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减少老年人髋部骨折。

Reducing hip fractures in the elderly.

机构信息

Department of Emergency Medicine, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA.

出版信息

Clin Interv Aging. 2011;6:61-5. doi: 10.2147/CIA.S10163. Epub 2011 Mar 10.

DOI:10.2147/CIA.S10163
PMID:21472093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3066254/
Abstract

CLINICAL QUESTION

Is there evidence that hip protectors and vitamin D with calcium supplementation reduce hip fractures in the elderly?

RESULTS

The results are that vitamin D and calcium supplementation reduce incidence of hip fractures. Hip protectors provide some benefit in reducing hip fractures in elderly patients in residential facilities.

IMPLEMENTATION

Primary care providers should assess patients for the risk of hip fracture and consider using hip protectors and nutritional supplementation in selected individuals to prevent fractures.

摘要

临床问题

是否有证据表明髋保护器和维生素 D 加钙补充剂可减少老年人髋部骨折？

结果

结果表明，维生素 D 和钙补充剂可降低髋部骨折的发生率。髋保护器可为居住在养老院的老年患者减少髋部骨折提供一定益处。

实施

初级保健提供者应评估患者髋部骨折的风险，并考虑在某些患者中使用髋保护器和营养补充剂来预防骨折。

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Hip protectors for preventing hip fractures in older people.预防老年人髋部骨折的髋部保护器。
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Efficacy of vitamin D3 supplementation in preventing fractures in elderly women: a meta-analysis.维生素 D3 补充剂预防老年女性骨折的疗效：一项荟萃分析。
Curr Med Res Opin. 2010 May;26(5):1193-201. doi: 10.1185/03007991003659814.
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A scoping review of strategies for the prevention of hip fracture in elderly nursing home residents.老年疗养院居民预防髋部骨折策略的范围综述。
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Effect of hip protectors, falling angle and body mass index on pressure distribution over the hip during simulated falls.髋部保护器、跌倒角度和体重指数对模拟跌倒过程中髋部压力分布的影响。
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Vitamin D and vitamin D analogues for preventing fractures associated with involutional and post-menopausal osteoporosis.维生素D及维生素D类似物用于预防与绝经后骨质疏松症相关的骨折。
Cochrane Database Syst Rev. 2009 Apr 15(2):CD000227. doi: 10.1002/14651858.CD000227.pub3.
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External hip protectors are effective for the elderly with higher-than-average risk factors for hip fractures.外部髋部保护器对存在较高髋部骨折风险因素的老年人有效。
Osteoporos Int. 2009 Sep;20(9):1613-20. doi: 10.1007/s00198-008-0824-7. Epub 2009 Jan 10.
7
Risk of hip fractures in soft protected, hard protected, and unprotected falls.在软防护、硬防护和无防护跌倒中发生髋部骨折的风险。
Inj Prev. 2008 Oct;14(5):306-10. doi: 10.1136/ip.2007.018275.
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Prevention and treatment of postmenopausal osteoporosis.绝经后骨质疏松症的预防与治疗。
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Systematic review: comparative effectiveness of treatments to prevent fractures in men and women with low bone density or osteoporosis.系统评价：预防骨密度低或患骨质疏松症的男性和女性骨折的治疗方法的比较效果
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Use of calcium or calcium in combination with vitamin D supplementation to prevent fractures and bone loss in people aged 50 years and older: a meta-analysis.使用钙或钙联合维生素D补充剂预防50岁及以上人群骨折和骨质流失：一项荟萃分析。
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