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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >The treatment of osteopenia in Asian women: a new approach.
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The treatment of osteopenia in Asian women: a new approach.

机译:亚洲女性骨质疏松症的治疗:一种新方法。

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PURPOSE: Compare dual energy x-ray absorptiometry (DEXA) scan results to the World Health Organization FRAX tool 10-year projected hip fracture risk of immigrant Vietnamese women at antiresorptive medication therapy initiation and to identify whether the current and/or future treatment of patients with osteopenia would change based on the FRAX tool results. DATA SOURCE: Retrospective study involving a convenience sample of 57 postmenopausal,Vietnamese women concerning the variables age, height, weight, smoking, alcohol use, glucocorticoid use, personal and family fracture history, presence of secondary osteoporosis, and recent DEXA-scan T score. The data were then entered into FRAX and 10-year fracture risk for hip calculated. CONCLUSIONS: Of the 18 subjects deemed osteopenic by DEXA scan and previously started on an antiresorptive agent, nine would not have been initiated had the FRAX tool been available at the time. IMPLICATIONS FOR PRACTICE: The FRAX tool was easy to use and applicable in day-to-day care of patients and significantly increases the clinician's ability to make evidence-based decisions.
机译:目的:将双能X线骨密度仪(DEXA)的扫描结果与世界卫生组织的FRAX工具比较,在抗吸收药物治疗开始时,越南女性的10年预计髋部骨折风险,并确定是否当前和/或将来对患者的治疗根据FRAX工具的结果,骨质疏松的患者会发生变化。数据来源:一项回顾性研究,涉及57名绝经后越南妇女的便利样本,涉及年龄,身高,体重,吸烟,饮酒,糖皮质激素的使用,个人和家庭的骨折史,继发性骨质疏松的存在以及近期的DEXA扫描T评分。然后将数据输入FRAX,并计算10年髋部骨折风险。结论:在通过DEXA扫描被认为是骨质疏松症且先前已开始使用抗吸收剂的18位受试者中,如果当时可用FRAX工具,则不会启动9位受试者。实践的意义:FRAX工具易于使用,适用于患者的日常护理,并大大提高了临床医生做出循证决策的能力。

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