{"id":7727,"date":"2023-01-17T10:21:53","date_gmt":"2023-01-17T02:21:53","guid":{"rendered":"https:\/\/www.stdhc.org.hk\/express\/?p=7727"},"modified":"2025-02-07T17:38:59","modified_gmt":"2025-02-07T09:38:59","slug":"osteoporosisdrugs","status":"publish","type":"post","link":"https:\/\/www.stdhc.org.hk\/express\/osteoporosisdrugs\/","title":{"rendered":"\u9aa8\u8cea\u758f\u9b06\u85e5\u7269"},"content":{"rendered":"<p>\u96a8\u7740\u5e74\u7d00\u589e\u9577\uff0c\u4e00\u822c\u4eba\u5c24\u5176\u5973\u6027\u958b\u59cb\u64d4\u5fc3\u6703\u60a3\u4e0a\u9aa8\u8cea\u758f\u9b06\u3002\u81e8\u5e8a\u4e0a\uff0c\u9aa8\u8cea\u758f\u9b06\u6307\u9aa8\u8cea\u5bc6\u5ea6\u4f4e\u65bc\u67d0\u500b\u6578\u503c\uff0c\u82e5\u4ee5\u96d9\u80fd\u91cfX\u5149\u9aa8\u8cea\u5bc6\u5ea6\u6e2c\u91cf\u5100\uff08Dual-Energy X-ray Absorptiometry\uff0cDEXA\uff09\u6aa2\u6e2c\uff0c\u5373 T-\u503c\u4f4e\u65bc\u8ca0 2.5\uff0c\u800c T-\u503c\u4ecb\u4e4e\u8ca0 1 \u81f3\u8ca0 2.5 \u4e4b\u9593\u5247\u70ba\u9aa8\u8cea\u5bc6\u5ea6\u504f\u4f4e\u3002\u9aa8\u8cea\u758f\u9b06\u521d\u671f\u7121\u660e\u986f\u5fb5\u72c0\uff0c\u82e5\u7121\u7be9\u67e5\uff0c\u4e0d\u5c11\u60a3\u8005\u662f\u5728\u9aa8\u6298\u6642\u624d\u767c\u73fe\u81ea\u5df1\u6709\u9aa8\u8cea\u758f\u9b06\u554f\u984c\u3002\u9aa8\u6298\u5c24\u5176\u82e5\u6d89\u53ca\u810a\u690e\u6216\u9ad6\u90e8\uff08\u5373\u8179\u80a1\u6e9d\uff0c\u5728\u9aa8\u76c6\u8207\u5927\u817f\u4e4b\u9593\uff09\u53ef\u56b4\u91cd\u5f71\u97ff\u65e5\u5e38\u751f\u6d3b\uff0c\u9700\u4f9d\u9760\u4ed6\u4eba\u7167\u9867\uff0c\u4e26\u589e\u52a0\u60a3\u4e0a\u5176\u4ed6\u75be\u75c5\u751a\u81f3\u6b7b\u4ea1\u98a8\u96aa\u3002\u56e0\u6b64\u9700\u53ca\u65e9\u9810\u9632\u53ca\u8a8d\u8b58\u6cbb\u7642\u9aa8\u8cea\u758f\u9b06\u7684\u85e5\u7269\uff0c\u4ee5\u9632\u842c\u4e00\u3002<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2023\/01\/\u9ad6\u95dc\u7bc0.webp\" alt=\"\" width=\"219\" height=\"217\" \/><\/p>\n<p>\u9ad6\u95dc\u7bc0\uff08\u80a1\u9aa8\u5373\u5927\u817f\u9aa8\uff09<\/p>\n<p>&nbsp;<\/p>\n<h3><strong>\u9810\u9632\u9aa8\u8cea\u758f\u9b06<\/strong><\/h3>\n<p>\u5973\u6027\u9010\u6f38\u8e0f\u5165\u66f4\u5e74\u671f\uff0c\u7f3a\u4e4f\u96cc\u6fc0\u7d20\u7684\u4fdd\u8b77\uff0c\u60a3\u9aa8\u8cea\u758f\u9b06\u7684\u98a8\u96aa\u6703\u63d0\u5347\u3002\u6b64\u5916\uff0c\u6709\u8106\u6027\u9aa8\u6298\u75c5\u53f2\uff08\u5373\u4f4e\u5f37\u5ea6\u78b0\u649e\u9020\u6210\u7684\u9aa8\u6298\uff09\u6216\u76f8\u95dc\u5bb6\u65cf\u53f2\u3001\u4e00\u4e9b\u5167\u5206\u6ccc\u75be\u75c5\uff08\u5982\u7532\u72c0\u817a\u529f\u80fd\u4ea2\u9032\uff08\u7532\u4ea2\uff09\u548c\u526f\u7532\u72c0\u817a\u4ea2\u9032\uff09\u3001\u85e5\u7269\uff08\u5982\u985e\u56fa\u9187\u548c\u8377\u723e\u8499\u85e5\uff09\u4ea6\u6703\u589e\u52a0\u9aa8\u8cea\u758f\u9b06\u98a8\u96aa\u3002<\/p>\n<p>\u5176\u4ed6\u5982\u9ad4\u91cd\u904e\u8f15\u3001\u7f3a\u4e4f\u904b\u52d5\u3001\u9223\u651d\u5165\u91cf\u4f4e\u3001\u7f3a\u4e4f\u967d\u5149\u7167\u5c04\u3001\u62bd\u7159\u3001\u904e\u91cf\u98f2\u9152\uff0c\u90fd\u662f<span style=\"color: #3366ff;\">\u53ef\u6539\u8b8a\u7684\u98a8\u96aa\u56e0\u7d20<\/span> \u2014 \u591a\u505a\u8ca0\u91cd\u904b\u52d5\uff08\u5982\u6b65\u884c\u3001\u8dd1\u6b65\u3001\u6253\u592a\u6975\u3001\u8df3\u821e\uff09\u3001\u591a\u651d\u53d6\u9ad8\u9223\u98df\u7269\uff08\u5982\u4e73\u88fd\u54c1\u3001\u8c46\u88fd\u54c1\uff09\u3001\u6bcf\u65e5\u66ec 10 \u81f3 15 \u5206\u9418\u592a\u967d\u3001\u6212\u7159\u3001\u6212\u9152\uff0c\u4fbf\u53ef\u6e1b\u4f4e\u9aa8\u8cea\u758f\u9b06\u7684\u6a5f\u6703\u3002<\/p>\n<p>\u6709\u95dc<span