国外骨折风险评估工具FRAX的应用进展

Application progress of fracture risk assessment tool FRAX in foreign countries

骨质疏松性骨折是骨质疏松最严重的后果,世界卫生组织推荐使用简单易行的骨折风险预测工具FRAX评估患者的骨折风险,针对高风险人群进行及时干预,大大降低其危害。国外有关FRAX应用研究逐渐精细和深入,有关FRAX在不同疾病患者中的适用性,及结合、不结合股骨颈BMD对FRAX预测结果影响的研究逐渐增多。本文就FRAX在国外类风湿关节炎、绝经后女性和糖尿病患者中的应用现状进行综述,FRAX在不同病种的应用为临床医生及护士积极采取防治及护理措施提供决策和依据。

Osteoporotic fracture is the most serious consequence of osteoporosis. World Health Organization recommends the use of simple fracture risk prediction tool FRAX. Timely intervention for high-risk groups can greatly reduce the damage. In foreign countries,the application study of FRAX gradually elaborates and in-depth. The study of FRAX scores calculated with or without femoral neck bone mineral density gradually increases. This article reviews the application status of FRAX in rheumatoid arthritis,postmenopausal women,and patients with diabetes mellitus. FRAX application in different kinds of disease provides decisionmaking and basis for clinical doctors and nurses to take active measures.