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髋部骨折往往与高发病率、死亡率以及沉重的经济负担相联系，也是再次骨折的一个主要危险因素。因此加强老年髋部骨折患者的抗骨质疏松治疗及预防再次骨折成为提高该类人群生活质量的必要和关键，其中均衡的营养、补充钙和维生素D 是基础，及早进行抗骨质疏松药物治疗是关键，而消除骨质疏松的继发原因、治疗并存疾病、适当的锻炼及防止跌倒则是重要的补充。总之，加强老年骨质疏松的多学科综合管理能够获得很好的临床效果。本文就抗骨质疏松药物在老年髋部患者和那些具有跌倒高风险人群中的疗效予以综述，以期为老年骨质疏松的管理提供借鉴。

英文摘要:

Hip fracture is often associated with high morbidity, mortality and heavy economic burden. It is also a major risk factor for a subsequent fracture.Therefore strengthening the treatment the subsequent fracture and the prevention of osteoporosis are necessary and the key to improve the quality of life in elderly patients with hip fractures. The balanced nutrition, calcium and vitamin D supplementation is the foundation, early osteoporosis drug treatment is the key, and secondary causes, in addition to the treatment of osteoporosis, exercise of coexisting diseases appropriate and preventing falls are important supplements. In a word, strengthening the comprehensive management of senile osteoporosis can obtain good clinical effects. In this paper, literature about osteoporosis in elderly hip fracture patients and those with high risk population fall was reviewed in order to provide reference management of senile osteoporosis.

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