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肌少-骨质疏松症专家共识
引用本文:黄宏兴,史晓林,李盛华,马勇,孔西建,李跃华,程群,郭晓东,刘康,万雷 中国健康促进基金会肌少-骨质疏松症专家共识委员会.肌少-骨质疏松症专家共识[J].中国骨质疏松杂志,2022(11):1561-1570.
作者姓名:黄宏兴  史晓林  李盛华  马勇  孔西建  李跃华  程群  郭晓东  刘康  万雷 中国健康促进基金会肌少-骨质疏松症专家共识委员会
作者单位:1.广州中医药大学第三附属医院,广东 广州 510378 2.浙江中医药大学附属第二医院,浙江 杭州 310005 3.甘肃省中医院,甘肃 兰州 730050 4.南京中医药大学附属医院,江苏 南京 210004 5.河南省洛阳正骨医院(河南省骨科医院),河南 洛阳 471002 6.中国中医科学院西苑医院,北京 100091 7.复旦大学附属华东医院,上海 200040 8.华中科技大学同济医学院附属协和医院,湖北 武汉 430022
摘    要:肌少-骨质疏松症已成为全球性的公共健康问题和前沿研究难题。目前仍存在对肌少-骨质疏松症的临床知晓率低、重视不够、诊断治疗方法单一、管理不完善等实际问题。中国健康促进基金会组织专家编写《肌少-骨质疏松症专家共识》,为肌少-骨质疏松症的临床诊疗和科学研究提供参考。共识论述了肌少-骨质疏松症是肌少症和骨质疏松症并存的退行性代谢综合征,有共同的发病基础,诊断标准应是骨质疏松症与肌少症并存,预防比治疗更重要。肌少-骨质疏松症的治疗目标是改善肌量、肌力、身体平衡、骨量和骨质量,避免出现跌倒和骨折。肌少-骨质疏松症的管理应肌骨并重,综合诊断、规范治疗,医患合作,建立科学评估、定期随访机制。

关 键 词:肌少-骨质疏松症  诊断  治疗  专家共识

Sarcopenia-osteoporosis expert consensus
HUANG Hongxing,SHI Xiaolin,LI Shenghu,MA Yong,KONG Xijian,LI Yuehu,CHENG Qun,GUO Xiaodong,LIU Kang,WAN Lei Expert Consensus Committee on Diagnosis and Treatment of Osteoporosis in Grassroots Medical Institutions of China Health Promotion Foundation.Sarcopenia-osteoporosis expert consensus[J].Chinese Journal of Osteoporosis,2022(11):1561-1570.
Authors:HUANG Hongxing  SHI Xiaolin  LI Shenghu  MA Yong  KONG Xijian  LI Yuehu  CHENG Qun  GUO Xiaodong  LIU Kang  WAN Lei Expert Consensus Committee on Diagnosis and Treatment of Osteoporosis in Grassroots Medical Institutions of China Health Promotion Foundation
Affiliation:1.The Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510378 2. The Second Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310005 3. Gansu Traditional Chinese Medicine Hospital, Lanzhou 730050 4. Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing 210004 5.Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Luoyang 471002 6. Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100091 7. East China Hospital Affiliated to Fudan University, Shanghai 200040 8. Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430022, China
Abstract:Sarcopenia-osteoporosis has become a global public health problem and frontier research problem. At present, there are still some practical problems such as single diagnosis and treatment, and imperfect management of sarcopenia-osteoporosis. The China Health Promotion Foundation organized experts to compile the Expert Consensus on sarcopenia-osteoporosis to provide reference for the clinical diagnosis, treatment and scientific research of sarcopenia-osteoporosis. The consensus discussed: sarcopenia-osteoporosis is a degenerative metabolic syndrome coexisting with sarcopenia and osteoporosis, has a common basis of pathogenesis, the diagnostic criteria should be osteoporosis and sarcopenia coexisting, prevention is more important than treatment. The goal of treatment for sarcopenia-osteoporosis is to improve muscle mass, muscle strength, body balance, bone mass, and bone quality, and to avoid falls and fractures. The management of sarcopenia-osteoporosis should pay equal attention to muscle and bone, based on comprehensive diagnosis, standardized treatment, doctor-patient cooperation, scientific evaluation and regular follow-up mechanism.
Keywords:sarcopenia osteoporosis  diagnosis  treatment  expert consensus
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