| 摘要: |
| ［摘要］ 随着我国人口老龄化，原发性骨质疏松已经成为威胁老年人健康的常见病、多发病，并已受到越来越多的关注和重视。然而，继发性骨质疏松的发病率、诊断率和筛查、干预治疗却一直未得到应有的重视。继发性骨质疏松在住院患者和门诊患者中多见，一项调查显示，住院患者骨密度异常率为78.51%,门诊患者骨密度异常率为75.00%，然而接受骨密度检测的绝经后女性占同期住院绝经后妇女的比例不足3%，接受骨密度检测70岁以上男性占同期住院70岁以上男性比例不足1%。因此，在临床医务人员中开展防范骨质疏松风险因素的知识教育和提高骨质疏松预防与干预治疗的意识在现阶段显得尤为迫切和重要。该文阐述住院患者骨质疏松高危人群的疾病因素与相关药物，加强对高危人群的评估、筛查、干预，以期引起临床医务人员的重视，从而降低继发性骨质疏松和骨质疏松骨折发病率。 |
| 关键词: 继发性骨质疏松 骨密度 骨质疏松骨折 |
| DOI：10.3969/j.issn.1674-3806.2018.12.02 |
| 分类号:R 681 |
| 基金项目:广西科技厅科技攻关课题（编号：桂科攻1598012-7）；广西卫生重点科研课题（编号：桂卫S201422-05） |
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| Disease factors and intervention measures of high risk population with osteoporosis in hospitalized patients |
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YAN Xiao-dong
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Department of Endocrinology and Metabolism, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ With the aging of China′s population, primary osteoporosis has become a common and frequently-occurring disease threatening the health of the elderly and more and more attentions have been paid to it. Secondary osteoporosis is common in both inpatients and outpatients, however, the morbidity and diagnosis rates of secondary osteoporosis and its screening and intervention have not been paid enough attention to. A survey showed that the abnormal rate of bone mineral density(BMD) was 78.51% in inpatients and 75.00% in outpatients, and that the proportion of the postmenopausal women who received BMD tests was less than 3% of the postmenopausal women hospitalized in the same period, and that the proportion of the men over 70 years old who received BMD tests was less than 1% of the men over 70 years old hospitalized in the same period. Therefore, it is particularly urgent and important to carry out the knowledge education of the risk factors of preventing osteoporosis among medical staff, so as to further improve the awareness of osteoporosis prevention and intervention treatment at present. In this paper, we expound the disease factors and related drugs of osteoporosis in the hospitalized patients at high risk for osteoporosis, and strengthen the assessment, screening and intervention of osteoporosis for the high-risk groups, so as to attract the high attention of the relevant clinical medical staff and reduce the incidence of secondary osteoporosis. |
| Key words: Secondary osteoporosis Bone mineral density Osteoporotic fracture |
