在患有骨质疏松症的老年患者中,中风后骨矿物质密度和临床参数的变化
Yeong Kyun Bae1, Myeong Hun Kang, Jae Hyun Lee
1Department of Physical Medicine and Rehabilitation, Kosin University Gospel Hospital, Busan, South Korea.
Medicine
|January 26, 2024
概括
患有骨质疏松症的中风患者在腿部部经历了显著的骨质损失,突出了积极治疗骨质疏松症和物理治疗的必要性,以改善功能和预防骨折.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 整形外科 整形外科 整形外科
背景情况:
- 脑卒中幸存者,特别是老年人,患二次健康并发症的风险增加.
- 骨质疏松症在中风患者中很常见,增加了他们对骨折的敏感性.
- 脑卒中后的骨矿物质密度 (BMD) 变化需要进一步调查.
研究的目的:
- 调查骨矿物密度 (BMD) 和临床参数的变化之间的关联在外科医院老年人中风患者与骨质疏松症.
- 在1年的时间内评估腰椎和双侧大腿部部的BMD变化.
- 为了确定影响骨质流失的因素,在这个人群中.
主要方法:
- 对被诊断患有中风和骨质疏松症的门诊患者 (>65岁) 的回顾性研究.
- 基线和12-14个月的骨质量测量;评估了临床参数 (手动肌肉测试,修改的巴塞尔指数) 和骨周转指标.
- 使用威尔科克森签名等级测试进行统计分析.
主要成果:
- 随着时间的推移,和非的股骨项都观察到BMD的显著下降.
- 腰部脊柱BMD没有显著变化.
- 骨循环标志物在随访时显示出显著的变化.
- 修改后的巴塞尔指数<82的患者在椎部出现了显著的骨损失.
- 不管部和膝盖延伸器的强度如何,部部部部骨度 (BMD) 都下降了.
结论:
- 健行老年人中风患者患有骨质疏松症经历了显著的股骨部骨损失.
- 积极的骨质疏松症管理,包括功能改善和下肢强化至关重要.
- 需要有针对性的干预措施,以减轻这个脆弱群体的骨折风险.
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