Wilkins Consuelo H
Department of Medicine, Division of Geriatrics and Nutritional Science, Washington University School of Medicine, St. Louis, MO 63108, USA.
Clin Interv Aging. 2007;2(3):389-94.
Osteoporosis is common among older adults and results in costly osteoporotic fractures. Screening for this metabolic bone disorder is warranted in most older adults and clinicians must be diligent in identifying persons at risk. The evaluation should include an assessment of risk factors for falls, a bone density test, and consideration of possible secondary causes of osteoporosis. Several medications are available to improve bone density and decrease fractures. Adequate calcium and vitamin D intake (and treatment of vitamin D deficiency) are paramount in the management of osteoporosis.
骨质疏松症在老年人中很常见,并会导致代价高昂的骨质疏松性骨折。对大多数老年人来说,筛查这种代谢性骨病是有必要的,临床医生必须认真识别有风险的人群。评估应包括对跌倒风险因素的评估、骨密度测试以及对骨质疏松症可能的继发原因的考虑。有几种药物可用于提高骨密度和减少骨折。充足的钙和维生素D摄入(以及治疗维生素D缺乏症)在骨质疏松症的管理中至关重要。