老年骨质疏松性髋部骨折的研究进展  

Research Progress of Osteoporotic Hip Fracture in Old Age

作　　者：王伟[1] 倪力刚[1] 李春雯[1] 李爱强[1] 赵岩[1] 史晓林[2] 

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]浙江中医药大学第二附属医院,浙江杭州310005

出　　处：《中华中医药学刊》2012年第5期1069-1072,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：浙江省医药卫生科技计划项目(2011KYA118)

摘　　要：老年人骨质疏松性髋部骨折(主要是股骨颈骨折和转子下骨折)是骨质疏松症并发症的主要致病因素之一,死亡率,致残率高,给社会和家庭带来沉重负担,中国是世界上老龄人口最多的国家,随着我国老龄化的发展,本病的发病率呈上升趋势。骨质疏松症(Osteoporosis OP)是一种全身性骨骼代谢疾病,它以骨量减少,骨组织显微结构退化为特征,以至骨的脆性增加易于发生骨折,0P可分为三型原发性,继发性,特发性骨质疏松症,骨质疏松症90%以上是原发性骨折疏松。骨质疏松性骨折主要包括骨折髋部骨折,椎体骨折,前臂骨折等。为此对骨质疏松性髋部骨折的流行病学、发生机制、临床检查、药物治疗、手术治疗、展望7个方面进行综述。The hip fracture（mainly fractures of femoral neck fracture and the rotor） in old age is the main cause of osteoporosis complications,it has high morbidity and disability rate,which brings a heavy burden for society and families.China has the most old ages in the world,with the development of aging in China,the incidence of this disease is rising.Osteoporosis is a systemic metabolic bone disease,it is characterized by bone mass reducing and bone micro-structure degradation,even prone to be fractured.It can be divided into three types：primary,secondary and idiopathic osteoporosis.90% osteoporotic is primary osteoporosis.Common complications include osteoporosis,fractures of hip fractures,vertebral fractures,forearm fractures.Thus the author reviewed the following seven aspects of primary osteoporosis：epidemiology,pathogenesis,clinical examination,medication,surgery and prospection.

关 键 词：髋部骨折 骨质疏松症 流行病学 检查诊断 预防治疗 

分 类 号：R683.42[医药卫生—骨科学]