骨质疏松症的临床治疗.ppt

**************AACERiskFactorsforFracturesAssessmentofriskfactorsforfracturesmaybeusefulforthefollowing:?Identifyingwomenathighriskoffractures?Heighteningclinicalawarenessofosteoporosis?DevelopingsocietalstrategiesforpreventionoffractureandtreatmentofosteoporosisThemostimportantriskfactorsforosteoporosisrelatedfracturesareasfollows:?Priorlow-traumafractureasanadult?LowBMDinpatientswithorwithoutfracturesAlow-traumafractureasanadult(40to45yearsofageorolder)isofmajorimportancebecauseitestablishesanunusualsusceptibilitytofracturesandstronglypredictsthepotentialforfuturefractures.Therefore,itisaclearindicationforfurtherevaluationandpossibletherapeuticintervention.Otherfactorsareassociatedwithanincreasedriskofhipfractures,butnoavailabledataconfirmthattheyalsoinfluencetheriskofotherfractures.Althoughtheirvaluablefordeterminingastrategyforpreventionandtreatment.Theseriskfactorsincludethefollowing:?Historyofhipfractureinafirst-degreerelative?Weightlossandlowbodyweight?Cigarettesmoking?Increasedlikelihoodoffalling?Tallness?Highboneturnover?AdvancingageBecausemorethanone-thirdofwomenwithosteoporosishaveacoexistingcauseofboneloss(Table2),thefractureriskprofilemustconsidersecondarycausesofosteoporosis(seeMedicalEvaluation).***AACERiskFactorsforFracturesAssessmentofriskfactorsforfracturesmaybeusefulforthefollowing:?Identifyingwomenathighriskoffractures?Heighteningclinicalawarenessofosteoporosis?DevelopingsocietalstrategiesforpreventionoffractureandtreatmentofosteoporosisThemostimportantriskfactorsforosteoporosisrelatedfracturesareasfollows:?Priorlow-traumafractureasanadult?LowBMDinpatientswithorwithoutfracturesAlow-traumafractureasanadult(40to45yearsofageorold