China News Service, September 20 (Reporter Chen Jing) Osteoporosis and fragility fractures have become important public health problems, and their treatment rates and awareness rates are at a relatively low level.
Zheng Jiaoyang, director of the Health Management Center of Shanghai Changzheng Hospital, said in an interview with a reporter from Chinanews.com on the 20th that osteoporosis is a very complex disease and should be treated by multiple disciplines.
It is understood that there are a large number of osteoporosis patients in the population over 65 years old in China, and the problem of osteoporosis in middle-aged and elderly women is particularly serious.
Professor Chen Huajiang, deputy director of the Department of Orthopedics at Shanghai Changzheng Hospital, said on the same day that osteoporosis is a chronic disease. When surgical intervention is involved, the problem of osteoporosis is already more serious.
At the same time, osteoporosis itself brings many challenges to surgery.
In fact, at present, there are still shortcomings in the diagnosis, treatment and prevention and management of osteoporosis. It is urgent to establish an efficient and effective management system for osteoporosis patients in line with China's national conditions: most patients' visits are scattered in orthopedics and geriatrics. , Endocrinology, Gynecology and other departments lack unified and effective long-term management; the community construction of osteoporosis patients is immature, and the grassroots lack high-quality medical resources.
Zheng Jiaoyang said that osteoporosis is known as the "silent killer": there is usually no obvious clinical manifestations in the early stage of the disease, but as the bone mass continues to be lost, it will cause pain, spinal deformation, and even fractures.
Zheng Jiaoyang bluntly said that in clinical practice, we found that many patients do not know which department to go to for treatment. Many departments carry out the treatment of osteoporosis. The patients lack systematic management and have not received long-term follow-up.
Many patients have only been treated in the hospital, and after being discharged from the hospital or out of the clinic, they have not insisted on long-term use of anti-osteoporosis drugs; some patients' medication regimens have not been adjusted in time.
Xu Guohua, director of the Orthopedic Spine Minimally Invasive Center of Shanghai Changzheng Hospital, told reporters that osteoporosis is an age-related disease, and the entire onset of osteoporosis occurs quietly.
In clinical practice, many patients do not know that the degree of osteoporosis has been very serious until after the fracture is taken in the hospital and undergoing a bone density check. This is why the first clinic for osteoporosis is often in the orthopedics department.
It is understood that patients with osteoporosis are prone to fragility fractures, the most common being spinal compression fractures.
Sometimes, the patient sneezes or coughs, or even breaks when he rides the bus.
Xu Guohua said that once a fragility fracture occurs for elderly people over 70, if they cannot receive timely and appropriate treatment, the mortality rate is very high.
Osteoporosis patients who have not yet experienced fragility fractures may also experience very severe back pain, which affects their quality of life.
On December 19, 2020, the “China Health Knowledge Dissemination Incentive Program (Bone Strength Program)-China Fragility Fracture The “High-risk Patient Management Project” was officially launched.
The project focuses on the standardized management of high-risk patients with fragility fractures in China, and explores diversified and individualized implementation paths. It is expected to provide a standardized clinical management path reference for the management of osteoporosis patients in our country, and benefit a wider population.
During the interview, the reporter learned that Shanghai Changzheng Hospital opened the "Osteoporosis Health Management Clinic" with the support of the "Bone Strength Project" project.
The clinic will conduct systematic and full-process management of patients, explore a multidisciplinary centralized referral mechanism, and establish a sound follow-up management model. At the same time, the Osteoporosis Health Management Clinic will regularly carry out popular science education activities to help more patients at high risk of fractures Obtain early diagnosis, standardized treatment and long-term management, especially for patients with osteoporosis who need orthopedic surgery to provide comprehensive management guarantee from preoperative to postoperative.
Xu Guohua said that for some elderly patients with osteoporosis, it is necessary not only to use anti-osteoporosis drugs, but also to exercise appropriately to enhance the effect of anti-osteoporosis treatment.
During the interview, the reporter learned that in clinical diagnosis and treatment, many orthopedic doctors found that the bone strength of young people today is significantly lower than that of 20 years ago. Professor Xu Guohua pointed out that the main reason is that if you sit more all day and do not exercise, the bone stimulation is relatively less. Professor Chen Huajiang said bluntly that young people should take part in more sports and increase their time in the sun. Zheng Jiaoyang pointed out that 10 am to 2 pm every day is the most suitable time for sun exposure. Teenagers should also pay attention to supplementing calcium and vitamin D, and reduce their intake of caffeine-containing foods and carbonated drinks. (over)