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骨质疏松症预防2—补钙和维生素D

骨质疏松症预防2—补钙和维生素D

骨质疏松症的预防请记住两点。第一,保持健康的生活方式;第二,适当补钙和维生素D。对于妊娠中晚期、哺乳期人群及50岁以上人群,由于身体对钙元素需求量增加,通过日常膳食难以完全补充,所以建议上述人群适当补钙和维生素D。在这里有几点需要注意:1、高钙血症和高钙尿症患者应避免补钙;2、除膳食外,建议每日额外补充钙元素约500mg,多数在售的钙片主要成分是碳酸钙,那么500mg是指碳酸钙中钙元素的含量,而不是碳酸钙总共的的含量;3、适量补钙不会增加肾结石和心血管疾病的风险;4、钙片选择国内大品牌即可,别贪便宜买到假货,也不用迷信进口产品,主要成分包括足量的钙元素和维生素D就行,维生素D可以促进钙吸收,单纯的钙片比较难吸收所以不推荐;5、补充维生素D首选还是晒太阳,同时建议每天补充约800IU(或20ug)的维生素D,如果复合钙片中的维生素D含量不够,可以额外补充。6、建议每三个月监测血钙、尿钙和血清25OHD含量,酌情调整补充量。

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视频 Acute back pain in the elderly? Look at this!

Old people, especially those over 75 years old, usually have osteoporotic bones. It means that old bones are fragile and prone to fractures. If an elderly suffers a sudden back pain, after falling, bending, weight-bearing, coughing, or even nothing. And if the pain is severe and intractable even after bedrest and pain killers. It may be a spinal fracture. We call it "Osteoporoitc Vertebral Compression Fracture (OVCF)". Prolonged bedrest is a big hazard to the elderly. It may induce life-threatening complications such as hypostatic pneumonia, deep vein thrombosis and skin pressure ulcers. As a result of the severe back pain and prolonged bedrest, Osteoporotic Vertebral Compression Fracture is a great threaten to the elderly. In this situation, seek medical advice as soon as possible. Patients with osteoporotic vertebral fractures can be treated with Percutaneous Vertebroplasty (PVP). PVP can quickly relieve the pain by injecting bone cement into the broken vertebral body to achieve fast and robust vertebral fixation and augmentation. This technique is minimally invasive, and the patient can resume daily activities within half an hour after the procedure. Finally, stick to the treatment of osteoporosis to avoid further osteoporotic fractures. This is Lancet the Spine Surgeon. I got your back.

刘仲宇

副主任医师

中山大学附属第三医院

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刘仲宇

副主任医师

中山大学附属第三医院

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刘仲宇

副主任医师

中山大学附属第三医院

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刘仲宇

副主任医师

中山大学附属第三医院

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刘仲宇

副主任医师

中山大学附属第三医院

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刘仲宇

副主任医师

中山大学附属第三医院

165 人阅读
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刘仲宇

副主任医师

中山大学附属第三医院

162 人阅读
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