原发性骨质疏松症90例临床分析

ABSTRACTCLINICAL ANALYSIS OF PRIMARY OSTEOPOROSIS

原发性骨质疏松症是一个十分严重的社会问题，困扰很多中老年人的健康。我院自１９９３年５月以来，对９０例女性绝经期后的妇女进行双能量骨密度检查，同时对其中３４例患者进行血雌激素、降钙素、甲状旁腺素、钙、磷检查，发现其骨密度下降明显，同时其血降钙素及甲状旁腺素有高、有低，血钙高于正常。我们认为，绝经后骨质疏松症患者可能存在三种类型：①血降钙素、甲状旁腺素正常或缺乏；②降钙素增高；③甲状旁腺素增高。临床上应根据不同情况采用不同的治疗方法。

Primary osteoporosis is a severe social problem;It bothers the health of many aged people. Since M ay 1993,The double- energy density of bone test was carried out in postmenopausalwomen,among them,in 34 cases the concentration of estrogen,calcitonin parathyroidin,calci-um and phosphorus in serum were examined.The results were as follows:the bone densitv de-creased obviously while the serum calitonin and parathyroidun levels were high or low, was risenand fallen,but the serum calcium was higher than normal.Three types of osteoporosis in clinicspostutated:1.calcitonin and parathyroidin were normal or absent;2.calcitonin was higher;3. parathvioidin was higher. The treatment of the different types should be individulized.