style=\"color: #3366ff;\">\u9223\u53ca\u7dad\u4ed6\u547d D \u88dc\u5145\u5291<\/span>\uff0c\u53ef\u53c3\u8003 \u300c<a href=\"https:\/\/www.stdhc.org.hk\/express\/%e9%88%a3%e8%a3%9c%e5%85%85%e5%8a%91\/\">\u9223\u88dc\u5145\u5291<\/a>\u300d\u4e00\u6587\u3002<\/p>\n<p>\u9ad8\u98a8\u96aa\u4eba\u58eb\u5efa\u8b70\u4ee5\u96d9\u80fd\u91cfX\u5149\u9aa8\u8cea\u5bc6\u5ea6\u6e2c\u91cf\u5100\u91cf\u5ea6\u9aa8\u8cea\u5bc6\u5ea6\uff0c\u76e1\u65e9\u8a3a\u65b7\u53ca\u6cbb\u7642\u3002<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2023\/01\/C0074236.width-1534.jpg\" alt=\"\" width=\"329\" height=\"219\" \/><\/p>\n<p>\u96d9\u80fd\u91cfX\u5149\u9aa8\u8cea\u5bc6\u5ea6\u6e2c\u91cf\uff08DEXA\uff09<\/p>\n<p>&nbsp;<\/p>\n<h3><strong>\u85e5\u7269\u6cbb\u7642<\/strong><\/h3>\n<p>\u9aa8\u8cea\u758f\u9b06\u85e5\u4e3b\u8981\u5206\u70ba\u6297\u7834\u9aa8\u85e5\u548c\u4fc3\u9020\u9aa8\u85e5\u5169\u5927\u985e\uff1a<\/p>\n<p>\uff081\uff09\u6297\u7834\u9aa8\u85e5 \/ \u6297\u9aa8\u8cea\u6d41\u5931\u85e5<\/p>\n<ul>\n<li>\u96d9\u78f7\u9178\u9e7d Bisphosphonates\uff0c\u5982 Alendronate\u3001Risedronate\u3001Ibandronate<\/li>\n<li>\u4eff\u4fdd\u9aa8\u7d20 Denosumab<\/li>\n<li>\u8377\u723e\u8499\u88dc\u5145\u7642\u6cd5 Hormone Replacement Therapy\uff08HRT\uff09<\/li>\n<li>\u9078\u64c7\u6027\u96cc\u6fc0\u7d20\u53d7\u9ad4\u8abf\u7bc0\u5291 Selective Estrogen Receptor Modulator\uff08SERM\uff09\uff0c\u5982Raloxifene<\/li>\n<li>\u9aa8\u5316\u4e09\u9187 Calcitriol<\/li>\n<\/ul>\n<p>\uff082\uff09\u4fc3\u9020\u9aa8\u85e5 \/ \u4fc3\u9aa8\u8cea\u5408\u6210\u85e5<\/p>\n<ul>\n<li>\u526f\u7532\u72c0\u817a\u7d20 Teriparatide<\/li>\n<\/ul>\n<p>\uff083\uff09\u517c\u5099\u5169\u7a2e\u6548\u679c<\/p>\n<ul>\n<li>\u6291\u786c\u7d20\uff08sclerostin\uff0c\u53c8\u7a31\u786c\u5316\u86cb\u767d\uff09\u6291\u5236\u5291 Romosozumab\uff08\u6297\u7834\u9aa8\u6548\u679c\u8f03\u5c11\uff09<\/li>\n<li>\u9376 Strontium<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u7c21\u4ecb\u4e2d\u63d0\u53ca\u9aa8\u8cea\u758f\u9b06\u7684\u81e8\u5e8a\u5b9a\u7fa9\uff0c\u4f46\u4e26\u975e\u6240\u6709\u60a3\u8005\u90fd\u6703\u7372\u91ab\u751f\u8655\u65b9\u9aa8\u8cea\u758f\u9b06\u85e5\uff0c\u56e0\u9019\u6c7a\u5b9a\u4e43\u7531\u91ab\u751f\u548c\u75c5\u4eba\u5171\u540c\u4f5c\u51fa\uff0c\u800c\u7576\u4e2d\u6d89\u53ca\u773e\u591a<span style=\"color: #3366ff;\">\u8003\u616e\u56e0\u7d20<\/span>\ufe30<\/p>\n<p><em>\u9aa8\u6298\u98a8\u96aa<\/em><\/p>\n<p>\u4e0a\u6587\u5217\u8209\u4e0d\u5c11\u9aa8\u8cea\u758f\u9b06\u7684\u98a8\u96aa\u56e0\u7d20\uff0c\u9664\u4e86\u96d9\u80fd\u91cfX\u5149\u9aa8\u8cea\u5bc6\u5ea6\u6e2c\u91cf\u5100\uff08DEXA\uff09\u6aa2\u6e2c\u4e4b T-\u503c\u4f4e\u65bc\u8ca0 2.5\u5916\uff0c\u60a3\u6709\u808c\u5c11\u75c7\u3001\u810a\u67f1\u5f8c\u5f4e\uff08\u99dd\u80cc\uff09\u3001\u66fe\u7d93\u8dcc\u5012\u3001\u8106\u6027\u9aa8\u6298\u75c5\u53f2\u3001\u9700\u9577\u6642\u9593\u670d\u985e\u56fa\u9187\u7b49\u56e0\u7d20\u90fd\u6703\u589e\u52a0\u9aa8\u6298\u7684\u6a5f\u6703\u3002\u82e5\u540c\u6642\u5177\u6709\u591a\u7a2e\u9aa8\u8cea\u758f\u9b06\u7684\u98a8\u96aa\u56e0\u7d20\uff0c\u9aa8\u6298\u7684\u98a8\u96aa\u4ea6\u6703\u76f8\u61c9\u589e\u52a0\u3002<\/p>\n<p>FRAX\u00ae \u9aa8\u6298\u98a8\u96aa\u8a55\u4f30\u5de5\u5177\uff08fracture risk assessment