骨科急性骨丢失的防治进展

IF 2.3 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Haoran Wang, Ji Wu, Boyao Wang, Hu Qin, Lei Fan, Yunhua Wang, Bin He
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引用次数: 0

摘要

骨科患者因骨折或其他特殊情况需要进行数天至数周的肢体固定。当某一部位或全身的功能受到限制时,破骨细胞的活性就会增强,其生命活性就会超过成骨细胞,从而出现局部甚至全身的骨质流失。急性骨质流失通常发生在肢体固定后的几周内。在这个阶段,患者的骨量会急剧下降,患者容易发生骨质疏松性再骨折。之后,骨量会逐渐恢复,但骨形成和骨吸收的速度难以达到平衡状态,患者骨量恢复到一定程度后还会继续下降。急性进行性骨质流失后,大量骨丢失,骨强度下降。往往在很长一段时间内很难恢复到骨折前的水平,这无疑增加了骨质疏松症及相关再骨折的风险。根据这一常见的骨质流失现象,临床治疗方法差异很大。临床医生经过一系列的研究和实践,总结出一些规律,并提出一些可行的建议,从而加强了临床医生对急性骨质流失治疗的认识,有效提高了急性骨质流失的治疗效果,对防治骨质疏松、降低骨折风险、改善患者远期预后具有深远的意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Progress in Prevention and Treatment of Acute Bone Loss in Orthopedics
Orthopedic patients need to perform limb immobilization for several days to several weeks due to fracture or other special circumstances. When the function of a certain part or the whole body is restricted, the activity of osteoclasts will be enhanced and its life activity will surpass that of osteoblasts, so local or even whole body bone loss will occur. Acute bone loss usually occurs within a few weeks after the immobilization of limbs. At this stage, the patient’s bone mass will decrease sharply, and the patient is prone to osteoporotic refracture. After that, the bone mass will gradually recover, but the speed of bone formation and bone absorption is difficult to reach a balanced state, and the bone mass of patients will continue to decline after it has recovered to a certain degree. After acute progressive bone loss, a large number of bones were lost and the strength of bones decreased. It is often difficult to recover to the level before fracture for a long time, which undoubtedly increases the risk of osteoporosis and related refractures. According to this common phenomenon of bone loss, clinical treatment varies greatly. After a series of research and practice, clinicians summed up some rules and put forward some feasible suggestions, thus strengthening clinicians’ understanding of the treatment of acute bone loss, effectively improving the treatment effect of acute bone loss, having far-reaching significance for preventing and treating osteoporosis, reducing the risk of fracture, and improving the long-term prognosis of patients.
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来源期刊
International Journal of Endocrinology
International Journal of Endocrinology ENDOCRINOLOGY & METABOLISM-
CiteScore
5.20
自引率
0.00%
发文量
147
审稿时长
1 months
期刊介绍: International Journal of Endocrinology is a peer-reviewed, Open Access journal that provides a forum for scientists and clinicians working in basic and translational research. The journal publishes original research articles, review articles, and clinical studies that provide insights into the endocrine system and its associated diseases at a genomic, molecular, biochemical and cellular level.
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