关键词: 骨质疏松, 腰痛, 背痛, 骨折, 社区卫生中心, 全科医师

Abstract: Primary osteoporosis is a common age-related chronic bone disease.The prevalence of osteoporosis in people over 50 years is 20.7% in women and 14.4% in men.The incidence of osteoporosis-related fragility fractures has increased year by year，which can cause disability and death，and its medical expenses incurred are enormous.Early osteoporosis lacks specific symptoms.For patients at high risk of osteoporosis in the community，early diagnosis and appropriate intervention can reduce the occurrence of fractures.This article reports on the diagnosis and treatment of a patient with senile osteoporosis in the community.From the perspective of general practitioners，we introduced and analyzed risk assessments，diagnosis and treatment of the disease by relevant literature and guidelines，in order to provide diagnosis and treatment ideas for general practitioners in the community，improve their ability to diagnose and treat osteoporosis，and exert the advantages of primary care in the prevention and treatment of chronic diseases.

Key words: Osteoporosis；Low back pain；Back pain；Fractures, bone；Community health centers；General practitioners