tool\uff09\u53ef\u7528\u4ee5\u4f30\u8a08\u5341\u5e74\u5167\u9aa8\u6298\u7684\u6a5f\u7387\uff0c\u5f15\u7528\u65bc\u591a\u4efd\u6587\u737b\u53ca\u81e8\u5e8a\u6307\u5f15\uff0c\u9069\u7528\u65bc\u4e0d\u540c\u570b\u7c4d\u4eba\u58eb\u3002\u5927\u773e\u53ef\u4e0a\u7db2\u7ad9 <a href=\"https:\/\/www.sheffield.ac.uk\/FRAX\/\">https:\/\/www.sheffield.ac.uk\/FRAX\/<\/a> \u505a\u521d\u6b65\u8a55\u4f30\uff0c\u518d\u8207\u91ab\u8b77\u4eba\u54e1\u5546\u8a0e\u500b\u4eba\u5316\u7684\u9aa8\u8cea\u758f\u9b06\u6cbb\u7642\u65b9\u6848\u3002<\/p>\n<p><em>\u9aa8\u8cea\u758f\u9b06\u85e5\u91dd\u5c0d\u4e0d\u540c\u8eab\u9ad4\u90e8\u4f4d\u4e4b\u6210\u6548<\/em><\/p>\n<p>\u9aa8\u8cea\u758f\u9b06\u85e5\u4e4b\u6210\u6548\u6240\u8861\u91cf\u7684\u662f\u5176\u5c0d\u63d0\u5347\u9aa8\u8cea\u5bc6\u5ea6\u548c\u6e1b\u5c11\u9aa8\u6298\u98a8\u96aa\u7684\u7814\u7a76\u6578\u64da\uff0c\u4e3b\u8981\u91dd\u5c0d\u6e1b\u5c11\u810a\u690e\u9aa8\u6298\u3001\u9ad6\u90e8\u9aa8\u6298\u548c\u975e\u810a\u690e\u9aa8\u6298\u98a8\u96aa\u7684\u6210\u6548\u3002\u5927\u90e8\u4efd\u7684\u9aa8\u8cea\u758f\u9b06\u85e5\u80fd\u6709\u6548\u6e1b\u5c11\u810a\u690e\u9aa8\u6298\u3002\u67d0\u5e7e\u7a2e\u85e5\uff08\u5982\u9aa8\u5316\u4e09\u9187 Calcitriol\uff09\u5c0d\u6e1b\u5c11\u9ad6\u90e8\u9aa8\u6298\u6216\u975e\u810a\u690e\u9aa8\u6298\u7684\u7814\u7a76\u6578\u64da\u76f8\u5c0d\u8f03\u5c11\u6216\u6210\u6548\u8f03\u4f4e\uff0c\u5018\u82e5\u60a3\u8005\u5728\u9ad6\u90e8\u7684DEXA T-\u503c\u4f4e\u65bc\u8ca0 2.5 \u6216\u66fe\u7d93\u9aa8\u6298\uff0c\u91ab\u751f\u672a\u5fc5\u6703\u7528\u9019\u4e9b\u85e5\u3002<\/p>\n<p><em>\u75c5\u4eba\u7528\u85e5\u4e4b\u4f9d\u5f9e\u6027<\/em><\/p>\n<p>\u9aa8\u8cea\u758f\u9b06\u85e5\u4e3b\u8981\u5206\u53e3\u670d\u85e5\u548c\u91dd\u5291\u3002\u53e3\u670d\u85e5\u7684\u7528\u85e5\u6b21\u6578\u8f03\u983b\u7e41\uff0c\u7531\u6bcf\u65e5\u4e00\u6b21\u5230\u6bcf\u661f\u671f\u3001\u6bcf\u500b\u6708\u4e00\u6b21\u4e0d\u7b49\u3002\u503c\u5f97\u4e00\u63d0\uff0c\u5e38\u7528\u7684\u53e3\u670d\u96d9\u78f7\u9178\u9e7d\uff08\u5982 Alendronate\uff09\u9700\u8981\u65e9\u4e0a\u7a7a\u8179\u670d\uff0c\u670d\u5f8c\u81f3\u5c11\u4e09\u5341\u5206\u9418\u5167\u4e0d\u80fd\u8eba\u4e0b\u6216\u98f2\u98df\uff0c\u4ee5\u6e1b\u5c11\u5c0d\u98df\u9053\u7684\u523a\u6fc0\u53ca\u907f\u514d\u98f2\u6599\u6216\u98df\u7269\u4e2d\u7684\u9223\u3001\u9421\u7b49\u7269\u8cea\u6703\u6e1b\u5c11\u85e5\u7269\u7684\u5438\u6536\u3002\u91dd\u5291\u6709\u5206\u975c\u8108\u6ce8\u5c04\u548c\u76ae\u4e0b\u6ce8\u5c04\uff0c\u9664\u4e86\u526f\u7532\u72c0\u817a\u7d20 Teriparatide \u9700\u8981\u75c5\u4eba\u6bcf\u65e5\u81ea\u884c\u6ce8\u5c04\u5916\uff0c\u5176\u4ed6\u91dd\u5291\u90fd\u662f\u7531\u6bcf\u500b\u6708\u5230\u6bcf\u4e09\u500b\u6708\u3001\u6bcf\u516d\u500b\u6708\u3001\u6bcf\u5e74\u4e0d\u7b49\u7531\u91ab\u8b77\u4eba\u54e1\u6ce8\u5c04\u3002<\/p>\n<p>\u6709\u4e9b\u75c5\u4eba\u53ef\u80fd\u89ba\u5f97\u53e3\u670d\u85e5\u6bd4\u91dd\u5291\u65b9\u4fbf\uff0c\u4e0d\u7528\u7279\u610f\u56de\u8a3a\u6240\u6216\u91ab\u9662\u63a5\u53d7\u6cbb\u7642\uff0c\u4f46\u4ea6\u6709\u4e9b\u75c5\u4eba\u89ba\u5f97\u8981\u6bcf\u65e5\u3001\u6bcf\u661f\u671f\u5b9a\u6642\u670d\u85e5\u4e0d\u65b9\u4fbf\uff0c\u6216\u6015\u81ea\u5df1\u6703\u5fd8\u4e86\u670d\u85e5\uff0c\u5be7\u53ef\u9078\u64c7\u91dd\u5291\u3002<\/p>\n<p><em>\u85e5\u7269\u526f\u4f5c\u7528\u53ca\u60a3\u8005\u75c5\u53f2<\/em><\/p>\n<p>\u5404\u7a2e\u9aa8\u8cea\u758f\u9b06\u85e5\u4e4b\u526f\u4f5c\u7528\u4e0d\u4e00\uff0c\u5982\u525b\u63d0\u904e\u96d9\u78f7\u9178\u9e7d\u53ef\u80fd\u6703\u523a\u6fc0\u8178\u80c3\uff0c\u56e0\u6b64\u6709\u80c3\u708e\u3001\u8178\u708e\u3001\u8178\u80c3\u6f70\u760d\u7b49\u75c5\u4eba\u4e0d\u5b9c\u7528\u6b64\u985e\u85e5\u7269\u3002\u6240\u6709\u76ae\u4e0b\u6ce8\u5c04\u85e5\u7269\uff08\u5982\u4eff\u4fdd\u9aa8\u7d20 