Factors affecting lumbar disc herniation among elderly patients with osteoporosis
10.19485/j.cnki.issn2096-5087.2024.11.019
- Author:
MEN Xin
;
LIU Mingming
;
WANG Hui
- Publication Type:Journal Article
- Keywords:
osteoporosis;
lumbar disc herniation;
influencing factor
- From:
Journal of Preventive Medicine
2024;36(11):1000-1002,1007
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the influencing factors of lumbar disc herniation (LDH) among elderly patients with osteoporosis (OP), so as to provide the basis for early prevention of LDH in OP patients.
Methods:The patients aged 60 years and above with OP who were treated in the clinic of Beijing Jishuitan Hospital from December 2022 to December 2023 were recruited as the study subjects. The data of demographic and clinical information were collected through the hospital medical record system. LDH was diagnosed according to the LDH Diagnosis and Treatment Guidelines. Factors affecting LDH among elderly patients with OP were identified using a multivariable logistic regression model.
Results:A total of 500 patients with OP were included, with 188 males (37.60%) and 312 females (62.40%). The mean age was (69.05±3.28) years, and the course of OP was (6.37±2.11) years. There were 196 patients living alone, accounting for 39.20%. LDH among elderly patients with OP were detected in 78 cases, accourcing for 15.60%. Multivariable logistic regression analysis showed that the patients who were at ages of 70 years and above (OR=1.465, 95%CI: 1.197-1.793), lived alone (OR=1.777, 95%CI: 1.093-2.889), had a history of fracture (OR=1.799, 95%CI: 1.070-3.023) and scored higher in quality of life (OR=1.405, 95%CI: 1.230-1.605) were at higher risks of LDH, while the patients who had a history of taking calcium supplements (OR=0.562, 95%CI: 0.345-0.915) were at lower risks of LDH.
Conclusion: Age, living situation, history of fracture, history of taking calcium supplements and quality of life were influencing factors for LDH among elderly patients with OP.
- Full text:2024111814373034382老年骨质疏松症患者腰椎间盘突出症的影响因素分析.pdf
