由于骨质疏松起病的隐匿性,治疗起效的缓慢性和极大的社会危害性,对医务工作者和研究人员如何预防、诊断和治疗提出了一系列难题。 首先是制定适合国人的骨质疏松诊断标准难。国内现在的诊断标准主要参考WHO标准,由于地区、种族及饮食习惯的不同,其标准可能只适用于西方人而不适合于国人。虽然骨密度测定方法不少,但在临床中如何更合理地应用仍未统一。骨密度测定必须遵循3个原则:(1)明确骨质疏松的诊断;(2)估计骨质疏松的程度;(3)评价骨质疏松症的治疗是否有效。在这方面,国内学者作了有益的探索,采用以下两种方法进行诊断。1 生理年龄预测法 根据中医学“肾主骨”理论及骨骼生长发育衰老规律,制 Because of the occult onset of osteoporosis, the slow onset of treatment and the great social harmfulness, it poses a series of problems to medical workers and researchers on how to prevent, diagnose and treat them. The first is to develop suitable for people’s osteoporosis diagnostic criteria difficult. The current diagnostic criteria in China mainly refer to the WHO standards. Due to the differences in areas, ethnicities and eating habits, the standards may only apply to Westerners but not to Chinese. Although a lot of bone mineral density determination method, but in the clinical application of a more reasonable yet unification. Bone mineral density measurement must follow three principles: (1) to confirm the diagnosis of osteoporosis; (2) to estimate the degree of osteoporosis; (3) to evaluate the effectiveness of treatment of osteoporosis. In this respect, domestic scholars have made useful explorations and used the following two methods to diagnose them. A physiological age prediction method According to Chinese medicine “kidney bone” theory and bone growth and development of aging rules,