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在入院的非承重患者中,停止使用骨质疏松症的发生率
Kempland C Walley1, Nicholas R Farrar1, Aditya Muralidharan1
1Department of Orthopaedic Surgery, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA.
不使用骨质疏松症,因不活动而损失骨密度,在创伤患者在不承重期间显著影响近端股骨. 这种骨损失在腰椎中没有观察到.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 消耗骨质疏松症是长期身体不活动的已知并发症.
- 需要不承重的骨科损伤患者的骨密度损失的速度尚未得到充分了解.
研究的目的:
- 量化腰椎和近腰大腿骨中骨质疏松症的使用率.
- 评估在住院期间和非负重时期下肢创伤患者的骨密度变化.
主要方法:
- 对患有下肢创伤的患者的回顾性图表审查.
- 从连续计算机断层扫描 (CT) 扫描中测量骨辐射密度.
- 估计骨矿物质密度 (eBMD) 变化的计算作为不使用骨质疏松症的代理.
主要成果:
- 靠近大腿骨的EBMD平均下降7.54万/天 (95%CI [3.65,11.43]).
- 腰椎的EBMD平均增加1.45HU/天 (95%CI [-3.15, 6.06]). 在腰椎的EBMD平均增加1.45HU/天 (95%CI [-3.15, 6.06]).
- 在靠近的股骨中观察到显著的骨质疏松症,但在腰椎中没有.
结论:
- 靠近的股骨很容易导致骨质疏松症在住院的骨科创伤患者在非承重期间.
- 医生应考虑在没有承重限制的患者中停止使用骨质疏松症.
- 进一步的研究可能会探索减轻受影响地区骨损失的干预措施.
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