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題 名 | 脊髓損傷病人的骨質密度評估分析=Analysis of the Bone Mineral Density in the Patients with Spinal Cord Injuries |
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作 者 | 周育祥; 馮啟揚; 高嘉鴻; 畢柳鶯; 張賴昇平; | 書刊名 | 中山醫學雜誌 |
卷 期 | 9:1 1998.01[民87.01] |
頁 次 | 頁35-41 |
分類號 | 416.292、416.292 |
關鍵詞 | 脊髓損傷病人; 骨質密度評估分析; Osteoporosis; Bone mineral density; Spinal cord injury; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究收集157個脊髓損傷病人之骨質密度資料,而其骨質密度係由雙光子吸收法測量得之。所使用之儀器為Lunar DP-4。骨質密度測量處為第二至第四節腰椎及右側股骨頸,其單位以公克/平方公分來表示。本研究係將157個病人分為下列三組:(1) 因脊髓損傷引起完全癱瘓或不完全癱瘓;(2)脊髓損傷和測量骨質密度之期間為小於3年或大於3年;(3)脊髓受傷之位置為高位 (從第一節頸椎至第十節胸椎) 或低位(第十一節胸椎至第一節腰椎)。每個組別及每個部位之不正常骨質密度之機會各分別加以評估,而其間是否有差異存在,是採用Chi-Square法。157個病人之中,有54個病人(佔34%)顯示其腰椎第二至第四節之骨質密度為異常,而有126個病人(佔80%) 其右股骨頸之骨質密度異常。這兩組間有明顯統計學上的差異(P<0.001)。但對於脊髓損傷之嚴重程度(完全癱瘓或不完全癱瘓)、損傷之久暫及損傷之位置(高位或低位),與其骨質密度是否為正常或異常,沒有顯著差異存在。我們的結論是,對於脊髓損傷之病人,其股骨之骨質流失為常見之併發症而其腰椎之骨質流失較不顯著。 |
英文摘要 | The bone mineral density (BMD) of 157 patients with a spinal cord injury (SCI) was measured using dual-photon absorptiometry (Lu-nar DP-4). The BMD of the secondary to fourth lumbar vertebrae (L2-L4) and right femoral neck was measured and registered in grams per square centimeter. The following criteria were used to separate the patients: (1) completer or incomplete immobility due to the SCI;(2)the time between the SCI and measurement of BMD was short (≦3 years) or long (>3 years);(3)the level at which the SCI occurred was considered to be high (i.e. from the first cervical vertebra to the tenth thoracic vertebra) or low (e.i. from the eleventh thoracic vertebra to the first lumbar vertebra). The rate of abnormal BMD in each of the groups and at each site was measured and the difference evaluate using the Chi-Square test. Fifty-four of the 157 (34%) scans revealed abnormal BMD at the level of L2-L4 and 126 (80%) in the right femoral neck. The difference between these two incidences was significant (P<0.001). However, there were no significant differences in abnormal BMD with regard to severity of the SCI, timing elapsing since the SCI and level at which the SCI occurred. We conclude that hip demineralization is a common complication in SCI, but that lumbar BMD is better preserved. |
本系統中英文摘要資訊取自各篇刊載內容。