골다공증의 약물 치료
The Medical Treatment of Osteoporosis
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초록
이 논문의 목적은 정형외과 의사에게 골다공증을 치료하고 관리하기 위한 치료의 가이드 라인을 제시하기 위함이다. 골다공증을 치료하는 목적은 노인인구에서 골절을 예방하는 것이며 이를 위 해서는 칼슘이나 비타민 D 섭취 같은 단순한 약물 치료뿐만 아니라 식생활 개선이나 생활 습관의 변화가 있어야 한다. 정형외과 의사들은 골다공증에 의한 골절환자들을 직접적으로 대하는 사람 들이기 때문에, 골다공증에 의한 골절의 예방 및 골다공증의 치료를 적극적으로 하여야 할 의무 가 있는 것이다. 이는 의료비용의 절감뿐만 아니라 수명연장 및 삶의 질 향상에도 기여할 수 있을 것이다.
Abstract
The purpose of this article is to provide orthopaedic surgeons with a guide for the management and treatment of osteoporosis. Preventing fracture prevention is the key efficacy end point in the medical management of osteoporosis for any patient. Enhancement of the bone mass and improving the bone quality are achieved by a combination of lifestyle modification, dietary supplementation with calcium and Vitamin D and pharmacologic treatment. This has proved effective for the prevention and treatment of osteoporosis. The orthopedic surgeon is frequently contacted to identify patients with an osteoporotic fracture. As the orthopaedic surgeon is often the only physician to see a patient who has sustained such a fracture, orthopaedic surgeons must make every effort to determine if the injury is a fragility fracture so that the patient can be treated to prevent future fractures.
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