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糖皮质激素所致儿童骨质疏松的诊断和治疗

Diagnosis and treatment of glucocorticoid-induced osteoporosis in children

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【作者】 杨晓夏正坤樊忠民高远赋

【Author】 YANG Xiao;XIA Zheng-kun;FAN Zhong-min;GAO Yuan-fu;Department of Pediatric,Nanjing General Hospital of Nanjing Military Region,PLA;

【机构】 南京军区南京总医院儿科

【摘要】 糖皮质激素(glucocorticoid,GC)在儿科多种疾病的治疗中有广泛的应用。但是骨质疏松、自发性骨折甚至骨坏死是应用GC带来的严重并发症,而GC诱导的骨质疏松(glucocorticoid-induced osteoporosis,GIOP)也日益为儿科医师所重视。文中就GIOP的流行病学特点、发病机制、临床特征、诊断、治疗及预防作一综述,主要介绍其主要的影像学检查方法及诊断标准,总结疾病治疗、疾病预防的研究进展,阐述合理用药、早期预防、及时治疗的重要性。

【Abstract】 In the treatment of pediatric diseases,corticosteroids( GC) have a wide range of applications. However,osteoporosis,spontaneous fractures and bone necrosis are serious complications caused by GC,and GC-induced osteoporosis( GIOP) is paid increasing attention by pediatricians. This review summaries the epidemiological characteristics,pathogenesis,clinical features,diagnosis,treatment and prevention researches of GIOP. We introduce its main imaging methods,diagnostic criteria,summary the treatment and prevention of the disease,and explain the importance of rational drug use,early prevention,and timely treatment.

【基金】 国家自然科学基金(81270800)
  • 【文献出处】 医学研究生学报 ,Journal of Medical Postgraduates , 编辑部邮箱 ,2014年02期
  • 【分类号】R726.8
  • 【被引频次】16
  • 【下载频次】319
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