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젊은 무월경 환자에서 생화학적 골 대사 지표를 이용한 골 교체에 관한 연구
The Clinical Study of Bone Turnover Using Biochemical Bone Markers in Young Amenorrheic Women
박기현(Ki Hyeon Park),주수길(Soo Kil Joo),정창진(Chang Jin Jung),조동제(Dong Jae Cho),송찬호(Chan Ho Song)
UCI I410-ECN-0102-2009-510-005263897

The deficiency of estrogen for the young women brings bone loss and the fracture by osteoporosis is also reported from them. Especially different from spontaneous menopause, the velocity of decrease in bone mineral density is fast and bone loss is also caused in trabecular bone and cortical bone. We not only measured bone mineral density but also serum ostecalcin, PICP of bone formation marker and serum ICTP of bone resorption marker to know the interrelation between bone mineral density and bone turnover rate by researehing 108 amenorrheic patients. There is a significant negative correlation between bone mineral density(Z-score) of spine(n=73, r=-0.39, p<0.01) and femur neck(n=72, r=-0.41, p<0.01) and osteocalcin, significant correlation between BMD of spine(n=73, r--0.44, p<0.001) and femur neck (n=72, r=-0.45, p<0.001) and ICTP and negative correlation between BMD of spine(n=80, r=-0.37, p<0.001) and femur neck(n=80, r=-0.44, p<0.001) and PICP. Ionized calcium in blood and urine have little or no comelation for BMD(n=87, r-0.31, p<0.01). There is a significant positive correlation with ICTP(n=108, r=0.57, p<0.001) and PICP(n=108, r=0.56, p<0.05) for osteocalcin in serum In view of the results so far achieved,serum osteocalcin, ICTP, and PICP Mect a very significant state of BMD loss, and showed a increased rate of bone tumover in most of these patients.

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