Principles and guidelines for diagnosis and treatment of primary osteoporosis in communities

doi:10.12114/j.issn.1007-9572.2019.00.116

Chinese General Practice ›› 2019, Vol. 22 ›› Issue (10): 1125-1132.DOI: 10.12114/j.issn.1007-9572.2019.00.116

• Monographic Research • Next Articles

Principles and guidelines for diagnosis and treatment of primary osteoporosis in communities

Published:2019-04-05 Online:2019-04-05

原发性骨质疏松症社区诊疗指导原则

《原发性骨质疏松症诊疗社区指导原则》编写组
组长：章振林夏维波；副组长：汪纯岳华尹香君易春涛顾文钦游利霍亚南邓忠良孙艳格；秘书长：李梅
成员（按姓氏笔画排序）：丁悦王以朋王鸥尹香君邓忠良付勤孙艳格朱梅刘建民李梅李玉坤李明全吴文余卫沈霖陈林陈德才汪纯林华林建华金小岚易春涛岳华郑丽丽侯建明袁凌青夏维波徐又佳唐海顾文钦盛志峰章振林谢忠建程晓光游利霍亚南
执笔人：汪纯岳华顾文钦夏维波章振林
顾问：廖二元孟迅吾徐苓
编写组作者单位：
北京协和医院（夏维波、余卫、王以朋、李梅、王鸥）；上海交通大学附属第六人民医院（章振林、汪纯、岳华）；南京大学医学院附属鼓楼医院（林华）；西部战区总医院（金小岚）；中国医科大学附属盛京医院（付勤）；中南大学湘雅第二医院（谢忠建、袁凌青、盛志峰）；第三军医大学大坪医院（陈林）；福建省立医院（侯建明）；北京积水潭医院（程晓光）；天津医科大学总医院（朱梅）；郑州大学第一附属医院（郑丽丽）；河北医科大学第三医院（李玉坤）；上海交通大学医学院附属瑞金医院（刘建民）；解放军第323医院（李明全）；广东省人民医院（吴文）；华中科技大学附属协和医院（沈霖）；四川大学华西医院（陈德才）；苏州大学附属第二医院（徐又佳）；北京友谊医院（唐海）；福建医科大学附属第一医院（林建华）；广州中山大学孙逸仙纪念医院（丁悦）；中国疾病预防控制中心慢性非传染性疾病预防控制中心（尹香君）；上海市枫林社区卫生服务中心（易春涛、顾文钦）；江西省人民医院（霍亚南）；上海交通大学附属第一人民医院（游利）；重庆医科大学附属第二医院（邓忠良）；首都医科大学附属复兴医院月坛社区卫生服务中心（孙艳格）

基金资助:
基金项目：上海市科学技术委员会科研计划项目（16411954500）

Abstract

Key words: Osteoporosis, Osteoporotic fractures, Screening, Diagnostic criteria, Drug therapy, Community health services, Hierarchical medical system

摘要： 骨质疏松症是一种常见的代谢性骨病变，其导致的骨折及其他并发症严重影响患者的生活质量，同时也给患者家庭和社会带来沉重负担，被世界卫生组织（WHO）列为危害中老年健康的“三大杀手”之一。我国是目前全球骨质疏松症患者最多的国家，2006年的患者数量近7 000万，虽缺乏近期流行病学调查，但据估测目前的患者数量已远超上述数据。骨质疏松症是可防可治的，且预防重于治疗。其导致的骨折发病率、致残率及死亡率较高，患者的有效治疗率却较低。基层医疗卫生机构是骨质疏松症预防宣教、危险因素评估、高危人群筛查的第一道关口，是建立分级诊疗制度的基础，在实现骨质疏松症的全面防控中发挥着重要作用。
2017年中华医学会骨质疏松和骨矿盐疾病分会发布《原发性骨质疏松症诊疗指南》（2017版），为便于基层医疗卫生机构医师的实际应用，《原发性骨质疏松症诊疗社区指导原则》编写组在该指南的基础上，修订了《原发性骨质疏松症社区诊疗指导原则》。该指导原则介绍了骨质疏松症的分类、临床表现，就其早期筛查、诊断、防治给出了指导意见，同时给出了骨质疏松症的分级诊疗流程、社区随访管理建议。该指导原则的可操作性强，可以为基层医务人员切实做好骨质疏松症社区防控工作提供指导，敬请关注。

关键词: 骨质疏松, 骨质疏松性骨折, 筛查, 诊断标准, 药物疗法, 社区卫生服务, 分级诊疗

Editorial Group of Principles and Guidelines for Diagnosis and Treatment of Primary Osteoporosis in Communities. Principles and guidelines for diagnosis and treatment of primary osteoporosis in communities[J]. Chinese General Practice, 2019, 22(10): 1125-1132. DOI: 10.12114/j.issn.1007-9572.2019.00.116.
《原发性骨质疏松症诊疗社区指导原则》编写组. 原发性骨质疏松症社区诊疗指导原则[J]. 中国全科医学, 2019, 22(10): 1125-1132. DOI: 10.12114/j.issn.1007-9572.2019.00.116.

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Principles and guidelines for diagnosis and treatment of primary osteoporosis in communities

原发性骨质疏松症社区诊疗指导原则

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