系统性红斑狼疮相关骨质疏松的研究进展
Research progress in systemic lupus erythematosus-associated osteoporosis
  
DOI:10.3969/j.issn.1006.7108.2018.05.020
中文关键词:  系统性红斑狼疮  骨质疏松  危险因素  防治
英文关键词:Systemic lupus erythematosus  Osteoporosis  Risk factors  Prevention and treatment
基金项目:安徽省卫生计生委中医科研课题(2012ZY28);国家自然科学基金项目(81473672)
作者单位
刘思娣1 黄传兵2* 石周珍1 朱刚1 1.安徽中医药大学安徽 合肥 230000 2.安徽中医药大学第一附属医院风湿免疫科安徽 合肥 230000 
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中文摘要:
      近年来,系统性红斑狼疮( systemic lupus erythematosus,SLE) 患者的生存率不断提高,生活质量逐渐改善,但骨质疏松( osteoporosis,OP) 作为其常见并发症之一,发生率也在逐年增加,给患者的生活、家庭及社会带来了较为沉重的负担和压力。引起SLE 骨质疏松的原因很复杂,除传统研究证明的疾病自身活动因素外,药物使用、代谢因素、肾损害、激素水平、生活方式等也参与其发生。在防治过程中,原发病的规范治疗,尤其是包括糖皮质激素在内的药物的合理使用十分关键;联合补充钙剂和维生素 D有利于骨矿化、提高骨骼中钙的含量;合理使用双膦酸盐类药物、组织蛋白酶 K 抑制剂、甲状旁腺激素、狄诺塞麦等药物,可以一定程度上提高骨骼强度,减少骨折的发生;中医药作用的多靶点性对于骨质疏松的治疗也有其独特优势。本文结合临床及新近研究进展,主要就SLE相关骨质疏松的危险因素以及防治等两个方面来予以综述。
英文摘要:
      In recent years, the survival rate of patients with systemic lupus erythematosus (SLE) continues to increase, and the quality of life gradually improves. However, the incidence of osteoporosis (OP), as one of its common complications, is increasing year by year, and have brought a heavier burden and pressure to patient's life, family, and society. The cause of osteoporosis caused by SLE is very complicated. In addition to the self-activity factors of the disease proved by traditional research, the use of drugs, metabolic factors, kidney damage, hormone levels, and lifestyle are also involved in the pathogenesis of SLE. In the prevention and treatment process, the standard treatment of the primary disease, especially the rational use of drugs including glucocorticoids is crucial. Combined use of calcium supplementation and vitamin D benefits bone mineralization and increases the calcium content of bone. Rational use of bisphosphonates, cathepsin K inhibitors, parathyroid hormone, denosumab, and other drugs can improve bone strength to some extent and reduce the incidence of fractures. Multi-target role of traditional Chinese medicine for osteoporosis has its unique advantage. In this paper, clinical and recent research progress, mainly on SLE-related risk factors for osteoporosis and prevention and treatment are summarized in two aspects.
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