骨质疏松骨折 ppt课件.pptxVIP

骨质疏松骨折Osteoporosis fracture;骨质疏松症是一种以骨量降低、骨微结构破坏、骨脆性增加、骨强度下降、骨折风险增大为特征的全身性、代谢性骨骼系统疾病 Osteoporosis is a systemic, metabolic skeletal system characterized by decreased bone mass, bone microstructural damage, increased bone fragility, decreased bone strength, and increased risk of fracture;骨质疏松骨折的特点及治疗难点：Characteristics and Treatment Difficulties of Osteoporosis fracture：;4、骨折愈合时间长，易发生延迟愈合、不愈合； Fracture healing time is long, prone to delayed healing or nonunion 5、再骨折风险大； Easy to recur fracture again 6、多为老年人，常合并多器官疾病，全身状况差； Patients are mostly elderly , often associated with multiple organ diseases, poor overall condition 7、致残率、致死率较高，严重影响生活质量和寿命。 disability rate and fatality rate are higher, seriously affecting the quality of life and life. ;骨质疏松症的诊断标准：Diagnostic criteria for osteoporosis：;根据《中国人骨质疏松症诊断标准专家共识（第三稿2014版）》，年轻白人女性峰值骨量减少2.5标准差（-2.5SD）作为骨质疏松症的诊断标准。由于黄种人峰值骨量低于白种人等原因，国内推荐使用低于峰值骨量2标准差（-2.0SD），或者骨量下降25%作为诊断标准。 According to the Chinese osteoporosis diagnostic criteria expert consensus (third edition 2014 version), young white female peak bone mass reduction of 2.5 standard deviation (-2.5SD) as the diagnostic criteria for osteoporosis. As the yellow population of bone mass below the white and other reasons, the domestic recommended lower than the peak bone mass 2 standard deviation (-2.0SD), or bone loss of 25% as a diagnostic standard.;骨折后抗骨质疏松用药建议：Prevention of osteoporosis after fracture:; 1、合理使用钙剂： Rational use of calcium 钙需要量为800-1200mg，骨折后补钙剂量应酌情适当加量。建议分次服用 Calcium requirements for the 800-1200mg, After the fracture, the dosage of calcium should be appropriately added. Suggested fract. dos. 2、推荐活性维生素D3 Recommended use of vitamin D3 建议用法为0.25-0.5ug/d，不仅能够增进肠钙吸收，促进骨形成和骨矿化，而且有助 于增强肌力，增强神经肌肉协调性，防止跌倒倾向。 Suggested usage is 0.25-0.5ug / d, not only can enhance intestinal calcium absorption, promote bone formation and bone mineralization, but also help to enhance muscle strength, enhance neuromuscular coordination, to prevent the tendency to fall. ;