It is healthy in old age that osteoporosis is engulfed quietly Have not got a patient to pay attention to enough

It is healthy in old age that osteoporosis is engulfed quietly Have not got a patient to pay attention to enough
Even if the big city of senilization such as Shanghai, because serious " have pains in the loins and back " And have to go to the hospital to ask in the patient that manages, in fact more than 95% have already had obvious osteoporosis symptom, fracture has already taken place to a lot of people. However, these patients would like what has been made further bone density to measure only accounts for 2%! Osteoporosis becomes the elderly common and occuring frequently and will aggravate, disable lethal risky disease. But appeal for it so far, women have not got the corresponding treatment after there is 75% of the menopause of suffering from the osteoporosis. They have been neglected, leaking examines! Twenty percent are ill in the face of the reporter over 50, osteoporosis branch's General Board of medical association of Shanghai, osteoporosis, Professor Zhang ZhenLin, director of specialized department for osteopathy, and osteoporosis Professor Zhu HanMin, director of centre of prevention and cure in East China hospital, words are earnest, displaying it very urgently slightly shows the helplessness. The newest osteoporosis " The white paper " Claim, in 2009, the crowd's osteoporosis is ill to count about 69,440,000 persons (account for 20.0%) over continent 50 and 50 of our country ,15,340,000 men (8.9%) among them , 54,100,000 of women (30.9%) . With the growth of crowd's age, the more ill number of people of osteoporosis is, women's morbidity is up to 2/3 especially over 80 and 80. If cause hip fractures more, with more serious consequence as the example with osteoporosis, about 25% of the patients die in 2 years, 25% of the patients lose self-care ability. "The one that should especially be pointed out is, the number of people take place every year in what caused fracture by osteoporosis, in fact has exceeded the number of people of emergence of diseases such as myocardium infarction, apoplexy, breast cancer,etc.. " Make whom two professor regret rather, seem to be symptom to be slight and " quiet " while being such a Engulf by people healthy in old age chronic disease,no matter on circles or common people minds ordinary medical, not so good as treating cardiovascular vessel disease, tumour to pay attention to just like that far. It is easy for the patient to examine for the first time " Feel puzzled " Zhang ZhenLin Professor point out except citizen low in cognitive intensity, a lot of people will reach, take place the intersection of activity and seriously limited, hunchback, fracture,etc. just go to see doctor outside behind the situation, for now, the hospitals at all levels of the whole city, especially making a diagnosis to osteoporosis of medical organization at the basic level are still unstandard, every department cooperation is not enough. For example, osteoporosis involves gynaecology, dept. of orthopedics, division of endocrinology, old department,etc. multi-disciplinarily, it is often easy for the patient to examine for the first time " Feel puzzled " . Some hospitals have not offered the relevant specialized department, professional doctor, professional monitoring means are uncomplete, also led to the fact it is not tall that osteoporosis is negligent of preventing, treating the intensity. Form a set of effectual osteoporosis and prevent and cure the system, far away in the road even more. For example the most basic high-risk group of development sift checking, write into the health file, sets up and follows and follows up a case by regular visits to the mechanism for a long time, and implemented propaganda of popular science of the community,etc. pointedly, did not move forward fully up to expectationsly in the past few years. "When, our osteoporosis can be like now basic chronic disease such as hypertension, diabetes too, is there a N grade from bottom to top to prevent and cure the network? ! " Zhang ZhenLin sent to asked. " actually, osteoporosis is disease that can be taken precautions against, needed to treat that it is same whether to manage or not, fully treating not only can relieve symptoms such as bone-ache,etc., can also prevent the occurrence of fracture. " Professor Zhu HanMin emphasizes there are only old age, women in osteoporosis will happen, no " it is same to manage " ,Can not be prevented and cured by only taking calcium tablet, does not treat on the issue that can solve in a short time of 2-3 months. There are large clinical data that reveal, although the male patient of osteoporosis is less than women, but death probability is greater than women. Let people feel a gratified one is, must reach the energetical support of the medical associations of Municipal Health Bureau, city and some medicine enterprises, by a group of experts and enthusiastic a large-scale osteoporosis theme activity that participates in in Shanhai, already until " whether women's osteoporosis sift, consult after the menopause over the 50 " Classify as and take the lead in starting the project. "The first step, we are hopeless menstrual women who want to agitate the high-risk group of osteoporosis, can understand one's own bone density state voluntarily. " Professor Zhang ZhenLin explains, sifts and checks that estimates that will regard community as the base in one year in the first batch, use the ultrasonic instrument of bone, it is 10,000 women of 4 districts such as Jing'an, Hongkou, Yangpu, Xu Hui that sift and check first. Construct osteoporosis in the whole city relevantly and prevent and cure the system, Zhang ZhenLin, Professor Zhu HanMin and others have the three-step development strategies too Piece tentatively conceive: The first step, the tertiary hospital expert of the osteoporosis specialized department branch of medical association of the city undertakes to do a job until it is completed in the area respectively, launch second hospital, the community health Center doctor's osteoporosis standardization and make a diagnosis and give treatment and train; The second step, choose 1-2 from the tertiary hospital, second hospital and community hygiene centre respectively, set up the health file electronization of osteoporosis and manage the platform, carry on osteoporosis and prevent and cure the pilot project of the system; The third step, system of introducing this tertiary hospital, second hospital and the community health Center osteoporosis patient and changing the place of examination each other in an all-round way and operating the procedure. The perfection which can be realized in time of about 3 of a need " Design " . Let us expect she brings the health good news of a change current situation. Chief correspondent Shi Jie

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