Abstract: The incidence of osteoporosis is very high in Chinese middle-aged and elderly people，but it often fails to gain adequate attentions due to slow development and concealed clinical symptoms.In general，patients with osteoporosis and osteoporosis-related chronic pain may not seek healthcare proactively until developing fractures or other serious complications，but by this point both treatment difficulties and cost probably greatly increase.We outlined the common epidemiological characteristics，prevention and management of osteoporosis in China，narrated the necessity of providing osteoporosis-related trainings for community physicians and nurses，introduced techniques and methods suitable for community-based diagnosis and management of such pains，and put forward that it may be a very efficient way to handle osteoporosis and its related chronic pain in the community.

Key words: Osteoporosis, Chronic pain, Community, Diagnosis, Therapy

摘要： 目前我国中老年骨质疏松症发病率很高，但由于其发展缓慢、临床症状隐匿，常得不到足够重视。骨质疏松症及相关慢性疼痛的诊治也经常等到出现骨折等严重并发症时才会得到积极治疗，而此时的治疗成本和难度明显增加。本文介绍了我国骨质疏松症的一般流行病学特点及目前骨质疏松症防治现状，并阐述了对社区层面的医护人员进行相关培训的必要性及适合社区开展的相关慢性疼痛诊疗技术和方法，最终提出了从社区层面进行骨质疏松症以及其相关慢性疼痛的诊断和治疗会更加有效的观点。

关键词: 骨质疏松, 慢性疼痛, 社区, 诊断, 治疗