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骨质疏松性髋部骨折后的非手术治疗策略

Nonsurgical Treatment Strategies after Osteoporotic Hip Fractures.

作者信息

Min Byung-Woo, Song Kwang-Soon, Bae Ki-Cheor, Cho Chul-Hyun, Son Eun-Suck, Lee Kyung-Jae

机构信息

Department of Orthopaedic Surgery, Keimyung University Dongsan Medical Center, Daegu, Korea.

出版信息

Hip Pelvis. 2015 Mar;27(1):9-16. doi: 10.5371/hp.2015.27.1.9. Epub 2015 Mar 31.

DOI:10.5371/hp.2015.27.1.9
PMID:27536596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4972623/
Abstract

Osteoporosis is a metabolic disease that is increasing in prevalence as people live longer. Because the orthopedic surgeon is frequently the first and often the only physician to manage patients with osteoporotic hip fractures, every effort should be made to prevent future fractures. A multidisciplinary approach is essential in treatment of osteoporotic fractures. Basic treatment includes calcium and vitamin D supplementation, fall prevention, hip protection, and balance and exercise programs. Currently available pharmacologic agents are divided into antiresorptive and anabolic groups. Antiresorptive agents such as bisphosphonates limit bone resorption through inhibition of osteoclastic activity. Anabolic agents such as parathyroid hormone promote bone formation.

摘要

骨质疏松症是一种随着人们寿命延长而患病率不断上升的代谢性疾病。由于骨科医生常常是首位且往往是唯一负责治疗骨质疏松性髋部骨折患者的医生,所以应尽一切努力预防未来的骨折。多学科方法对于骨质疏松性骨折的治疗至关重要。基本治疗包括补充钙和维生素D、预防跌倒、髋部保护以及平衡和运动计划。目前可用的药物分为抗吸收和促合成两类。双膦酸盐等抗吸收药物通过抑制破骨细胞活性来限制骨吸收。甲状旁腺激素等促合成药物则促进骨形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5315/4972623/638f4061a723/hp-27-9-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5315/4972623/2a22737ecdfc/hp-27-9-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5315/4972623/0268be40201c/hp-27-9-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5315/4972623/a2042b705a31/hp-27-9-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5315/4972623/638f4061a723/hp-27-9-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5315/4972623/2a22737ecdfc/hp-27-9-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5315/4972623/0268be40201c/hp-27-9-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5315/4972623/a2042b705a31/hp-27-9-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5315/4972623/638f4061a723/hp-27-9-g004.jpg

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本文引用的文献

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Incongruities in the AAOMS position paper: medication-related osteonecrosis of the jaw--2014 update.美国口腔颌面外科医师协会立场文件中的不一致之处:颌骨药物性骨坏死——2014年更新版
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