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脑卒中后偏瘫患者健、患侧肢体骨密度测量及成因分析 预览

Measurement of limb bone density in hemiplegia patients after stroke and cause analysis
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摘要 目的探讨脑卒中患者肢体废用对骨密度的影响。方法选择首次脑卒中偏瘫患者88例,男46例,女42例,病程3~6个月,健康对照组43例,男23例,女20例。分别对脑卒中偏瘫组患者健侧、患侧及健康对照组患者上肢桡骨及下肢跟骨进行外周超声骨密度检测。结果脑卒中偏瘫组健侧上肢骨密度与健康对照组比较差异无统计学意义(P>0.05);脑卒中偏瘫组健侧下肢骨密度低于健康对照组,差异有统计学意义(P<0.01);脑卒中偏瘫组患侧上肢骨密度低于健康对照组,差异有统计学意义(P<0.05);脑卒中偏瘫组患侧下肢骨密度低于健康对照组,差异有统计学意义(P<0.01);脑卒中偏瘫组患侧上肢骨密度低于健侧上肢,差异有统计学意义(P<0.01);脑卒中偏瘫组患侧下肢与健侧下肢骨密度比较差异无统计学意义(P>0.05);脑卒中偏瘫患者患侧实用手、辅助手、废用手上肢骨密度比较差异无统计学意义(P>0.05);脑卒中偏瘫患者患侧负重下肢与不负重下肢骨密度比较差异无统计学意义(P>0.05)。结论脑卒中后偏瘫患者患侧及健侧下肢骨密度均显著下降;患侧上肢骨密度也显著下降,其骨密度与实用手、辅助用手还是废用无关,而健侧上肢骨密度无明显降低。 Objective To evaluate bone mineral density (BMD)in the diseased limbs of patients after stroke. Methods A total of 88 first -stroke patients (46 men and 42 women)with chronic hemiplegia for 3-6 months were involved.We evaluated the BMDs of the radial and calcaneal bones using the periphery transonic method.Results There was no difference in the BMD of the upper limb on the healthy side of stroke patients and the healthy control (P >0.05). The stroke group showed remarkable lower BMD in the lower limb on the health side and lower BMD in the upper and lower limbs on the diseased side than the healthy control (P <0.05 or P <0.01).The stroke group produced remarkable lower BMD in the upper limb on the diseased side than that on the health side (P <0.01).Meanwhile,there was no difference as to BMD in the lower limb between the diseased and health side in patients with stroke (P >0.05).We found no difference in the BMD of the functional,aiding and disusing hands (P >0.05).No difference was found in BMD between the loading and non -loading lower limbs in patients with stroke (P >0.05).Conclusions The BMD of limbs varies from place to place after stroke.
作者 吴婷 高修明 冯涛 郭琳 项洁 WU Ting;GAO Xiuming;FENG Tao;GUO Lin;XIANG Jie(Department of Rehabilitation Medicine,the Affiliated Hospital of Xuzhou Medical University, Xuzhou,Jiangsu 221002,China)
出处 《徐州医科大学学报》 CAS 2018年第12期800-802,共3页 Acta Academiae Medicinae Xuzhou
基金 徐州市科技项目社会发展重点研发计划项目(KC17177) 徐州市社会发展科技计划临床医学重点项目(KC14SX016).
关键词 脑卒中骨折 偏瘫 骨密度 骨质疏松 肌少症 fractures after stroke hemiparalysis bone mineral density osteoporosis sarcopenia
作者简介 通信作者:项洁,E-mail:xj1111@163.com.
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