文档介绍：原发性骨质疏松诊治指南(2011年) ——中华医学会骨质疏松合骨矿盐疾病分会
济南市中心医院于灵芝
骨质疏松疼痛诊疗进展
于灵芝
山东大学附属济南市中心医院
pain-relief@
Feeling “not-knowing-why” fortable (restless syndrome, RS) for several months is often the priority of pain
pain characteristics
THE OSTEOPOrotic pain can be acute or chronic,
When in movement or at rest,
During the wee hours or late afternoon
Partly or overall
With or without weakness
Weakness is mon in OP, maybe the early symptom (OR might be the latest symptom posterior to multi-VF---very intractable
CASE report
Woman of 54, average figure, looks pretty healthy
pain: Low back, sacral, radiant to right lateral thigh, 4ds
Could not bear standing
VAS=7~8
Palm oppressing pain(+)
No OP info
Additional info
History :
menopause in her 39
without supplement of Ca, VD, estrogen
Family history:
maternal hip fracture
BMD: t=-(heel)
The patient was diagnosed as:
Severe osteoporosis,
Compressive VF(T12) ,
Transitional vertebral prehensive treatment :
compound analgesic+ NAIDS + Ca2+ + CT + PEMF + ultralazer PT
定义
世界卫生组织(WHO):
以骨量低下,骨微结构损坏,导致骨脆性增加,易发生骨折为特征的全身性骨病
美国国立卫生研究院(NIH):
以骨强度下降、骨折风险性增加为特征的骨骼系统疾病,骨强度反映骨骼的两个主要方面,即骨矿密度和骨质量
分类
原发性骨质疏松症
绝经后骨质疏松症(I型):绝经后5~10年
老年骨质疏松症(II型):老年人70岁后
特发性骨质疏松症(包括青少年型):病因不明
继发性骨质疏松症
由任何影响骨代谢的疾病和/或药物导致