ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2025, Vol. 34 ›› Issue (1): 80-84.DOI: 10.3969/j.issn.1006-298X.2025.01.016

• 肾脏病临床 • 上一篇    下一篇

慢性肾脏病患者骨质疏松的诊断及治疗

  

  • 出版日期:2025-02-28 发布日期:2025-03-15

Diagnosis and treatment of osteoporosis in patients with chronic kidney disease

  • Online:2025-02-28 Published:2025-03-15

摘要: 慢性肾脏病(CKD)患者中,骨相关病变除慢性肾脏病矿物质与骨异常(CKD-MBD)外,骨质疏松也是其重要的并发症之一。      骨质疏松会导致患者出现骨骼或者关节疼痛,骨折风险增加,病残率和死亡率的增加。      重视对    CKD    患者骨质疏松的认识和诊断,并借鉴一般人群骨质疏松治疗的成熟方法,探索其骨质疏松的治疗的手段,是在目前 CKD-MBD 管理基础上进一步改善患者骨病严重程度及预后的新方向。


关键词: 慢性肾脏病, 骨质疏松 , 诊断, 治疗

Abstract: Bone-related  lesions  are  one  of  the  important  complications  in  patients  with  chronic  kidney  disease (CKD), in addition to chronic kidney disease-mineral and bone disorder (CKD-MBD).  Osteoporosis can lead to bone or joint  pain,  increased  risk  of  fracture,  increased  disability  and  mortality.  Focusing  on  the  understanding  and  diagnosis  of osteoporosis in CKD patients, and exploring the means of treating osteoporosis in CKD patients with reference to the well- established methods of osteoporosis treatment in the  general  population, is  a  new  direction  to  further  improve  the  severity and prognosis of patients’ bone disease based on the current management of CKD-MBD.


Key words: chronic kidney disease ,  , osteoporosis ,  , diagnosis ,  ,  treatment