Amar Anas Ould Si, Holm Jakob Præst, Jensen Jens-Erik Beck
Ugeskr Laeger. 2016 Sep 12;178(37).
There is increasing evidence that mild hyponatraemia is associated with fractures. This association seems to be partially mediated by a reduced bone mass and an in-creased risk of falling. Large population studies have shown that other factors such as bone quality may be important. Hyponatraemia should not be considered a benign and asymptomatic condition, and an increased awareness, especially in the elderly patients with chronic hypona-traemia, is warranted. Sodium status should be evaluated in patients who experience falls, fractures or are at increased risk of having osteoporosis.
越来越多的证据表明,轻度低钠血症与骨折有关。这种关联似乎部分是由骨量减少和跌倒风险增加介导的。大型人群研究表明,其他因素如骨质可能也很重要。低钠血症不应被视为一种良性且无症状的状况,尤其是对于患有慢性低钠血症的老年患者,有必要提高认识。对于经历过跌倒、骨折或骨质疏松风险增加的患者,应评估其钠状态。