在美国退伍军人中使用下肢假肢:为期10年的队列研究
Roland Paquette1, Giselle Carnaby2, Timothy Reistetter3
1Department of Physician Assistant Studies, Baylor University, Robbins College of Health and Human Sciences, Waco, TX, USA.
Disability and rehabilitation
|July 21, 2025
概括
美国退伍军人显示,尽管存在风险因素,但下肢假肢的使用率较高. 针对营养和健康的整体护理是截肢后功能和健康的关键.
科学领域:
- 康复医学 康复医学 康复医学
- 假肢和整形手术
- 退伍军人健康的医疗服务
背景情况:
- 下肢截肢 (LEA) 不成比例地影响美国退伍军人.
- 目前对退伍军人使用LEA假肢的研究是有限的.
- 了解影响假肢使用的因素对于优化退伍军人护理至关重要.
研究的目的:
- 调查美国退伍军人下肢假肢的使用情况.
- 为了确定与假肢使用相关的可修改因素 (疼痛,体重,并发症,皮肤问题).
- 描述退伍军人中提供假肢的模式.
主要方法:
- 对300名美国退伍军人 (2011-2021) 的回顾性队列研究.
- 从单一的截肢诊所收集的数据.
- 两变量和多变量回归分析用于评估与假肢使用的关联.
主要成果:
- 在假肢使用与性别,病因学,吸烟,并发症和截肢特征之间发现了显著的关联.
- 疼痛和体重显示弱但显著的关联;较低的体重 (<170磅) 加剧了疼痛.
- 退伍军人每天使用假肢的比例高于一般人群.
结论:
- 美国退伍军人使用假肢增加了,尽管他们面临更高的障碍风险.
- 建议提供整体的截肢前护理,包括营养和健康.
- 定制的康复计划对于优化退伍军人功能截肢后是必不可少的.
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