我国基层骨质疏松症防治的问题及策略
Problems and strategies of prevention and treatment of osteoporosis in primary medical institutions in China
  
DOI:10.3969/j.issn.1006-7108.2022.11.023
中文关键词:  骨质疏松症  基层医疗机构  预防  对策建议  治未病
英文关键词:osteoporosis  primary medical institutions  prevention  countermeasure and suggestion  treat pre-disease
基金项目:国家自然科学基金(81973886,82174395);广州中医药大学“双一流”与高水平大学学科协同创新团队重点项目(2021XK21);黄宏兴广东省名中医传承工作室(粤中医办函[2018]5号)
作者单位
林贤灿1 吴建军1 黄宏兴2 * 万雷2 林燕平2 黄佳纯2 袁嘉尧1 林适1 杨志杰1 杨彬彬1 东智卓玛1 唐子佳1 1.广州中医药大学第三临床医学院 广东 广州 510405 2.广州中医药大学第三附属医院 广东 广州 510240 
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中文摘要:
      人口老龄化势不可挡,慢性非传染性疾病(以下简称“慢病”)已成为严重影响人民健康安全的公共卫生问题。骨质疏松症作为一种增龄性的慢病,有着发病率高、致残率高、医疗费用高、病程长、疗程长、生存质量低的特点,社会关注度仍旧不足。基层医疗机构(以下简称“基层”)作为我国医疗体系中的重要组成部分,在防治骨质疏松症中起着至关重要作用。然而基层仍存在知晓率低、药物选择不明确、自我定位不清晰、医疗信息共享平台尚未建立及人才水平有待提高的问题。本文结合基层的实际情况及特点,认为中西医结合的防治模式是关键,提出“营养、阳光、运动”六字方针,建议不断推进学科及学术组织建设,加强公众健康教育及基层医务人员继续教育,呼吁骨质疏松症纳入慢病管理,推进分级诊疗,以实现全程管理及综合管理。
英文摘要:
      The aging of the population is unstoppable, and chronic non-communicable diseases have become a public health problem that seriously affects people's health and safety. As an age-related chronic disease, osteoporosis has the characteristics of high incidence rate, high disability rate, high medical expenses, long course of treatment, long course of treatment and low quality of life, there’s still not enough social focus. As an important part of China’s medical system, primary medical institutions plays a vital role in the prevention and treatment of osteoporosis. However, in the process of prevention and treatment, there are still some problems, such as low awareness rate, unclear drug choice, unclear self-orientation, unestablished medical information sharing platform and primary medical institutions to be improved. Based on the actual situation and characteristics of primary medical institutions, this paper holds that the prevention and treatment model of integrated Chinese and Western medicine is the key, and puts forward the six-word policy of “Nutrition, Sunshine and sports”, it is suggested that the development of disciplines and academic organizations should be continuously promoted, public health education and primary health care Continuing education should be strengthened, and osteoporosis should be included in the management of chronic diseases and classified diagnosis and treatment should be promoted, to achieve overall management and integrated management.
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