Denosumab\u3001\u6291\u786c\u7d20\u6291\u5236\u5291 Romosozumab\u3001\u526f\u7532\u72c0\u817a\u7d20 Teriparatide\uff09\u90fd\u6709\u6a5f\u6703\u5f15\u8d77\u6ce8\u5c04\u90e8\u4f4d\u53cd\u61c9\u5982\u51fa\u7d05\u75b9\u3001\u816b\u75db\u3002\u6709\u5fc3\u808c\u6897\u585e\u3001\u975c\u8108\u6813\u585e\u6216\u4e2d\u98a8\u75c5\u53f2\u4eba\u58eb\u4e0d\u5b9c\u7528\u6291\u786c\u7d20\u6291\u5236\u5291 Romosozumab\u3001\u8377\u723e\u8499\u88dc\u5145\u7642\u6cd5\u3001\u9078\u64c7\u6027\u96cc\u6fc0\u7d20\u53d7\u9ad4\u8abf\u7bc0\u5291 Raloxifene\u3001\u9376 Strontium\u3002<\/p>\n<p>\u6709\u4e9b\u4eba\u53ef\u80fd\u807d\u904e\u96d9\u78f7\u9178\u9e7d\u6216\u6703\u5f15\u81f4\u300c\u9aa8\u67af\u300d\u6216\u300c\u721b\u53e3\u300d\uff0c\u5176\u5be6\u5206\u5225\u6307\u975e\u5178\u578b\u80a1\u9aa8\u9aa8\u6298\uff08atypical femur fracture\uff0cAFF\uff1b\u80a1\u9aa8\u5373\u5927\u817f\u9aa8\uff09\u548c \u984e\u9aa8\u58de\u6b7b\uff08osteonecrosis of jaw\uff0cONJ\uff1b\u7259\u9f52\u4fbf\u662f\u751f\u9577\u65bc\u984e\u9aa8\uff09\u3002\u4eff\u4fdd\u9aa8\u7d20 Denosumab \u548c \u6291\u786c\u7d20\u6291\u5236\u5291 Romosozumab \u4ea6\u53ef\u80fd\u6709\u9019\u4e9b\u526f\u4f5c\u7528\u3002\u4f46\u56e0\u4f7f\u7528\u9aa8\u8cea\u758f\u9b06\u85e5\u800c\u51fa\u73fe\u300c\u9aa8\u67af\u300d\u6216\u300c\u721b\u53e3\u300d\u7684\u6a5f\u6703\u7387\u5f88\u4f4e\uff0c\u670d\u7528\u985e\u56fa\u9187\u4eba\u58eb\u6703\u6709\u8f03\u9ad8\u98a8\u96aa\u6709\u975e\u5178\u578b\u80a1\u9aa8\u9aa8\u6298\uff0c\u800c\u764c\u75c7\u60a3\u8005\u548c\u6b63\u63a5\u53d7\u5316\u7642\u4eba\u58eb\u6709\u8f03\u5927\u6a5f\u6703\u51fa\u73fe\u984e\u9aa8\u58de\u6b7b\u7684\u60c5\u6cc1\u3002\u670d\u7528\u9019\u4e09\u985e\u9aa8\u8cea\u758f\u9b06\u85e5\u7684\u4eba\u8981\u4fdd\u6301\u53e3\u8154\u885e\u751f\u548c\u5b9a\u671f\u9032\u884c\u7259\u79d1\u6aa2\u67e5\uff0c\u65e5\u5e38\u7559\u610f\u82e5\u9047\u4e0a\u7259\u9f52\u9b06\u3001\u75bc\u75db\u3001\u816b\u8139\u3001\u50b7\u53e3\u96e3\u4ee5\u7652\u5408\u3001\u5927\u817f\u6216\u8179\u80a1\u6e9d\u4f4d\u7f6e\u611f\u5230\u75bc\u75db\u7b49\u75c7\u72c0\uff0c\u8981\u5118\u5feb\u6c42\u91ab\u3002<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2023\/01\/zujpg.webp\" alt=\"\" width=\"261\" height=\"196\" \/><\/p>\n<p>\u984e\u9aa8<\/p>\n<p>\u4ee5\u4e0a\u53ea\u662f\u90e8\u4efd\u53ef\u80fd\u51fa\u73fe\u526f\u4f5c\u7528\u7684\u4f8b\u5b50\uff0c\u5373\u4f7f\u9aa8\u8cea\u758f\u9b06\u60a3\u8005\u6709\u76f8\u95dc\u75c5\u53f2\uff0c\u91ab\u751f\u53ef\u80fd\u57fa\u65bc\u5404\u7a2e\u8003\u91cf\uff0c\u6b0a\u8861\u5229\u5f0a\uff0c\u4ecd\u9078\u64c7\u8a72\u85e5\u7269\uff0c\u4f46<span style=\"color: #3366ff;\">\u75c5\u4eba\u6709\u6b0a\u5148\u6e05\u695a\u4e86\u89e3\u85e5\u7269\u4e4b\u6210\u6548\u548c\u98a8\u96aa\u53ca\u53ef\u4f9b\u7684\u9078\u64c7\u624d\u63a5\u53d7\u6cbb\u7642<\/span>\u3002<\/p>\n<p><em>\u5176\u4ed6\u91ab\u5b78\u56e0\u7d20<\/em><\/p>\n<p>\u5176\u4ed6\u56e0\u7d20\u5305\u62ec\u60a3\u8005\u7684\u6027\u5225\u3001\u5e74\u9f61\u3001\u5973\u58eb\u662f\u5426\u5df2\u505c\u7d93\u3001\u9aa8\u8cea\u758f\u9b06\u7684\u75c5\u56e0\uff08\u5982\u662f\u5426\u56e0\u670d\u7528\u985e\u56fa\u9187\u5f15\u81f4\u7684\uff09\u3001\u7528\u85e5\u662f\u70ba\u4e86\u9810\u9632\u9084\u662f\u6cbb\u7642\u9aa8\u8cea\u758f\u9b06\u7b49\u7b49\uff0c\u56e0\u4e0d\u540c\u85e5\u7269\u5728\