何静杰，张蕴忱，崔利华，杨雅琴.偏瘫患者继发性骨质疏松的探讨[J].中华物理医学与康复杂志,2003,(2):.-
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| 偏瘫患者继发性骨质疏松的探讨 |
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| DOI： |
| 中文关键词: 偏瘫 骨密度 骨矿含量 骨质疏松 |
| 英文关键词: Hemiplegic Bone density Bone mineral quantity Osteoporosis |
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| 全文下载次数: 2017 |
| 中文摘要: |
| 目的探讨偏瘫患者继发性骨质疏松发生的特点，为预防和治疗骨质疏松提供依据。 方法使用LUNAR双能X线骨密度仪，对156例住院治疗的偏瘫患者的骨密度及骨矿含量进行测定，并对测定结果进行统计学分析。 结果偏瘫后3~6个月骨质疏松发生率最高，达44.4%, 9~12个月骨质疏松发生率最低，为21.1%，总体骨质疏松发生率为30.8%；弛缓性瘫比痉挛性瘫的偏瘫患者更易发生骨质疏松；患侧上肢的骨矿含量与健侧上肢相比，差异有显著性（P＜0.001），患侧上肢明显低于健侧上肢；患侧下肢的骨矿含量与健侧下肢相比，差异无显著性（P＞0.05）。 结论偏瘫患者的骨量随偏瘫时间的不同而有不同的变化，这种变化是有规律的，且骨量减少是可逆转的；早期行康复训练可预防骨质疏松的发生；充分掌握偏瘫患者的骨质情况非常重要。 |
| 英文摘要: |
| Objective To characterize the secondary osteoporosis in hemiplegic patients. MethodsBy use of dual energy X-ray absorptometry, the bone density and bone mineral quantity of 156 hemiplegic inpatients were tested and analyzed. ResultsThe incidence of osteoporosis was 44.4% during 3~6 months after stroke and 21.1% found during 9~12 months after stroke. The average incidence was 30.8%. The osteoporosis was more common in patients with flaccid hemiplegia than in those with spastic hemiplegia. The bone mineral quantity in the affected upper limbs was significantly lower than that in nonaffected-side (P<0.001). There was no significant difference between the affected and the nonaffected lower limbs (P>0.05). ConclusionThe bone mineral quantity of hemiplegic patients varies with the duration of disease. The reduction of bone mineral quantity is regular and reversible. |
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