糖尿病性骨质疏松症的临床诊断方法探讨
Investigation of clinical diagnosis methods for diabetic osteoporosis
  
DOI:10.3969/j.issn.1006-7108.2021.07.013
中文关键词:  糖尿病性骨质疏松症  骨密度  骨质量  检测方法
英文关键词:diabetic osteoporosis  bone mineral density  bone quality  detecting method
基金项目:国家自然科学基金(81874373,82074235)
作者单位
叶紫梦玮1 戴璇1 刘亚鸽1 朱如愿1 王丽丽2 张东伟1* 1.北京中医药大学中医学院糖尿病研究中心北京100029 2.北京中医药大学中药学院中药药理系北京100029 
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中文摘要:
      糖尿病性骨质疏松症(diabetes osteoporosis,DOP)是高血糖在人体骨骼系统中引起的一种严重的慢性并发症,已成为糖尿病(diabetes mellitus,DM)患者致死、致残的主要原因之一。骨密度(bone mineral density,BMD)是评价骨质量的常用指标之一,但其并不完全适用于DM患者,特别是2型糖尿病(type 2 diabetes mellitus,T2DM)患者骨质量的检测,这是因为T2DM患者的BMD通常显示正常或升高,但其骨折风险却大大增加。骨质量是一种综合性反映骨健康状况的指标,其主要包括骨量(骨密度)、骨几何结构和材料特性等,可广泛用于诊断骨质疏松症、评价抗OP药物疗效和预估骨折风险等方面研究。该文将介绍临床上常用的分析骨质量的检测方法,以期为DOP诊断提供科学依据。
英文摘要:
      Diabetic osteoporosis (DOP) is a serious chronic complication caused by sustained high blood glucose in the body skeletal system, which has become one of the main causes of mortality and disability in patients with diabetes mellitus (DM). Bone mineral density (BMD) is one of the commonly used indicators to evaluate bone quality, but it is incompletely suitable for the evaluation of bone quality in individuals with DM, especially with T2DM. This is because a significant increase in fracture risk is observed in patients with T2DM despite normal or even high BMD. Bone quality, mainly including bone mass (BM), bone geometrical structure and material properties, etc., is a comprehensive indicator of bone health. It has been widely applied in the diagnosis of osteoporosis, assessment of the efficacy of anti-DOP drug, prediction of fracture risk, and other aspects of research. In the present study, the detecting approaches that commonly used to evaluate bone quality in the clinic are introduced, which may provide scientific basis for the diagnosis of DOP.
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