u5404\u65b9\u9762\u7684\u7814\u7a76\u6210\u6548\u6709\u7570\uff0c\u91ab\u751f\u6703\u5c07\u4e4b\u7d50\u5408\u81e8\u5e8a\u7d93\u9a57\uff0c\u4f5c\u70ba\u5176\u4e2d\u7684\u8003\u91cf\u3002<\/p>\n<p><em>\u75c5\u4eba\u610f\u9858<\/em><\/p>\n<p>\u7e31\u4f7f\u75c5\u4eba\u5df2\u660e\u77ad\u9aa8\u8cea\u9b06\u758f\u85e5\u7684\u7279\u6027\uff0c\u4ea6\u6703\u6709\u81ea\u5df1\u7684\u8003\u91cf\uff0c\u5982\u7d93\u6fdf\u80fd\u529b\uff08\u91dd\u5291\u4e00\u822c\u8f03\u53e3\u670d\u85e5\u6602\u8cb4\uff09\u3001\u5c0d\u4e0d\u540c\u526f\u4f5c\u7528\u7684\u63a5\u53d7\u7a0b\u5ea6\u7b49\uff0c\u624d\u4f5c\u51fa\u6c7a\u5b9a\u3002<span style=\"color: #3366ff;\">\u91ab\u8b77\u4eba\u54e1\u53ef\u7d66\u75c5\u4eba\u8a31\u591a\u91ab\u5b78\u8cc7\u6599\u548c\u7814\u7a76\u8b49\u64da\uff0c\u4f46\u6700\u5f8c\u4ecd\u6703\u5c0a\u91cd\u75c5\u4eba\u610f\u9858\uff0c\u8207\u75c5\u4eba\u4e00\u540c\u5546\u8a0e\u548c\u6c7a\u5b9a\u6700\u5408\u9069\u7684\u6cbb\u7642\u65b9\u6848<\/span>\u3002<\/p>\n<p>\u6700\u5f8c\u88dc\u5145\u6709\u95dc\u9aa8\u8cea\u758f\u9b06\u85e5\u4f7f\u7528\u671f\u9650\u7684\u8cc7\u6599\u3002\u9664\u4e86\u6709\u4fc3\u9020\u9aa8\u6548\u679c\u7684\u526f\u7532\u72c0\u817a\u7d20 Teriparatide\u53ca\u6291\u786c\u7d20\u6291\u5236\u5291 Romosozumab \u5206\u5225\u6700\u591a\u53ea\u80fd\u7528\u4e00\u5e74\u548c\u5169\u5e74\u5916\uff08\u56e0\u9577\u671f\u7528\u6548\u679c\u6703\u6e1b\u9000\uff09\uff0c\u5176\u4ed6\u9aa8\u8cea\u758f\u9b06\u85e5\u90fd\u6c92\u6709\u78ba\u5be6\u6307\u6a19\u7528\u591a\u4e45\u3002\u4ee5\u5e38\u7528\u7684\u96d9\u78f7\u9178\u9e7d\u70ba\u4f8b\uff0c\u57fa\u65bc\u5176\u53ef\u80fd\u5f15\u81f4\u975e\u5178\u578b\u80a1\u9aa8\u9aa8\u6298\u548c\u984e\u9aa8\u58de\u6b7b\u7684\u98a8\u96aa\u96a8\u7740\u4f7f\u7528\u7684\u6642\u9593\u589e\u52a0\uff0c\u4e00\u822c\u7528\u85e5\u4e09\u81f3\u4e94\u5e74\u5f8c\u91ab\u751f\u6703\u8a55\u4f30\u85e5\u7269\u5c0d\u589e\u52a0\u9aa8\u8cea\u5bc6\u5ea6\u7684\u6210\u6548\u3001\u75c5\u4eba\u9aa8\u6298\u7684\u98a8\u96aa\u3001\u85e5\u7269\u526f\u4f5c\u7528\u7b49\u56e0\u7d20\uff0c\u518d\u6c7a\u5b9a\u662f\u5426\u8981\u7e7c\u7e8c\u7528\u85e5\uff0c\u9084\u662f\u505c\u85e5\u6216\u8f49\u85e5\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u8cc7\u6599\u4f86\u6e90\uff1a<\/p>\n<ol>\n<li>Ip TP, et al. The Osteoporosis Society of Hong Kong (OSHK): 2013 OSHK guideline for clinical management of postmenopausal osteoporosis in Hong Kong.\u00a0<em>Hong Kong Med J<\/em>. 2013;19 Suppl 2:1-40.<\/li>\n<li>Gregson, CL, et al. National Osteoporosis Guideline Group &#8211; UK. Clinical guideline for the prevention and treatment of osteoporosis. 2021.<br \/>\n(related: Gregson CL, et al. UK clinical guideline for the prevention and treatment of osteoporosis.\u00a0<em>Arch Osteoporos<\/em>. 2022;17(1):58.)<\/li>\n<li>Centre for Metabolic Bone Diseases, University of Sheffield. FRAX\u00ae Fracture Risk Assessment Tool. Available at https:\/\/www.sheffield.ac.uk\/FRAX\/.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u4f5c\u8005\ufe30\u8a3b\u518a\u85e5\u5291\u5e2b<\/p>\n<p>\u6700\u5f8c\u66f4\u65b0\u65e5\u671f\uff1a2022 \u5e74 12 \u6708<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u96a8\u7740\u5e74\u7d00\u589e\u9577\uff0c\u4e00\u822c\u4eba\u5c24\u5176\u5973\u6027\u958b\u59cb\u64d4\u5fc3\u6703\u60a3\u4e0a\u9aa8\u8cea\u758f\u9b06\u3002\u81e8\u5e8a\u4e0a\uff0c\u9aa8\u8cea\u758f\u9b06\u6307\u9aa8\u8cea\u5bc6\u5ea6\u4f4e\u65bc\u67d0\u500b\u6578\u503c\uff0c\u82e5\u4ee5\u96d9\u80fd\u91cfX\u5149\u9aa8\u8cea\u5bc6\u5ea6\u6e2c\u91cf\u5100\uff08Dual-Energy