骨质疏松性骨折的临床评估和术后干预  

Clinical assessment and postoperative intervention of osteoporotic fracture

作　　者：林华[1] LIN Hua(Department of Orthopedics, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China)

机构地区：[1]南京大学医学院附属鼓楼医院骨病中心,南京210008

出　　处：《中华骨质疏松和骨矿盐疾病杂志》2017年第1期2-6,共5页Chinese Journal Of Osteoporosis And Bone Mineral Research

基　　金：江苏省政府科技课题支撑计划(社会发展)项目(BE2011605)

摘　　要：骨质疏松性骨折是病理性骨折,应注重骨骼的全面评估,尤其是骨转换指标(bone turnover markers,BTM)测定和骨密度(bone mineral density,BMD)检查,以及全身疾病的综合评判;术后应强调骨质疏松性骨折的全程干预,包括缓解疼痛,阻止急性骨丢失,促进骨折愈合,预防内固定植入物松动,以及个性化的抗骨质疏松治疗和预防骨质疏松再骨折。骨折联络服务(fracture liaison service,FLS)能提高患者骨折后的主动防范意识,对后期骨质疏松干预和预防再骨折有重要意义。Osteoporotic fractures are a kind of pathological fracture. We should pay attention to the comprehensive assessment of bone, especially bone turnover markers （BTM） and bone mineral density （BMD） , and the evaluation of systemic disease should be stressed. The osteoporotic fractures intervention ＇after operation in the whole process includes pain relief, prevention of acute bone loss, promoting fracture healing, prevention of internal fixation implant loosening, and personalized anti-osteoporotic treatment and prevention of osteoporotic re-fracture. Fracture liaison service （FLS） can improve the awareness of patients to fracture, and improve the intervention and prevention of refractures.

关 键 词：骨质疏松 骨折 术后 评估 干预 

分 类 号：R681[医药卫生—骨科学]