Pfeilschifter Johannes
Klinik für Innere Medizin III, Alfried Krupp Krankenhaus-Steele, Essen, Germany.
Med Klin (Munich). 2009 Aug;104(8):632-41; quiz 642-3. doi: 10.1007/s00063-009-1135-2.
Osteoporotic fractures are a frequent cause of disability and a loss of quality of life in old age. Maintenance of muscle function and balance, a daily calcium intake of 1,000 mg, sufficient vitamin D, and a prudent use of fall- and osteoporosis-associated drugs are key components of fracture prevention. The German guideline recommends to initiate a specific long-term osteoporosis medication in individuals with a 30% 10-year risk for hip fractures and vertebral fractures.
骨质疏松性骨折是老年人残疾和生活质量下降的常见原因。维持肌肉功能和平衡、每日摄入1000毫克钙、充足的维生素D以及谨慎使用与跌倒和骨质疏松相关的药物是预防骨折的关键要素。德国指南建议,对于10年内发生髋部骨折和椎体骨折风险达30%的个体,开始使用特定的长期抗骨质疏松药物。