X-ray Absorptiometry\uff0cDEXA\uff09\u6aa2\u6e2c\uff0c\u5373 T-\u503c\u4f4e\u65bc\u8ca0 2.5\uff0c\u800c T-\u503c\u4ecb\u4e4e\u8ca0 1 \u81f3\u8ca0 2.5 \u4e4b\u9593\u5247\u70ba\u9aa8\u8cea\u5bc6\u5ea6\u504f\u4f4e\u3002\u9aa8\u8cea\u758f\u9b06\u521d\u671f\u7121\u660e\u986f\u5fb5\u72c0\uff0c\u82e5\u7121\u7be9\u67e5\uff0c\u4e0d\u5c11\u60a3\u8005\u662f\u5728\u9aa8\u6298\u6642\u624d\u767c\u73fe\u81ea\u5df1\u6709\u9aa8\u8cea\u758f\u9b06\u554f\u984c\u3002\u9aa8\u6298\u5c24\u5176\u82e5\u6d89\u53ca\u810a\u690e\u6216\u9ad6\u90e8\uff08\u5373\u8179\u80a1\u6e9d\uff0c\u5728\u9aa8\u76c6\u8207\u5927\u817f\u4e4b\u9593\uff09\u53ef\u56b4\u91cd\u5f71\u97ff\u65e5\u5e38\u751f\u6d3b\uff0c\u9700\u4f9d\u9760\u4ed6\u4eba\u7167\u9867\uff0c\u4e26\u589e\u52a0\u60a3\u4e0a\u5176\u4ed6\u75be\u75c5\u751a\u81f3\u6b7b\u4ea1\u98a8\u96aa\u3002\u56e0\u6b64\u9700\u53ca\u65e9\u9810\u9632\u53ca\u8a8d\u8b58\u6cbb\u7642\u9aa8\u8cea\u758f\u9b06\u7684\u85e5\u7269\uff0c\u4ee5\u9632\u842c\u4e00\u3002<\/p>\n<\/p>\n<p>\u9ad6\u95dc\u7bc0\uff08\u80a1\u9aa8\u5373\u5927\u817f\u9aa8\uff09<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u9810\u9632\u9aa8\u8cea\u758f\u9b06<\/strong><\/p>\n<p>\u5973\u6027\u9010\u6f38\u8e0f\u5165\u66f4\u5e74\u671f\uff0c\u7f3a\u4e4f\u96cc\u6fc0\u7d20\u7684\u4fdd\u8b77\uff0c\u60a3\u9aa8\u8cea\u758f\u9b06\u7684\u98a8\u96aa\u6703\u63d0\u5347\u3002\u6b64\u5916\uff0c\u6709\u8106\u6027\u9aa8\u6298\u75c5\u53f2\uff08\u5373\u4f4e\u5f37\u5ea6\u78b0\u649e\u9020\u6210\u7684\u9aa8\u6298\uff09\u6216\u76f8\u95dc\u5bb6\u65cf\u53f2\u3001\u4e00\u4e9b\u5167\u5206\u6ccc\u75be\u75c5\uff08\u5982\u7532\u72c0\u817a\u529f\u80fd\u4ea2\u9032\uff08\u7532\u4ea2\uff09\u548c\u526f\u7532\u72c0\u817a\u4ea2\u9032\uff09\u3001\u85e5\u7269\uff08\u5982\u985e\u56fa\u9187\u548c\u8377\u723e\u8499\u85e5\uff09\u4ea6\u6703\u589e\u52a0\u9aa8\u8cea\u758f\u9b06\u98a8\u96aa\u3002<\/p>\n<p>\u5176\u4ed6\u5982\u9ad4\u91cd\u904e\u8f15\u3001\u7f3a\u4e4f\u904b\u52d5\u3001\u9223\u651d\u5165\u91cf\u4f4e\u3001\u7f3a\u4e4f\u967d\u5149\u7167\u5c04\u3001\u62bd\u7159\u3001\u904e\u91cf\u98f2\u9152\uff0c\u90fd\u662f\u53ef\u6539\u8b8a\u7684\u98a8\u96aa\u56e0\u7d20 \u2014 \u591a\u505a\u8ca0\u91cd\u904b\u52d5\uff08\u5982\u6b65\u884c\u3001\u8dd1\u6b65\u3001\u6253\u592a\u6975\u3001\u8df3\u821e\uff09\u3001\u591a\u651d\u53d6\u9ad8\u9223\u98df\u7269\uff08\u5982\u4e73\u88fd\u54c1\u3001\u8c46\u88fd\u54c1\uff09\u3001\u6bcf\u65e5\u66ec 10 \u81f3 15 \u5206\u9418\u592a\u967d\u3001\u6212\u7159\u3001\u6212\u9152\uff0c\u4fbf\u53ef\u6e1b\u4f4e\u9aa8\u8cea\u758f\u9b06\u7684\u6a5f\u6703\u3002<\/p>\n<p>\u6709\u95dc\u9223\u53ca\u7dad\u4ed6\u547d D \u88dc\u5145\u5291\uff0c\u53ef\u53c3\u8003 \u300c<a href=\"https:\/\/www.stdhc.org.hk\/express\/%e9%88%a3%e8%a3%9c%e5%85%85%e5%8a%91\/\">\u9223\u88dc\u5145\u5291<\/a>\u300d\u4e00\u6587\u3002<\/p>\n<p>\u9ad8\u98a8\u96aa\u4eba\u58eb\u5efa\u8b70\u4ee5\u96d9\u80fd\u91cfX\u5149\u9aa8\u8cea\u5bc6\u5ea6\u6e2c\u91cf\u5100\u91cf\u5ea6\u9aa8\u8cea\u5bc6\u5ea6\uff0c\u76e1\u65e9\u8a3a\u65b7\u53ca\u6cbb\u7642\u3002<\/p>\n<\/p>\n<p>\u96d9\u80fd\u91cfX\u5149\u9aa8\u8cea\u5bc6\u5ea6\u6e2c\u91cf\uff08DEXA\uff09<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u85e5\u7269\u6cbb\u7642<\/strong><\/p>\n<p>\u9aa8\u8cea\u758f\u9b06\u85e5\u4e3b\u8981\u5206\u70ba\u6297\u7834\u9aa8\u85e5\u548c\u4fc3\u9020\u9aa8\u85e5\u5169\u5927\u985e\uff1a<\/p>\n<p>\uff081\uff09\u6297\u7834\u9aa8\u85e5 \/ \u6297\u9aa8\u8cea\u6d41\u5931\u85e5<\/p>\n<p>\u96d9\u78f7\u9178\u9e7d Bisphosphonates\uff0c\u5982 Alendronate\u3001Risedronate\u3001Ibandronate<br \/>\n\u4eff\u4fdd\u9aa8\u7d20 Denosumab<br \/>\n\u8377\u723e\u8499\u88dc\u5145\u7642\u6cd5 Hormone Replacement Therapy\uff08HRT\uff09<br \/>\n\u9078\u64c7\u6027\u96cc\u6fc0\u7d20\u53d7\u9ad4\u8abf\u7bc0\u5291 Selective Estrogen Receptor Modulator\uff08SERM\uff09\uff0c\u5982Raloxifene<br \/>\n\u9aa8\u5316\u4e09\u9187 Calcitriol<\/p>\n<p>\uff082\uff09\u4fc3\u9020\u9aa8\u85e5 \/ \u4fc3\u9aa8\u8cea\u5408\u6210\u85e5<\/p>\n<p>\u526f\u7532\u72c0\u817a\u7d20 Teriparatide<\/p>\n<p>\uff083\uff09\u517c\u5099\u5169\u7a2e\u6548\u679c<\/p>\n<p>\u6291\u786c\u7d20\uff08sclerostin\uff0c\u53c8\u7a31\u786c\u5316\u86cb\u767d\uff09\u6291\u5236\u5291 Romosozumab\uff08\u6297\u7834\u9aa8\u6548\u679c\u8f03\u5c11\uff09<br \/>\n\u9376 Strontium<\/p>\n<p>&nbsp;<\/p>\n<p>\u7c21\u4ecb\u4e2d\u63d0\u53ca\u9aa8\u8cea\u758f\u9b06\u7684\u81e8\u5e8a\u5b9a\u7fa9\uff0c\u4f46\u4e26\u975e\u6240\u6709\u60a3\u8005\u90fd\u6703\u7372\u91ab\u751f\u8655\u65b9\u9aa8\u8cea\u758f\u9b06\u85e5\uff0c\u56e0\u9019\u6c7a\u5b9a\u4e43\u7531\u91ab\u751f\u548c\u75c5\u4eba\u5171\u540c\u4f5c\u51fa\uff0c\u800c\u7576\u4e2d\u6d89\u53ca\u773e\u591a\u8003\u616e\u56e0\u7d20\ufe30<\/p>\n<p><em>\u9aa8\u6298\u98a8\u96aa<\/em><\/p>\n<p>\u4e0a\u6587\u5217\u8209\u4e0d\u5c11\u9aa8\u8cea\u758f\u9b06\u7684\u98a8\u96aa\u56e0\u7d20\uff0c\u9664\u4e86\u96d9\u80fd\u91cfX\u5149\u9aa8\u8cea\u5bc6\u5ea6\u6e2c\u91cf\u5100\uff08DEXA\uff09\u6aa2\u6e2c\u4e4b T-\u503c\u4f4e\u65bc\u8ca0 2.5\u5916\uff0c\u60a3\u6709\u808c\u5c11\u75c7\u3001\u810a\u67f1\u5f8c\u5f4e\uff08\u99dd\u80cc\uff09\u3001\u66fe\u7d93\u8dcc\u5012\u3001\u8106\u6027\u9aa8\u6298\u75c5\u53f2\u3001\u9700\u9577\u6642\u9593\u670d\u985e\u56fa\u9187\u7b49\u56e0\u7d20\u90fd\u6703\u589e\u52a0\u9aa8\u6298\u7684\u6a5f\u6703\u3002\u82e5\u540c\u6642\u5177\u6709\u591a\u7a2e\u9aa8\u8cea\u758f\u9b06\u7684\u98a8\u96aa\u56e0\u7d20\uff0c\u9aa8\u6298\u7684\u98a8\u96aa\u4ea6\u6703\u76f8\u61c9\u589e\u52a0\u3002<\/p>\n<p>FRAX\u00ae \u9aa8\u6298\u98a8\u96aa\u8a55\u4f30\u5de5\u5177\uff08fracture risk assessment tool\uff09\u53ef\u7528\u4ee5\u4f30\u8a08\u5341\u5e74\u5167\u9aa8\u6298\u7684\u6a5f\u7387\uff0c\u5f15\u7528\u65bc\u591a\u4efd\u6587\u737b\u53ca\u81e8\u5e8a\u6307\u5f15\uff0c\u9069\u7528\u65bc\u4e0d\u540c\u570b\u7c4d\u4eba\u58eb\u3002\u5927\u773e\u53ef\u4e0a\u7db2\u7ad9 <a href=\"https:\/\/www.sheffield.ac.uk\/FRAX\/\">https:\/\/www.sheffield.ac.uk\/FRAX\/<\/a> \u505a\u521d\u6b65\u8a55\u4f30\uff0c\u518d\u8207\u91ab\u8b77\u4eba\u54e1\u5546\u8a0e\u500b\u4eba\u5316\u7684\u9aa8\u8cea\u758f\u9b06\u6cbb\u7642\u65b9\u6848\u3002<\/p>\n<p><em>\u9aa8\u8cea\u758f\u9b06\u85e5\u91dd\u5c0d\u4e0d\u540c\u8eab\u9ad4\u90e8\u4f4d\u4e4b\u6210\u6548<\/em><\/p>\n<p>\u9aa8\u8cea\u758f\u9b06\u85e5\u4e4b\u6210\u6548\u6240\u8861\u91cf\u7684\u662f\u5176\u5c0d\u63d0\u5347\u9aa8\u8cea\u5bc6\u5ea6\u548c\u6e1b\u5c11\u9aa8\u6298\u98a8\u96aa\u7684\u7814\u7a76\u6578\u64da\uff0c\u4e3b\u8981\u91dd\u5c0d\u6e1b\u5c11\u810a\u690e\u9aa8\u6298\u3001\u9ad6\u90e8\u9aa8\u6298\u548c\u975e\u810a\u690e\u9aa8\u6298\u98a8\u96aa\u7684\u6210\u6548\u3002\u5927\u90e8\u4efd\u7684\u9aa8\u8cea\u758f\u9b06\u85e5\u80fd\u6709\u6548\u6e1b\u5c11\u810a\u690e\u9aa8\u6298\u3002\u67d0\u5e7e\u7a2e\u85e5\uff08\u5982\u9aa8\u5316\u4e09\u9187 