文献类型：期刊文献

中文题名：从筋骨失衡力学源性分析探讨骨质疏松症的防治策略

英文题名：Exploring Prevention and Treatment Strategies of Osteoporosis from Analysis of Mechanical Origins of Muscle Bone Imbalance

作者：秦大平[1,2];高国栋[2];赵雅文[2];李锦锋[1];郑礼[1];李磊[1];权祯[2];徐斌[1];王志鹏[1];徐世伟[2];张晓刚[2]

第一作者：秦大平

机构：[1]甘肃中医药大学中医临床学院,甘肃兰州730000;[2]甘肃中医药大学附属医院,甘肃兰州730020

第一机构：甘肃中医药大学中医临床学院

年份：2024

卷号：51

期号：6

起止页码：35

中文期刊名：辽宁中医杂志

外文期刊名：Liaoning Journal of Traditional Chinese Medicine

收录：CSTPCD;;北大核心:【北大核心2023】；

基金：国家自然科学基金项目(82260941,81760873);甘肃省高等学校创新基金项目(2020A-073);兰州市人才创新创业项目(2021-RC-101);甘肃中医药大学科学研究与创新基金项目(2022KCZD-1);甘肃省高校青年博士支持项目(2023QB-089)。

语种：中文

中文关键词：骨质疏松症;筋骨失衡;脊柱生物力学;防治策略

外文关键词：osteoporosis;imbalance of tendons and bones;spinal biomechanics;prevention and control strategy

摘要：骨质疏松症(osteoporosis,OP)的诊断率逐年上升,其高发病风险、发病率以及并发脆性骨折,致残、致死率增加给家庭、社会带来极大的危害和负担,也成为世界范围内所面临的老年性、慢性疾病防治的热点和重点问题。从生物力学角度分析其发病过程,明确力学退变性筋骨病原因与其力学平衡和稳定有关的脊柱关节静力系统、肌肉、筋膜、韧带、关节囊等动力系统之间的相互作用,其发生与持续静态负荷和动态负荷、额外负荷、增龄性因素均相关。OP筋-骨系统力学生物学特性失衡,这与现代医学所讲的力学源性平衡因素改变如出一辙。通过对人体力学平衡特点和骨质疏松症患者筋骨失衡的力学源性分析,揭示筋骨系统力学失衡的功能性与结构性代偿临床病理变化分型,针对骨质疏松症患者筋骨力学失衡不同病理分型,为临床防治策略的建立和制定提供参考依据。
The diagnosis rate of osteoporosis(OP)is increasing year by year,and its high risk,incidence and complicated brittle fracture,as well as the increase of disability and mortality,bring great harm and burden to families and society,and become a hot and key issue in the prevention and treatment of senile and chronic diseases around the world.The onset process from the perspective of biomechanics analysis,the interact of mechanics degenerative bones and muscles disease reasons related to its mechanical balance and stability of spinal joint static system,muscle and fascia,ligaments and joint capsule can be clear.Its occurrence is related to sustained static and dynamic loads,additional loads and age-related factors.The mechanical and biological characteristics of the OP tendon-bone system are imbalanced,which is similar to the changes in the mechanical balance factors discussed in modern medicine.By analyzing the mechanical balance characteristics of the human body and the mechanical origin of skeletal and fascial imbalances in patients with OP,this study reveals the functional and structural compensatory clinical pathological changes of skeletal and fascial system mechanical imbalances.Different pathological classifications of skeletal and fascial mechanical imbalances in patients with OP are targeted,providing reference basis for the establishment and formulation of clinical prevention and treatment strategies.