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影响骨质疏松性骨折的危险因素和评估方法 被引量:18

Risk factors and assessment methods for osteoporotic bone fractures
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摘要 骨质疏松性骨折,也被称为脆性骨折或低能量骨折,常常发生于站立或蹲坐位跌倒之后,它不同于机动车的意外事故所致的高能量损伤。骨折直接导致病人行走受限,情绪抑郁,自主性丧失,慢性疼痛。骨密度测定可用于绝大多数的病人,而且已经证实,骨密度降低会增加骨折的风险性。除骨密度外,其他能够增加骨折风险的因素包括:年龄的增加、既往骨折史、跌倒、接受糖皮质激素治疗、家族的髋部骨折史以及当前的吸烟史。本文旨在对骨质疏松骨折的风险评估进行综述。 Osteoporotic bone fractures are also named fragility fractures or low-energy fractures. They often occur in a fall from a standing or sitting position. They differ from high-energy trauma due to a motor vehicle accident. Fractures may directly result in limitation of ambulation, depression, loss of independence, and chronic pain. BMD measurement can apply to most of the patients. It has been demonstrated that decreasing BMD increases fracture risk. Besides BMD, other factors that may increase fracture risk include aging, previous fracture history, falls, glucocorticoid therapy, family history of hip fracture, and current smoking. This paper aims to review the risk assessment for the osteoporotic fracture.
出处 《中国骨质疏松杂志》 CAS CSCD 2011年第10期925-932,共8页 Chinese Journal of Osteoporosis
关键词 骨质疏松症 骨质疏松性骨折 风险评估 Osteoporosis Osteoporotic iracture Risk assessment
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