Calcitriol\uff09\u5c0d\u6e1b\u5c11\u9ad6\u90e8\u9aa8\u6298\u6216\u975e\u810a\u690e\u9aa8\u6298\u7684\u7814\u7a76\u6578\u64da\u76f8\u5c0d\u8f03\u5c11\u6216\u6210\u6548\u8f03\u4f4e\uff0c\u5018\u82e5\u60a3\u8005\u5728\u9ad6\u90e8\u7684DEXA T-\u503c\u4f4e\u65bc\u8ca0 2.5 \u6216\u66fe\u7d93\u9aa8\u6298\uff0c\u91ab\u751f\u672a\u5fc5\u6703\u7528\u9019\u4e9b\u85e5\u3002<\/p>\n<p><em>\u75c5\u4eba\u7528\u85e5\u4e4b\u4f9d\u5f9e\u6027<\/em><\/p>\n<p>\u9aa8\u8cea\u758f\u9b06\u85e5\u4e3b\u8981\u5206\u53e3\u670d\u85e5\u548c\u91dd\u5291\u3002\u53e3\u670d\u85e5\u7684\u7528\u85e5\u6b21\u6578\u8f03\u983b\u7e41\uff0c\u7531\u6bcf\u65e5\u4e00\u6b21\u5230\u6bcf\u661f\u671f\u3001\u6bcf\u500b\u6708\u4e00\u6b21\u4e0d\u7b49\u3002\u503c\u5f97\u4e00\u63d0\uff0c\u5e38\u7528\u7684\u53e3\u670d\u96d9\u78f7\u9178\u9e7d\uff08\u5982 Alendronate\uff09\u9700\u8981\u65e9\u4e0a\u7a7a\u8179\u670d\uff0c\u670d\u5f8c\u81f3\u5c11\u4e09\u5341\u5206\u9418\u5167\u4e0d\u80fd\u8eba\u4e0b\u6216\u98f2\u98df\uff0c\u4ee5\u6e1b\u5c11\u5c0d\u98df\u9053\u7684\u523a\u6fc0\u53ca\u907f\u514d\u98f2\u6599\u6216\u98df\u7269\u4e2d\u7684\u9223\u3001\u9421\u7b49\u7269\u8cea\u6703\u6e1b\u5c11\u85e5\u7269\u7684\u5438\u6536\u3002\u91dd\u5291\u6709\u5206\u975c\u8108\u6ce8\u5c04\u548c\u76ae\u4e0b\u6ce8\u5c04\uff0c\u9664\u4e86\u526f\u7532\u72c0\u817a\u7d20 Teriparatide \u9700\u8981\u75c5\u4eba\u6bcf\u65e5\u81ea\u884c\u6ce8\u5c04\u5916\uff0c\u5176\u4ed6\u91dd\u5291\u90fd\u662f\u7531\u6bcf\u500b\u6708\u5230\u6bcf\u4e09\u500b\u6708\u3001\u6bcf\u516d\u500b\u6708\u3001\u6bcf\u5e74\u4e0d\u7b49\u7531\u91ab\u8b77\u4eba\u54e1\u6ce8\u5c04\u3002<\/p>\n<p>\u6709\u4e9b\u75c5\u4eba\u53ef\u80fd\u89ba\u5f97\u53e3\u670d\u85e5\u6bd4\u91dd\u5291\u65b9\u4fbf\uff0c\u4e0d\u7528\u7279\u610f\u56de\u8a3a\u6240\u6216\u91ab\u9662\u63a5\u53d7\u6cbb\u7642\uff0c\u4f46\u4ea6\u6709\u4e9b\u75c5\u4eba\u89ba\u5f97\u8981\u6bcf\u65e5\u3001\u6bcf\u661f\u671f\u5b9a\u6642\u670d\u85e5\u4e0d\u65b9\u4fbf\uff0c\u6216\u6015\u81ea\u5df1\u6703\u5fd8\u4e86\u670d\u85e5\uff0c\u5be7\u53ef\u9078\u64c7\u91dd\u5291\u3002<\/p>\n<p><em>\u85e5\u7269\u526f\u4f5c\u7528\u53ca\u60a3\u8005\u75c5\u53f2<\/em><\/p>\n<p>\u5404\u7a2e\u9aa8\u8cea\u758f\u9b06\u85e5\u4e4b\u526f\u4f5c\u7528\u4e0d\u4e00\uff0c\u5982\u525b\u63d0\u904e\u96d9\u78f7\u9178\u9e7d\u53ef\u80fd\u6703\u523a\u6fc0\u8178\u80c3\uff0c\u56e0\u6b64\u6709\u80c3\u708e\u3001\u8178\u708e\u3001\u8178\u80c3\u6f70\u760d\u7b49\u75c5\u4eba\u4e0d\u5b9c\u7528\u6b64\u985e\u85e5\u7269\u3002\u6240\u6709\u76ae\u4e0b\u6ce8\u5c04\u85e5\u7269\uff08\u5982\u4eff\u4fdd\u9aa8\u7d20 Denosumab\u3001\u6291\u786c\u7d20\u6291\u5236\u5291 [&#8230;]<\/p>\n","protected":false},"author":3341,"featured_media":7728,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[38,39,92],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/7727"}],"collection":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/users\/3341"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/comments?post=7727"}],"version-history":[{"count":8,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/7727\/revisions"}],"predecessor-version":[{"id":10332,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/7727\/revisions\/10332"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media\/7728"}],"wp:attachment":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media?parent=7727"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/categories?post=7727"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/tags?post=7727"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}