我們在診斷及篩檢治療骨質疏鬆症的時候,會依照個人的骨折風險高低,區分為高、中、低骨折風險。藥物治療就是針對「高骨折風險」的族群來治療。但是近年來大家發現有一群人的骨折風險比起一般骨質疏鬆症患者又高出許多,這一群人需要更積極的治療或是使用更強效的藥物,我們把這一群人定義成「極高骨折風險」族群。
若有符合下列其中一項,應考慮列入「極高骨折風險」族群:
屬於「極高骨折風險」的患者一定要立刻改善家中環境,預防跌倒,並且積極治療骨質疏鬆。藥物使用方面。建議使用「造骨促進劑」來促進新骨生成,快速拉高骨密度,脫離危險地帶後再使用抗骨吸收藥物接續治療。
本文收錄於戴大為醫師的骨質疏鬆&肌少症診治照護全書【暢銷增訂版】
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