TƯƠNG QUAN CHỈ SỐ T-SCORE ĐẦU DƯỚI XƯƠNG QUAY VỚI T-SCORE CỔ XƯƠNG ĐÙI VÀ CỘT SỐNG THẮT LƯNG TRONG ĐÁNH GIÁ LOÃNG XƯƠNG Ở NGƯỜI CAO TUỔI

Abstract

Objective: This study aims to use the DEXA bone density measurement method at the wrist bone to diagnose osteoporosis and investigate the relationship between bone density at the radius and the femoral neck and lumbar spine in elderly patients. Methods: Cross-sectional descriptive study with 60 patients over 60 years old, measuring bone density at the lumbar spine, femur and radius using the DEXA method at Thong Nhat Hospital from October 2023 to December 2023. Results: The average age of patients was 70.4 ± 6.35 years old, with women accounting for 81.67%. The rate of osteoporosis was 41.67% when measured at the spine and femur. The T-score of the mid-radius (MID) was linearly correlated with the T-score of the femur and spine (p < 0.001). The T-score at the 1/3 distal radius (1/3R) position had a linear correlation with the T-score of the lumbar spine and did not correlate with the position of the femoral neck. The T-score at the ultra-distal radius (UDR) location did not have a linear correlation with the T-score at the femur and lumbar spine. Conclusion: Measuring bone density at the radial site using the DEXA method can provide useful information in the diagnosis of osteoporosis. The study shows the relationship between the T-score of the radius and other locations such as the lumbar spine and femur, contributing to improving the effectiveness of diagnosing osteoporosis in the elderly.