炎症性肠病相关骨质疏松的诊治进展
邢晗 张雨婷 刘艳 丁康 张苏闽[摘要] 骨质疏松症(OP)是炎症性肠病(IBD)的一种肠外并发症,因其较低的筛查率和隐匿的临床症状而常被人所忽视。据报道,IBD骨质疏松患者出现骨折的风险较高,对其疾病的转归、正常生活与工作产生了巨大的影响。近年来,IBD相关骨质疏松在病因、诊断与治疗上均取得了许多进展。本文就IBD相关骨质疏松的常见病因、诊断及治疗方法作一综述,希望以此提高对此病的认知与重视,并为临床工作者对其做出相应的诊治与处理提供一定的帮助。
[关键词] 炎症性肠病;骨质疏松;骨密度;维生素D
[中图分类号] R574? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-9701(2021)12-0187-06
Progress in diagnosis and treatment of osteoporosis associated with inflammatory bowel disease
XING Han1? ?ZHANG Yuting1? ?LIU Yan1? ?DING Kang2? ?ZHANG Sumin2
1.Nanjing University of Chinese Medicine, Nanjing? ?210029, China; 2.Department of Proctology, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing? ?210029, China
[Abstract] Osteoporosis(OP) is an extraintestinal complication of inflammatory bowel disease(IBD). It is often overlooked because of its low screening rate and hidden clinical symptoms. According to reports, patients with IBD and osteoporosis have a higher risk of fracture,which exerts a huge impact on the outcome of their disease,their normal life and work. In recent years ......
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