应对骨质疏松 维护骨骼健康  

Treating osteoporosis and maintaining bone healthy

作　　者：陶天遵[1] 陶树清[1] 荣杰生[1] 顾群[1] 王声雨[1] 王强[1] 

机构地区：[1]哈尔滨医科大学第二临床医学院,150086

出　　处：《中国骨与关节杂志》2013年第11期601-605,共5页Chinese Journal of Bone and Joint

摘　　要：2010年我国第六次人口普查的结果显示：60岁以上人口数为1亿7千7百万，占总人口的13．26％，比2000年上升2．93个百分点；65岁以上人口数为1亿1千8百万，占总人口的8．87％，比2000年上升1．91个百分点。这个结果表明：我国已快速进入老龄社会。预计未来40年，到本世纪中叶，老龄、高龄人口数量会更加快速增长，人口形势严峻。People expect and hope orthopedic surgeons to deal with the challenge of osteoporosis successfully, which is also an unavoidable public health problem for orthopedic surgeons. They should focus on improving the conditions of patients with osteoporosis and treating osteoporotic fractures more aggressively. Currently, the clinical diagnostic criteria for osteoporosis are stated as following. （ 1 ） Fragility fractures; （ 2 ） The measurement of bone mineral density by Dual-energy X-ray absorptiometry （ DXA ）. ＂Primary osteoporosis＂ and ＂secondary osteoporosis＂ should be differentiated. The key points of the surgical intervention for osteoporotic fractures are stated as following. （ 1 ） Make an assessment of the patients＇ general conditions before, during and after the operation, and make adjustment and correction to improve the operation safety; （ 2 ） Choose a simple and safe surgical procedure, and focus on functional recovery but not anatomical reduction, which is beneficial for patients to ambulate early; （ 3 ） Improve implants and surgical techniques to increase the holding force; （ 4 ） Pay attention to postoperative rehabilitation; （ 5 ） Use anti-osteoporosis drugs correctly and rationally to aggressively treat osteoporosis during the perioperative period and in the long-term management process after the fractures.

关 键 词：骨骼健康 骨质疏松 人口数量 维护 老龄社会 人口普查 快速进入 形势严峻 

分 类 号：R580[医药卫生—内分泌]