中文摘要：

目的初步探讨绝经后妇女骨密度与血红蛋白、血小板的相关性。方法随机选择319例福州常住汉族绝经后妇女,分为骨质疏松组147例,非骨质疏松组172例,双能X线骨密度仪测定腰椎、股骨颈、大转子和Ward’s区骨密度,SPSS18.0统计软件分析血红蛋白、血小板与不同部位骨密度的关系。结果 （1）与非骨质疏松组相比,骨质疏松组患者的血红蛋白含量更高（z=-3.099,P=0.002）,血小板计数更多（z=-3.436,P=0.001）。（2）校正年龄、体重指数和绝经年限后,血小板与腰椎、大转子骨密度呈负相关（r1=-0.189,P1=0.001;r2=-0.146,P2=0.009）;血红蛋白与腰椎、大转子骨密度也呈负相关（r1=-0.133,P1=0.018;r2=-0.200,P2=0.000）。（3）多元逐步回归分析显示,血红蛋白与大转子骨密度呈负相关（β=-0.183,P=0.000）;血小板与腰椎骨密度呈负相关（β=-0.182,P=0.001）。结论绝经后妇女低骨量的发生与血红蛋白、血小板均存在负相关,鉴于与当前部分结果并不一致,故仍需进一步深入探究。

英文摘要：

Objective To investigate the relationship between bone mineral density（ BMD）,hemoglobin（ HGB）,and platelet（ PLT） in postmenopausal women. Methods A total of 319 postmenopausal Han women,who lived in Fuzhou,were randomly selected and divided into osteoporosis group（ OP group,147 cases） and non-osteoporosis group（ NOP group,172 cases）. BMD of the lumbar vertebrae,the femoral neck,the greater trochanter,and the Ward’s area was detected using dual energy X-ray absorptiometry. The correlation between BMD of different parts,HGB,and PLT was analyzed using a SPSS 18. 0 statistical software. Results Compared with those in the NOP group,the hemoglobin level（ z =- 3. 099,P = 3. 099） and platelet count（ z=- 3. 436,P = 0. 001） in OP group were higher. After adjusting for age,body mass index（ BMI）,and duration of menopause,PLT was negatively correlated with BMD of the lumbar vertebrae and the greater trochanter（ r1=- 0. 189,P1= 0. 001; r2=-0. 146,P2= 0. 009）. HGB was also negatively correlated with BMD of the lumbar vertebrae and the greater trochanter（ r1=-0. 133,P1= 0. 018; r2=- 0. 200,P2= 0. 000）. Multiple stepwise regression analysis showed that HGB was negatively correlated with BMD of the greater trochanter（ β =- 0. 183,P = 0. 000）. PLT was negatively correlated with BMD of the lumbar vertebrae（ β =-0.182,P =0.001）. Conclusion The occurrence of low bone mass in postmenopausal women is negatively correlated with HGB and PLT. This result is not consistent with several current results,therefore,further study is needed.