KHẢO SÁT MẬT ĐỘ XƯƠNG BẰNG HẤP THỤ TIA X NĂNG LƯỢNG KÉP VÀ 1 SỐ YẾU TỐ NGUY CƠ LOÃNG XƯƠNG Ở BỆNH NHÂN BỆNH THẬN MẠN TÍNH CHƯA ĐIỀU TRỊ THAY THẾ THẬN TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objectives: Survey of bone density by absorbing dual energy X -rays and some factors The risk of osteoporosis in patients with chronic kidney disease has not been treated for kidney replacement at Thai Binh General Hospital. Subjects and methods: The study described cross -sectional conducted on 84 patients with chronic kidney disease has not been treated for kidney replacement at the Department of Nephrology- Musculoskeletal Osteoarthritis Hospital of Thai Binh Province. Results: The average age research object is 66 ± 12.7 years old. 65.5% of patients increase the concentration of PTH hormones. According to the results of bone density measurement at the average value of BMD/T-SCORE/Z-SCORE, 1.13/0.01/1.5. According to the results of bone density measurement at CXD, the average value of BMD/T-SCORE/Z-SCORE is 0.82/-0.44/0.98, respectively. The rate of osteoporosis increases in age group, from 0% in patients 40-50 years old to 63.2% in patients over 70 years old. The ratio of osteoporosis tends to increase in the period of BTM, from 10.5% in phase II to 31.6% at the stage of V. The rate of reducing bone density ranges from 6.2% to 28.1%. There are 57.9% of people with glomerular filtration level <30 ml/minute osteoporosis. There is no association between blood pTH blood, calcium full blood, blood phosphorus and osteoporosis in the research group. A group of patients with pigmented blood <120g/l is 1.3 times higher than osteoporosis than a group of patients with pigmentation blood ≥ 120 g/l.