Is it broken if you roll your body ribs?Osteoporosis is not a trivial matter, and it is urgent to regulate treatment!

Turn over the bed, and the ribs fracture; the bus is upside down, the vertebral body is compressed and fractured; when it falls gently, the femoral neck is broken. After the fracture, many elderly patients can only lie in bed for a long time, which can easily cause complications such as pneumonia, bedsores, thrombosis, and severely exacerbate the risk of death of elderly patients. The cause of all this is osteoporosis.

High onset and deep harm

Most of the patients are postmenopausal women

Osteoporosis (referred to as bone pine) is a disease -related disease. "According to reports, there are 80 million patients with bone pine in my country, of which 90 % of women are menopausal. About one -third of women over 50 years old and more than half of women over 65 years old are sick and the number is very large." Zhongnan University Xiangya Second Hospital Professor Xie Zhongjian, the metabolic endocrine department, told reporters.

Talking about the current situation of high incidence of female osteoporosis, Professor Sun Yange, deputy director of the Yuenan Community Health Service Center of the Capital Medical University, said that the level of estrogen after menopause decreases significantly, resulting in acceleration of bone mass; women's pregnancy, breastfeeding, breastfeeding, breastfeeding, breastfeeding, breastfeeding, breastfeeding, breastfeeding, breastfeeding At that time, the child's bone development is completely derived from the nutrition provided by the mother. These special physiological conditions determine that women are more likely to suffer from bone loose.

The greatest harm of bone loose is the brittle fracture caused by it and the follow -up complications. "After suffering from bone pine, the elderly are like enamel cups, and they will be broken as soon as they fall. Some patients can only be paralyzed in bed because of the fracture parts. The pain is very huge. "Professor Xie said.

Non -aging must go through

Drug treatment should be actively conducted

The people's awareness rate of bone pine is generally low, and it is mistaken for the process of bone looseness. "Actually, the bones are similar to the teeth. If the teeth are properly cared, they will not fall off at the age of 80 or ninety; the bone is well protected, and the bone loose disease and the crispy fracture caused by it will not occur." Cognitive deviation, most patients with bone pine came to the doctor until fracture.

Patients and the public also have some misunderstandings about bone pine treatment, thinking that simply calcium supplementation can treat bone pine. "When I recommend medication to the diagnosis patient, they often say‘ I ’m taking medicine’. After questioning, they only eat calcium tablets. ”In order to standardize the knowledge of patients with science and pine, it has become the daily life of Professor Sun.

It is understood that many high -quality drugs with good effects and high safety in the field of bone pine diagnosis and treatment have emerged. According to the drug mechanism, it can be divided into anti -bone absorption drugs (such as double macarate, monoclonal biological agents) and bone promoting bones. Formation of drugs.

Urgently need to improve the prevention and control system

Guardian patient's bone health

"Patients with bone pine are not high in treatment and have become a big challenge. Like other chronic diseases, bone pine requires long -term treatment and scientific management. However Later, there was no below, which caused the bone pine to be effectively treated. "Professor Xie said that the ideal bone pine disease management is that medical personnel can actively contact the patient, so as to improve the patient's compliance; at the same time, we must improve The hierarchical diagnosis and treatment system of bone pine is unblocked up and down. This requires grassroots doctors to have a certain diagnosis and treatment ability of bone pine, and timely referring patients in need to be referred to the higher -level hospitals in a timely manner; after receiving diagnosis and treatment at the superior hospital and prescribing the prescription, the patient will complete the continuous drug treatment of the patient, and the primary medical institution will complete the patient's continuous drug treatment. Follow -up and rehabilitation management.

Professor Sun also said that grass -roots medical institutions have a significant advantage in long -term management of bone pine patients. In recent years, the standardized management of grass -roots levels of bone pine has been valued by many experts. In 2020, the Chinese Medical Association's General Medicine Branch was led by the "Primary osteoporosis Community Regulatory Management Plan", which provided guidance for community hospitals' bone loose screening, patient diagnosis and treatment, and management. "The Yuenan Community Health Service Center has accumulated more than ten years of experience in exploring the management of the bone pine community. A three -year study we carried out found that it is not only feasible to manage bone pine in the community. 'Preservation' still avoids crispy fractures. The situation of patients in our community management is better than the control group. "

"However, grass -roots medical institutions still need to be improved in terms of equipment and drugs. In fact, whether it is a grass -roots doctor or an expert at the Three Hospital, they hope to provide patients with homogeneous diagnosis and treatment services. "Professor Sun said that drugs at grassroots medical institutions are greatly affected by the national basic drug directory. If the drug is not included in the basic medicine directory, the use of the grassroots will be limited, and the compliance of patients at the grassroots level will definitely decrease. "Therefore, from the perspective of grass -roots doctors, we especially hope to provide the same drug options for community patients as large hospitals to truly realize high -quality medical protection."

Professor Xie also said: "Many chronic diseases like bone pine can get diagnosis and treatment in grass -roots medical institutions. Patients do not have to go back and forth in large hospitals. The diagnosis and treatment system. This requires grass -roots medical institutions to have sufficient diagnosis and treatment level and high -quality drug supply. In addition, it is necessary to strengthen professional training for medical staff to allow multi -disciplinary doctors to participate in the training of bone pine diagnosis and treatment. "

Interviewer

Professor Xie Zhongjian

Professor, chief physician, doctoral supervisor of Xiangya Second Hospital of Central South University

Director of the Institute of metabolic endocrine in Central South University

Deputy Director of National Metabolic Disease Clinical Medicine Research Center

Associate Professor Sun Yange

Director of Director of the Fuxing Hospital of the Fuxing Hospital of the Capital Medical University: Qiu Jia

Edit: Qiu Jiajia

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