大连医科大学学报
大連醫科大學學報
대련의과대학학보
JOURNAL OF DALIAN MEDICAL UNIVERSITY
2014年
2期
190-194
,共5页
糖尿病%骨质疏松%流行病学%发病机制
糖尿病%骨質疏鬆%流行病學%髮病機製
당뇨병%골질소송%류행병학%발병궤제
diabetes mellitus%osteoporosis%epidemiology%pathogenesis
糖尿病(尤其是2型糖尿病)和骨质疏松是老年常见病,患病率迅速增加。1型糖尿病患者由于不能达到峰值骨量而导致骨折风险增加;2型糖尿病患者与骨密度的关系复杂,其较高的骨折风险不能仅靠诊断骨质疏松的金标准骨密度值来解释。其病因尚未完全明确,发病机制错综复杂,以往认为其发病与慢性高血糖、激素、细胞因子等关系密切,最新研究表明氧化应激和炎症介质也参与了糖尿病性骨质疏松的发生发展。
糖尿病(尤其是2型糖尿病)和骨質疏鬆是老年常見病,患病率迅速增加。1型糖尿病患者由于不能達到峰值骨量而導緻骨摺風險增加;2型糖尿病患者與骨密度的關繫複雜,其較高的骨摺風險不能僅靠診斷骨質疏鬆的金標準骨密度值來解釋。其病因尚未完全明確,髮病機製錯綜複雜,以往認為其髮病與慢性高血糖、激素、細胞因子等關繫密切,最新研究錶明氧化應激和炎癥介質也參與瞭糖尿病性骨質疏鬆的髮生髮展。
당뇨병(우기시2형당뇨병)화골질소송시노년상견병,환병솔신속증가。1형당뇨병환자유우불능체도봉치골량이도치골절풍험증가;2형당뇨병환자여골밀도적관계복잡,기교고적골절풍험불능부고진단골질소송적금표준골밀도치래해석。기병인상미완전명학,발병궤제착종복잡,이왕인위기발병여만성고혈당、격소、세포인자등관계밀절,최신연구표명양화응격화염증개질야삼여료당뇨병성골질소송적발생발전。
Diabetes mellitus (particularly type 2) and osteoporosis are two very common disorders , and are both increas-ing in prevalence .Patients with type 1 diabetes mellitus may not reach potential peak bone mass , putting them at greater fracture risk.While in patients with type 2 diabetes, fracture risk is increased and is not explained by the bone mineral density measured by dual -energy X-ray absorptiometry , which is considered the gold standard predictor of fracture .The etiology is not yet completely clear and pathogenesis is perplexing .It is closely related to chronic hyperglycemia , hormone and cytokines .Recent research shows that oxidative stress and inflammation mediators are also involved in the development of diabetic osteoporosis .