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原发性骨质疏松症是一个十分严重的社会问题,困扰很多中老年人的健康。我院自1993年5月以来,对90例女性绝经期后的妇女进行双能量骨密度检查,同时对其中34例患者进行血雌激素、降钙素、甲状旁腺素、钙、磷检查,发现其骨密度下降明显,同时其血降钙素及甲状旁腺素有高、有低,血钙高于正常。我们认为,绝经后骨质疏松症患者可能存在三种类型:①血降钙素、甲状旁腺素正常或缺乏;②降钙素增高;③甲状旁腺素增高。临床上应根据不同情况采用不同的治疗方法。
Primary osteoporosis is a very serious social problem that plagues many middle-aged and elderly people’s health. In our hospital since May 1993, 90 women with postmenopausal women were tested for dual-energy bone mineral density, and 34 of them were tested for blood estrogen, calcitonin, parathyroid hormone, calcium and phosphorus, Found that bone mineral density decreased significantly, while its blood calcitonin and parathyroid hormone have high, low, serum calcium higher than normal. We believe that there may be three types of postmenopausal osteoporosis patients: ① normal or lack of blood calcitonin, parathyroid hormone; ② calcitonin increased; ③ parathyroid hormone increased. Clinic should be based on different situations using different treatments.