Rousière Mickaël
Service de rhumatologie, hôpital Saint-Antoine, AP-HP, 75012 Paris, France.
Presse Med. 2011 Oct;40(10):900-9. doi: 10.1016/j.lpm.2011.02.025. Epub 2011 Apr 13.
Consequences in terms of mortality and morbidity of osteoporotic fractures are serious and recent data show that mortality of osteoporosis is often a witness of poor health. Prevalent fracture is one of the most important risk factors for incident fracture. The risk of subsequent fractures is highest immediately after initial fractures. It is essential to treat postmenopausal osteoporotic women who had experienced a fragility fracture. Efforts to raise awareness of osteoporosis among the general public and medical profession are essential because only a minority of women is taken care and treated after a typical osteoporotic fracture. We have effective treatments, varied and adapted to all situations encountered in clinical practice for the management of osteoporosis. All available treatments showed an effect on vertebral fractures and some demonstrated an effect on nonvertebral fractures or hip fractures. The lack of adherence is perfectly demonstrated in osteoporosis. As for all patients affected by a chronic disease, patient education should become part of the global care of patients with osteoporosis.
骨质疏松性骨折在死亡率和发病率方面的后果很严重，最近的数据表明，骨质疏松症导致的死亡往往是健康状况不佳的表现。既往骨折是发生骨折的最重要危险因素之一。初次骨折后紧接着发生后续骨折的风险最高。治疗发生过脆性骨折的绝经后骨质疏松症女性至关重要。提高公众和医学界对骨质疏松症的认识至关重要，因为在典型的骨质疏松性骨折后，只有少数女性得到护理和治疗。我们有有效的治疗方法，种类多样且适用于临床实践中遇到的所有骨质疏松症管理情况。所有可用的治疗方法都对椎体骨折有效果，有些还对非椎体骨折或髋部骨折有效果。骨质疏松症中充分体现了治疗依从性差的问题。对于所有患有慢性病的患者而言，患者教育应成为骨质疏松症患者整体护理的一部分。
