虚拟骨密度在基层全科评估骨质疏松症风险应用价值探讨
The value of virtual bone mineral density in the assessment of the risk of osteoporosis in the community
  
DOI:10.3969/j.issn.1006-7108.2021.11.026
中文关键词:  虚拟骨密度  基层  全科医学  骨质疏松
英文关键词:virtual bone mineral density  community  general practice  osteoporosis
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姜礼红 范靖雪 王秋军 张明明 林琳 姜睿 张喻淇 张蕾 孟佳* 哈尔滨医科大学附属第二医院全科医疗科黑龙江 哈尔滨 150086 
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中文摘要:
      基于骨质疏松症未来的高发趋势,有必要在基层全科开展绝经后女性人群骨质疏松症的筛查,目前各国骨质疏松症指南和共识中提到的风险评估指标缺乏特异性,本研究团队的研究结果提示,体质量指数、年龄、左室舒张末径、肌酸激酶同工酶、碱性磷酸酶和游离三碘甲状腺原氨酸6项临床检查指标组建的联合指标与绝经后女性股骨颈骨密度值的相关性更为显著,自创概念为虚拟骨密度,用作绝经后女性骨质疏松症风险的早期预警以及有效监控女性骨骼健康状态,根据结果采取针对性健康管理预防措施,可有效降低骨质疏松症的发病率,方法既简单又廉价,在基层应用前景广泛,可以带来巨大的社会效益。
英文摘要:
      Due to the trend of high incidence of osteoporosis in the future, it is necessary to carry out screening for postmenopausal osteoporosis in the community. At present, the risk assessment indicators mentioned in the guidelines and consensus on osteoporosis in various countries lack specificity. The results of our team suggest that the combined index composing six clinical examination indicators, i.e., BW (body weight), Age (age), LVDD (left ventricular end diastolic diameter), CKMB (creatine kinase isoenzyme MB), ALP (alkaline phosphatase), and FT3 (free triiodothyronine), is significantly correlated with bone mineral density of the femoral neck in postmenopausal women. We named virtual bone mineral density for this assessment model, which was used as an early warning of the risk of osteoporosis in postmenopausal women and was an effective monitoring of female bone health. Targeted health management and preventive measures based on the results can effectively reduce the incidence of osteoporosis. The method is simple and cheap. It has a wide application prospect in the community, which can bring huge social benefits.
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