原发性骨质疏松症的诊断和治疗

被引:27
作者
宋轶萱 [1 ]
樊继援 [2 ]
机构
[1] 天津市人民医院内分泌科
[2] 天津医科大学总医院内分泌科
关键词
骨质疏松症; 骨折; 骨密度; 双能量X线吸收法; 雌激素;
D O I
暂无
中图分类号
R580 [];
学科分类号
摘要
骨质疏松症分为原发性骨质疏松症和继发性骨质疏松症。该病的诊断主要根据病史、骨密度检测、生化检测、影像学检测、骨活检等几个方面进行综合评价。双能量X线吸收法已成为临床常规检查。对患者进行骨质疏松症风险评估的目的是确定骨折的风险因素,以及决定是否应该接受治疗。治疗分为药物和非药物治疗,后者又包括饮食营养和体育锻炼,药物治疗又分为基础性药物治疗和针对性药物治疗。
引用
收藏
页码:400 / 402
页数:3
相关论文
共 15 条
[1]
Dissociation of the pro-apoptotic effects of bisphosphonates on osteoclasts from their anti-apoptotic effects on osteoblasts/osteocytes with novel analogs [J].
Plotkin, Lilian I. ;
Manolagas, Stavros C. ;
Bellido, Teresita .
BONE, 2006, 39 (03) :443-452
[2]
Parathyroid hormone and teriparatide for the treatment of osteoporosis: A review of the evidence and suggested guidelines for its use [J].
Hodsman, AB ;
Bauer, DC ;
Dempster, DW ;
Dian, L ;
Hanley, DA ;
Harris, ST ;
Kendler, DL ;
McClung, MR ;
Miller, PD ;
Olszynski, WP ;
Orwoll, E ;
Yuen, CK .
ENDOCRINE REVIEWS, 2005, 26 (05) :688-703
[3]
Guidelines on the management and treatment of glucocorticoid-induced osteoporosis of the Japanese Society for Bone and Mineral Research (2004) [J].
Nawata, H ;
Soen, S ;
Takayanagi, R ;
Tanaka, I ;
Takaoka, K ;
Fukunaga, M ;
Matsumoto, T ;
Suzuki, Y ;
Tanaka, H ;
Fujiwara, S ;
Miki, T ;
Sagawa, A ;
Nishizawa, Y ;
Seino, Y .
JOURNAL OF BONE AND MINERAL METABOLISM, 2005, 23 (02) :105-109
[4]
Effects of risedronate on trabecular microstructure and biomechanical properties in ovariectomized rat tibia [J].
Ito, M ;
Nishida, A ;
Aoyagi, K ;
Uetani, M ;
Hayashi, K ;
Kawase, M .
OSTEOPOROSIS INTERNATIONAL, 2005, 16 (09) :1042-1048
[5]
Continued breast cancer risk reduction in postmenopausal women treated with raloxifene: 4-year results from the MORE trial [J].
Cauley, JA ;
Norton, L ;
Lippman, ME ;
Eckert, S ;
Krueger, KA ;
Purdie, DW ;
Farrerons, J ;
Karasik, A ;
Mellstrom, D ;
Ng, KW ;
Stepan, JJ ;
Powles, TJ ;
Morrow, M ;
Costa, A ;
Silfen, SL ;
Walls, EL ;
Schmitt, H ;
Muchmore, DB ;
Jordan, VC .
BREAST CANCER RESEARCH AND TREATMENT, 2001, 65 (02) :125-134
[6]
Estrogens and women's health: interrelation of coronary heart disease, breast cancer and osteoporosis [J].
Kuller, LH ;
Matthews, KA ;
Meilahn, EN .
JOURNAL OF STEROID BIOCHEMISTRY AND MOLECULAR BIOLOGY, 2000, 74 (05) :297-309
[7]
Effects of alendronate on osteopenic postmenopausal Chinese women [J].
Yen, ML ;
Yen, BL ;
Jang, MH ;
Hsu, SHJ ;
Cheng, WC ;
Tsai, KS .
BONE, 2000, 27 (05) :681-685
[8]
The parathyroid hormone, its fragments and analogues - potent bone-builders for treating osteoporosis [J].
Whitfield, J ;
Morley, P ;
Willick, G .
EXPERT OPINION ON INVESTIGATIONAL DRUGS, 2000, 9 (06) :1293-1315
[9]
Bisphosphonates in osteoporosis: recent clinical experience.[J].McClung.Expert Opinion on Pharmacotherapy.2000, 2
[10]
如何正确理解骨质量 [J].
邱明才 ;
朱梅 .
中华医学杂志, 2005, (11) :723-724