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骨和慢性脏疾病 骨和慢性脏疾病
1INSERM U1059 SAINBIOSE Université Jean Monnet, Saint-Etienne, France.
Seminars in musculoskeletal radiology
|September 25, 2023
概括
慢性病 (CKD) 导致矿物质和骨疾病 (CKD-MBD),增加血管化,骨折和心血管事件的风险. 管理包括解决矿物质失衡和骨质疏松症,尽管由于证据有限,严重的CKD的治疗仍然很复杂.
科学领域:
- 脏病学和内分泌学
背景情况:
- 慢性病 (CKD) 与矿物质和骨疾病 (CKD-MBD) 密切相关,影响和代谢.
- CKD-MBD有助于脏骨质疏松症,血管化,以及心血管事件和骨折的风险增加.
研究的目的:
- 审查CKD-MBD的病理生理学,组织学和放射学.
- 概述CKD患者骨质疏松症的评估策略.
- 讨论CKD中矿物质疾病和骨质疏松症的当前和复杂的治疗方法.
主要方法:
- 文献综述综合了关于CKD-MBD病理生理学,临床表现和治疗的信息.
- 在CKD中影响骨质疏松症评估的因素分析.
- 在CKD不同阶段对矿物质疾病和骨质疏松症的治疗选择的评估.
主要成果:
- 慢性病导致骨损伤 (骨缩),骨重塑变化和矿化受损.
- 血管化是一种常见的特征,有助于心血管风险.
- 骨质疏松症的评估需要考虑一般和CKD特定的风险因素.
结论:
- 治疗CKD-MBD的有效方法包括降药物,维生素D类同类药物和感受受体激活剂.
- 虽然骨质疏松症治疗在早期CKD阶段是标准的,但由于证据稀缺,其在严重CKD中的疗效和安全性需要进一步调查.
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