继发性骨质疏松防治的研究

目的总结继发性骨质疏松预防与治疗的经验及提出见解.方法用钙代谢平衡的方法研究了钙代谢的基本情况,比较了补钙与不补钙在若干种生理状态对骨密度的影响,总结继发性骨质疏松的病因及对其采取不同方法的治疗经验.结果中国人膳食含钙量属于正常范围低水平状态,与适宜摄入量(AI)比较是不足的,在一定的生理状态下应予补钙.缺钙是原发性骨质疏松与继发性骨质疏松的不利因素.氟中毒骨病、糖尿病、性腺功能减退、肿瘤、糖皮质激素过多和甲亢均有其各别的病理生理,导致继发性骨质疏松,防治方法各异.结论从胚胎至老年都应防治骨质疏松.不同情况采取方法各异,但有效.

Research on prevention and treatment of secondary osteoporosis

Objective:Summarize the experience of prevention and treatment of secondary osteoporosis and pose opinion.Methods:By means of calcium metabolic balance analysis that investigated the fundamental condition of calcium metabolism.Compared the result of supplementation or not on BMD in different physio-logical states.Summarized the pathogensis of various kinds of secondary osteoporosis and their treatment.Re-sults:The calcium content of Chinese diet is at the low level of normal range,is below the adeguate intake as proposed by the chinese nutrition society.This is one of the factors causing primary and secondary osteo-porosis,Experience in treating various kinds of secondary osteoporosis is presented.Conclusions:It is neces-sary to prevent and treat osteoporosis from the fetus to old age period.The method of prevention and treat-ment of osteoporosis is efficaceious,but it should be chose according to different conditions.Secondary osteo-porosis should be differentiated and treated properly,as illustrated by fluorosis bone disease,diabetes mellitus,hypogonadism,tumor,Cushing's syndrome and hyperthyroidism.