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骨质疏松症的诊断与鉴别诊断 被引量:8

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摘要 2001年,美国国立卫生研究院(NIH)专家组对骨质疏松症的概念进行了修订,定义为一种以骨强度降低致使机体罹患骨折危险性增加为特征的骨骼疾病^[1]。所谓骨强度,就是骨骼的抗骨折能力,反映骨矿物质密度(BMD)与骨质量的整合。但是骨强度难以直接测量,骨质疏松症的诊断仍需依赖BMD。
作者 夏维波
出处 《上海医学》 CAS CSCD 北大核心 2008年第4期229-230,共2页 Shanghai Medical Journal
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参考文献6

  • 1NIH Consensus Development Panel on Osteoporosis Prevention, Diagngsis, and Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA, 2001,285: 785-795.
  • 2中华医学会.临床诊疗指南(骨质疏松症和骨矿盐疾病分册).北京:人民卫生出版社,2006:2.
  • 3Raisz L G. Clinical practice. Screening for osteoporosls. N Engl J Med, 2005, 353: 164-171.
  • 4Kuehn B M. Evidence-based guidelines needed for osteoporosis screening and treatment. JAMA, 2005,294: 34.
  • 5夏维波.骨重建在维持骨强度中的意义[J].中华医学杂志,2006,86(6):363-365. 被引量:13
  • 6骨质疏松症的防治对象——会议讨论的共识[J].中华内分泌代谢杂志,1998,14(3):199-202. 被引量:18

二级参考文献11

  • 1NIH consensus development panel on osteoporosis prevention,diagnosis,and therapy.Osteoporosis prevention,diagnosis,and therapy.JAMA,2001,285:785-795.
  • 2Watts NB.Bone quality:getting closer to a definition.J Bone Miner Res,2002,17:1148-1150.
  • 3Cummings SR,Karpf DB,Harris F,et al.Improvement in spine bone density and reduction in risk of vertebral fractures during treatment with antiresorptive drugs.Am J Med,2002,112:281-289.
  • 4Turner CH.Biomechanics of bone:determinants of skeletal fragility and bone quality.Osteoporos Int,2002,13:97-104.
  • 5Garnero P,Malmann D,Munoz F,et al.Long-term variability of bone markers of bone turnover in postmenopausal women and implicalions for their clinical utility.J Bone Miner Res,2002,17(Suppl 1) S299.
  • 6Eastell R,Barton I,Hannon RA,et al.Relationship of early changes in bone resorption to the reduction in fracture risk with risedronate.J Bone Miner Res,2003,18:1051-1056.
  • 7Delmas PD.How does antiresorptive therapy decrease the risk of fracture in women with osteoporosis? Bone,2000,27:1-3.
  • 8Susan L,Greenspa N,Neil M,et al.Early changes in biochemical markers of bone turnover are associated with long-term changes in bone mineral density in elderly women on alendronate,hormone replacement therapy,or combination therapy:a three-year,double-blind,placebo-controlled,randomized clinical trial.J Clin Endo Metab,90:2762-2767.
  • 9夏维波,孟迅吾,胡莹莹,刘怀成,秦明伟,余卫,邢小平,田均平,周学瀛.阿伦膦酸钠防治原发性骨质疏松症的疗效观察[J].中国实用内科杂志,2000,20(4):214-216. 被引量:1
  • 10胡莹莹,夏维波,刘怀成,孟迅吾,周学瀛,邢小平.去卵巢和抗骨质疏松干预后大鼠尿脱氧吡啶啉的变化[J].中国医学科学院学报,2003,25(3):271-274. 被引量:2

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