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关注老年骨质疏松性骨痛 被引量:9

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摘要 不同疾病可出现不同性质、不同程度的疼痛,来源于骨质疏松症的骨痛是骨质疏松症患者的主要临床症状之一。骨质疏松症(osteoporosis, OP)是一种以骨量减少,骨微结构破坏,骨脆性增加,易发生骨折为特征的全身骨骼之疾病[1],是骨骼的退化,是老年退行性疾患的一种。我国界定60周岁以上的公民为老年人,截止2012年底,60岁以上老年人口达到1.94亿。随着老年人群的不断增加,伴随着年龄增长而患骨质疏松症的风险亦增加[2]。其实,老年OP的程度反应的是骨骼老化的程度,临床上主要体现在:①骨折。骨质疏松性骨折对健康危害最大,后果也最严重。它不仅增加了医疗成本、社会和家庭负担,而且完全可能由于一次轻微外伤所致的骨折而使患者死亡。鉴于其后果的严重性,骨质疏松性骨折已经引起了人们的高度重视;②身材变矮,骨骼弯曲、变形,驼背。其直观感觉是影响患者体形和外观,但是、由于老年人骨骼的高脆性[3],轻微外力甚至无明显外力即可能导致疏松变形、弯曲的骨骼出现骨折;③骨质疏松性骨痛。疼痛本来就是疾病的一种基本表现形式,如果骨质疏松骨痛得不到有效治疗,不仅增加了患者的痛苦,而且降低了行走和反应能力,从而使步履瞒珊老人跌倒的机率显著增加,即大大增加骨质疏松性骨折的风险。所以,在防范骨质疏松性骨折的同时,也应该关注骨质疏松骨痛的治疗。
作者 刘利民
出处 《北京医学》 CAS 2014年第10期785-786,共2页 Beijing Medical Journal
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