中国人骨质疏松症诊断标准专家共识（第三稿?2014版）
중국인골질소송증진단표준전가공식（제삼고?2014판）
Expert consensus on the diagnosis of osteoporosis in Chinese Population
  • 万方数据
    中国骨质疏松杂志 중국골질소송잡지
    CHINESE JOURNAL OF OSTEOPOROSIS
    2014年 9期 1007-1010 ,共4页

    张智海%刘忠厚%李娜%张萌萌%黄琪仁%马远征%王亮%刘勇%刘新宇%朱钧%蓝旭%李士春%杨鸿兵%喻恒峰%汤光宇%张伟%姚伟武%李绍林%彭俊红%周晟%周劲松

    장지해%류충후%리나%장맹맹%황기인%마원정%왕량%류용%류신우%주균%람욱%리사춘%양홍병%유항봉%탕광우%장위%요위무%리소림%팽준홍%주성%주경송

    骨质疏松症%骨密度测量%诊断标准%影像学检查 骨質疏鬆癥%骨密度測量%診斷標準%影像學檢查
    골질소송증%골밀도측량%진단표준%영상학검사
    Osteoporosis%BMD%Diagnosis standard%Radiology
    中国老年学学会骨质疏松委员会组织专家在2000年第二稿的基础上，复习了近年来国际国内在骨质疏松症诊断方面的研究进展，结合中国人群特点和中国骨质疏松症防治实际情况，制定本共识为各级医疗机构开展骨质疏松症诊疗工作提供参考。骨密度测量在骨质疏松症诊断中有重要作用，可以参照WHO-2．5 SD的标准，也可以根据中国人群的实际情况采用中国老年学学会骨质疏松委员会（OCCGS）建议的-2．0SD或者骨量下降25％作为诊断标准。并提出了在使用DXA骨密度诊断时需要注意DXA的局限性，避免漏诊。根据近年来定量CT研究的成果，首次在共识中建议采用国际临床骨密度学会（ ISCD）和美国放射学院（ ACR）推荐的腰椎QCT骨密度低于80 mg/cm3作为骨质疏松的诊断标准。首次建议在骨质疏松诊断中的FRAX应用。脆性骨折作为骨质疏松症诊断标准的重要性，并推荐综合影像检查诊断脆性骨折和鉴别诊断。强调了骨生化检查的作用。
    중국노년학학회골질소송위원회조직전가재2000년제이고적기출상，복습료근년래국제국내재골질소송증진단방면적연구진전，결합중국인군특점화중국골질소송증방치실제정황，제정본공식위각급의료궤구개전골질소송증진료공작제공삼고。골밀도측량재골질소송증진단중유중요작용，가이삼조WHO-2．5 SD적표준，야가이근거중국인군적실제정황채용중국노년학학회골질소송위원회（OCCGS）건의적-2．0SD혹자골량하강25％작위진단표준。병제출료재사용DXA골밀도진단시수요주의DXA적국한성，피면루진。근거근년래정량CT연구적성과，수차재공식중건의채용국제림상골밀도학회（ ISCD）화미국방사학원（ ACR）추천적요추QCT골밀도저우80 mg/cm3작위골질소송적진단표준。수차건의재골질소송진단중적FRAX응용。취성골절작위골질소송증진단표준적중요성，병추천종합영상검사진단취성골절화감별진단。강조료골생화검사적작용。
    Based on the year 2000 the 2nd version of the diagnosis of osteoporosis, the Osteoporosis Committee of China Gerontological Society ( OCCGS) has organized experts to learn the research advance in recent years all over the world, to consider the characteristics of Chinese population and the medical practice in the prevention and treatment of osteoporosis in China, and to make the following consensus of the diagnosis of osteoporosis for guidelines of osteoporosis management in all levels of medical center.Detection of the bone mineral density (BMD) is still the most important measurement in the diagnosis of osteoporosis.The DXA -2.5 SD criteria recommended by WHO is widely used.Also the diagnose standard can be set as -2.0 SD or 25%reduce of BMD recommended by OCCGS according to real status of Chinese population.Attention needs to be paid to the limitation of DXA in the diagnosis of osteoporosis, in order to avoid misdiagnosis.With the advance in QCT BMD measurement in recent years, the 80 mg/cm3 QCT criteria proposed by ISCD and ACR is also recommended in the consensus.The application of FRAX in the diagnosis of osteoporosis is suggested for the first time.The fragility fracture is an important diagnosis in osteoporosis.It should be diagnosed and differentially diagnosed combining with image examination.The clinical use of bone biochemical examination is emphasized.
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