肌肉、骨骼与骨质疏松专家共识
Expert consensus on muscle, bone and osteoporosis
  
DOI:10.3969/j.issn.1006-7108.2016.10.001
中文关键词:  肌肉  骨骼  骨质疏松  专家共识
英文关键词:Muscle  Bone  Osteoporosis  Expert consensus
基金项目:
作者单位
中国老年学和老年医学学会骨质疏松分会肌肉、骨骼与骨质疏松学科组 组长:黄宏兴1* 副组长:吴青2 李跃华3 郝永强4 史晓林5 孔西建6 梁祖建1 陈超7 李颖8 秘书:万雷1 王凡9 毕晓蕾10 指导:刘忠厚10 1.广州中医药大学第三附属医院, 广东 广州 510360 2.中国人民解放军总医院北京100853 3.中国中医科学院西苑医院北京100091 4.上海交通大学医学院附属第九人民医院上海200011 5.浙江中医药大学附属第二医院浙江 杭州310005 6.河南省洛阳正骨医院(河南省骨科医院)河南 洛阳471002 7.南方医科大学广东 广州510515 8.广东省中西医结合医院广东 佛山528200 9.广州中医药大学广东 广州510405 10.中国老年学和老年医学学会骨质疏松分会北京 100102 
摘要点击次数: 2241
全文下载次数: 1058
中文摘要:
      骨质疏松症已成为全球性的公共健康问题和前沿研究难题。老年人骨骼肌肉系统的衰退会造成肌肉萎缩、骨质减少,进而引起肌力减退、运动能力、平衡能力下降、步行缓慢、骨脆性增大、易骨折,最终导致老年人生活质量下降。如何从肌肉、骨骼方面研究其与骨质疏松的关系非常迫切和重要。为此,中国老年学学会骨质疏松委员会成立了肌肉、骨骼与骨质疏松学科组,组织专家编写《肌肉、骨骼与骨质疏松专家共识》,为骨质疏松症的临床诊疗和科学研究提供参考。共识认为:骨质疏松与肌肉、骨骼密切相关。骨质疏松症和肌少症存在着很多共同的风险因素。肌骨代谢生化指标可反映肌骨代谢状态,对代谢性肌肉骨骼疾病的诊断和疗效评价有指导作用。推荐使用DXA测量肌肉质量和骨密度。肌力和平衡能力评定有助于判断跌倒风险。肌肉、骨骼存在潜在的药物作用共同靶点。肌肉骨骼运动可以增加峰值骨量,调节骨代谢信号通路,促进骨形成。骨质疏松人群应注重个体化运动锻炼。中医学认为肌肉、骨骼与脾、肝、肾关系密切,骨质疏松症的病位主要在肾、脾、经络,主要与肾虚、脾虚和血瘀有关,强调骨筋肉并重,动静结合,治疗原则宜补肾、健脾、活血。
英文摘要:
      Osteoporosis has become a global public health problem and cutting-edge research problem. The senility of the musculoskeletal system in the elderly can cause muscle atrophy, osteopenia, resulting in lossing of muscle tone, droping of motoricity and balance, walking slowly, increasing osteopsathyrosis, easily fracture, eventually lead to lower quality of life in the elderly.It is very urgent and important that relationship between the aspects of muscle, bone and osteoporosis. Hence,the Osteoporosis Committee of China Gerontological Society set up the muscle,bone and osteoporosis group,and experts write the "muscle, bone and osteoporosis expert consensus", which will provide the guideline about the clinical diagnosis, treatment of osteoporosis and scientific research. The consensus confirms: Osteoporosis is closely related to the muscle and bone. There are many common risk factors about osteoporosis and sarcopenia. Musculoskeletal metabolic biochemical index which guide about the diagnosis of metabolic musculoskeletal disease and therapeutic evaluation can reflect the musculoskeletal metabolic state. DXA is recommended to measure muscle mass and bone mineral density .Evaluation of myodynamia and balance ability determine risk of falls. Both muscle and bone have a potential drug target .Locomotory Musculoskeletal can increase the peak of bone mass, regulate signaling pathways of bone metabolism, and promote bone formation.Osteoporosis people should pay attention to individualized exercise. Traditional Chinese Medicine (TCM) holds that muscle and bone are closely related to the spleen, liver and kidney, osteoporosis mainly locates in the kidney, spleen and collateral channels.it is mainly associated with shenxu(kidney deficiency), pixu(spleen deficient) and blood stasis, emphasize equal attention about bone, tendon and muscle, static and dynamic combination. The main treatment principle is bushen, jianpi and huoxue (nourishing kidney, spleen and invigorate blood).
查看全文  查看/发表评论  下载PDF阅读器
关闭
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=A6E36D713FEB557DDE77DF2F2308311D662A8E00D04ECFDA149A597F85FD8D6F0B1149D7AFB4B8D7332720E43AE563D81AD2842DBCDA294E&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=527A01A248DACB72&jid=CA678592D11E309E8E3FB3B2BFE9BE1A&yid=9F915C6F01DE79C5&aid=E47EE23C3D45AF6D604B070AAC16EDD8&vid=&iid=F3090AE9B60B7ED1&sid=EC37857E7CB2811A&eid=EED3A2E4C2976C822F741764C2DB3281&fileno=20161001&flag=1&is_more=0"> var my_pcid="A9DB1C13C87CE289EA38239A9433C9DC"; var my_cid="527A01A248DACB72"; var my_jid="CA678592D11E309E8E3FB3B2BFE9BE1A"; var my_yid="9F915C6F01DE79C5"; var my_aid="E47EE23C3D45AF6D604B070AAC16EDD8";