骨质疏松骨折ppt幻灯片.pptx

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：1、骨质疏松骨折患者卧床制动后骨丢失加快，骨质疏松会加重；Osteoporosis fractures in patients with bed pressure after bone loss accelerated ，osteoporosis will increase2、骨折多为粉碎性，难以获得满意的固定；Fractures are mostly comminuted , it is difficult to obtain a satisfactory fixation3、内固定易松动，植骨易被吸收；Internal fixation easy to loose,bone graft easily absorbed 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 nonunion5、再骨折风险大；Easy to recur fracture again6、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 condition7、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：双能X线吸收法（DXA）是目前国际公认的骨密度检查方法。DXA is the internationally recognized method of bone mineral density . 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:根据中华医师学会骨科分会《骨质疏松骨质诊疗指南》，重要有如下几个要点：According to the Chinese Physicians Society Orthopedic Branch osteoporosis bone diagnosis and treatment guide, The main points are as