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妊娠与哺乳期的骨代谢、骨量和骨结构:正常生理学及与妊娠和哺乳相关的骨质疏松症。

Bone Metabolism, Bone Mass, and Bone Structure During Pregnancy and Lactation: Normal Physiology and Pregnancy and Lactation-Associated Osteoporosis.

机构信息

Division of Endocrinology, Department of Medicine, Columbia University, College of Physicians & Surgeons, 180 Fort Washington Avenue, HP9-910, New York, NY 10032, USA.

出版信息

Endocrinol Metab Clin North Am. 2024 Sep;53(3):453-470. doi: 10.1016/j.ecl.2024.05.003. Epub 2024 Jun 24.

Abstract

This article reviews bone metabolism, bone mass, and bone structure changes expected during and after pregnancy and lactation, as well as the condition of pregnancy and lactation-associated osteoporosis (PLO)-a presentation with fragility fracture(s) in the context of these physiologic changes. Clinical implications of physiologic bone changes will be addressed, as will specific management considerations that apply to premenopausal women with PLO.

摘要

本文回顾了妊娠和哺乳期期间及之后预期发生的骨代谢、骨量和骨结构变化,以及与妊娠和哺乳期相关的骨质疏松症(PLO)——在这些生理变化背景下出现脆性骨折的情况。文中将讨论生理骨变化的临床意义,以及适用于患有 PLO 的绝经前妇女的具体管理注意事项。

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