Braun J, Pfeilschifter J
Rheumazentrum Ruhrgebiet, Landgrafenstr. 15, 44652, Herne, Deutschland.
Z Rheumatol. 2010 Jun;69(4):327-39. doi: 10.1007/s00393-010-0623-3.
Osteoporotic fractures are a frequent cause of disability and loss of quality of life in old age. Maintaining muscle function and balance, a daily calcium intake of 1000 mg, sufficient vitamin D and prudent use of drugs associated with falls and osteoporosis are key components to fracture prevention. The German guideline recommends that a specific long-term osteoporosis medication be initiated 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因素。德国指南建议,对于10年内发生髋部骨折和椎体骨折风险为30%的个体,应开始使用特定的长期骨质疏松药物治疗。