糖皮质激素性骨质疏松症的诊疗规范  

Guidelines for diagnosis and treatment of glucocorticoid-induced osteoporosis

作　　者：何菁[1] 李芬[2] 黄文辉[3] 王丽萍[4] 张学武[1] 赵岩[5] 中华医学会风湿病学分会 He Jing;Li Fen;Huang Wenhui;Wang Liping;Zhang Xuewu;Zhao Yan;Chinese Rheumatology Association(Department of Rheumatology and Immunology,Peking University People's Hospital,Beijing 100044,China;Department of Rheumatology and Immunology,the Second Xiangya Hospital of Central South University,Changsha 410011,China;Department of Rheumatology and Immunology,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China;Department of Rheumatology,Lanzhou University Second Hospital,Lanzhou 730030,China;Department of Rheumatology and Clinical Immunology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,National Clinical Research Center for Dermatologic and Immunologic Diseases,Ministry of Science&Technology,State Key Laboratory of Complex Severe and Rare Diseases,Key Laboratory of Rheumatology and Clinical Immunology,Ministry of Education,Beijing 100730,China;不详)

机构地区：[1]北京大学人民医院风湿免疫科,北京100044 [2]中南大学湘雅二医院风湿免疫科,长沙410011 [3]广州医科大学附属第二医院风湿免疫科,广州510260 [4]兰州大学第二医院风湿免疫科,兰州730030 [5]中国医学科学院、北京协和医学院、北京协和医院风湿免疫科、国家皮肤与免疫疾病临床医学研究中心、疑难重症和罕见病国家重点实验室、风湿免疫病教育部重点实验室,北京100730 [6]不详

出　　处：《中华内科杂志》2023年第6期631-638,共8页Chinese Journal of Internal Medicine

摘　　要：糖皮质激素性骨质疏松症(GIOP)是长期使用糖皮质激素相关的以骨强度下降和骨折风险增高为特征的骨骼疾病,是最常见的继发性骨质疏松症,严重影响患者生活质量。目前我国GIOP发生率高,防治意识不足,防治规范欠缺。为此,中华医学会风湿病学分会在借鉴国内外诊治经验的基础上制定了本规范,旨在提高临床医师的防治意识,指导GIOP的规范诊治,改善患者整体预后。Glucocorticoid-induced osteoporosis(GIOP)is a skeletal disease characterized by decreased bone strength and increased fracture risk associated with long-term glucocorticoid use.GIOP is the most common secondary osteoporosis that critically affects the quality of life of patients.Currently,the incidence of GIOP in China remains high,with insufficient awareness and lack of prevention and treatment norms.Therefore,the Chinese Rheumatology Association has established this standard based on domestic and international experience,with the aim of raising awareness of prevention and treatment among clinicians,guiding the standardized diagnosis and treatment of this disease,and improving the overall prognosis of patients with GIOP.

关 键 词：糖皮质激素类 骨质疏松 预防 治疗 规范 

分 类 号：R580[医药卫生—内分泌]