

本研究旨在确定吉尔吉斯共和国比什凯克市居民中骨矿物质密度紊乱与慢性阻塞性肺病之间的关系,同时考虑到风险因素。研究对象为 200 名低地居民(平均年龄为 56.9±1.7 岁)。骨质密度(BMD)通过双能 X 射线吸收测定法进行测定。尽管吸烟频率相同,但慢性阻塞性肺病(COPD)在低 BMD 患者中的发病率几乎是健康对照组的 2 倍(分别为 63.0% 和 34.8%;P<0.001)。低 BMD 的其他独立预测因素包括糖皮质激素摄入量和年龄。在吉尔吉斯共和国的低地居民中,即使在对年龄和其他已知风险因素进行调整后,慢性阻塞性肺病的发生仍是导致骨质疏松症/骨质疏松症的一个独立风险因素。
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Osteopenic syndrome and chronic obstructive pulmonary disease among residents of lowland of the Kyrgyz Republic taking into account risk factors
The aim of the study was to identify the relationship between bone mineral density disorders and chronic obstructive pulmonary disease among residents of Bishkek, Kyrgyz Republic, taking into account risk factors.Material and methods. 200 residents of lowland (mean age 56,9±1,7 years) were examined. Bone mineral density (BMD) was determined by dual-energy X-ray absorptiometry.Results. Chronic obstructive pulmonary disease (COPD) was almost 2-fold more common among patients with low BMD than healthy controls (63.0% and 34.8% of cases, respectively; p<0.001), despite the same frequency of smoking. Other independent predictors of low BMD were glucocorticoid intake and age.Conclusion. The occurence of COPD is an independent risk factor for the development of osteopenia/osteoporosis even after age and other known risk factors adjustment in lowland residents of the Kyrgyz Republic.
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