原发性骨质疏松症和各种钙磷代谢异常疾病诊治中的几个关键问题  

Certain key questions in the diagnosis and treatment of primary osteoporosis and other disorders related to abnormal calcium and phosphorus metabolism

作　　者：陶蓓[1] 孙立昊[1] 杨毓莹 赵红燕[1] 刘建民[1] Tao Bei;Sun Lihao;Yang Yuying;Zhao Hongyan;Liu Jianmin(Department of Endocrine and Metabolic Diseases,Shanghai Institute of Endocrine and Metabolic Diseases,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院内分泌代谢科,上海市内分泌代谢病研究所,上海200025

出　　处：《中华医学杂志》2025年第1期10-14,共5页National Medical Journal of China

摘　　要：诊治原发性骨质疏松症和各种钙磷代谢异常疾病时, 有几个关键点需要重视:诊断原发性骨质疏松症前要排除继发性因素;了解各种钙剂和抗骨质疏松药物特性, 选择适合患者的药物;能预见到用抗骨质疏松药物后对机体钙磷代谢所带来的变化。本文就原发性骨质疏松症和各种钙磷代谢异常疾病诊治中的上述几个关键问题进行阐述, 强调原发性骨质疏松症和各种钙磷代谢异常疾病的病理生理机制、诊断标准、合理用药和注意事项, 以全局思维提高疾病诊治水平。When diagnosing and treating primary osteoporosis and various calcium-phosphorus metabolism disorders,we must pay attention to some key points:diagnosing primary osteoporosis only after excluding secondary factors;understanding the features of various calcium supplements and anti-osteoporosis drugs;and selecting appropriate medications;foreseeing the changes in calcium-phosphorus metabolism after using anti-osteoporosis drugs.This article delves into the aforementioned key issues in the diagnosis and treatment of primary osteoporosis and various disorders of calcium and phosphorus metabolism.It emphasizes the pathophysiological mechanisms,diagnostic criteria,rational drug use,and precautions for primary osteoporosis and various disorders of calcium and phosphorus metabolism,aiming to enhance the level of disease diagnosis and treatment through a holistic thinking.

关 键 词：骨质疏松 钙磷代谢 诊断 治疗 

分 类 号：R580[医药卫生—内分泌]