儿童炎症性肠病中的骨健康
Proteek Sen1, Suma Uday1,2
1Department of Endocrinology and Diabetes, Birmingham Women's and Children's NHS Foundation Trust, Birmingham B4 6NH, UK.
患有炎症性肠病 (IBD) 的儿童经常出现骨质损失,增加骨折风险. 本综述涵盖了儿科IBD骨疾病的原因,预防和管理.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 内分泌学 在内分泌学.
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 儿童炎症性肠病 (IBD) 经常导致骨质流失,增加骨折风险和降低生活质量.
- 在IBD中对二次骨质疏松症的主要贡献者包括慢性炎症,营养不良和皮质类固醇治疗.
研究的目的:
- 审查儿童IBD骨健康不良背后的机制.
- 讨论最近在诊断,预防和管理这一群体的骨质损失方面的进展.
主要方法:
- 关于儿童IBD骨健康研究的文献综述.
- 分析导致骨质损失的因素.
- 评估当前和新兴的治疗策略.
主要成果:
- 炎症,营养缺乏和葡萄糖皮质类药物是儿科IBD骨损失的主要驱动因素.
- 营养优化,补充和定期查对于预防至关重要.
- 双酸盐治疗是已确定的骨质疏松症的主要医疗干预措施.
结论:
- 骨健康是儿科IBD的一个重要问题,需要主动管理.
- 一种涉及营养,查和向治疗的多方面的方法是必不可少的.
- 诊断和治疗方面的进步为儿科IBD的骨健康提供了更好的结果.
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