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頁籤選單縮合
題 名 | Bone Mineral Density in Subjects with Cerebral Palsy: A Preliminary Study in Taiwan=腦性麻痺患者之骨質密度:臺灣初探 |
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作 者 | 吳欣治; 林銘川; 洪怡珣; 陳弘毅; 張光華; | 書刊名 | 臺灣復健醫學雜誌 |
卷 期 | 35:2 2007.06[民96.06] |
頁 次 | 頁73-81 |
分類號 | 415.847、415.847 |
關鍵詞 | 腦性麻痺; 骨質密度; Cerebral palsy; Bone mineral density; |
語 文 | 英文(English) |
中文摘要 | 目的:腦性麻痺患者的多重殘障可能導致活動度降低、骨質疏鬆和骨折。本研究初步探討臺灣腦性麻痺患者的骨質狀態以及與骨折的相關性。 材料與方法:本研究以雙光子能量吸收儀 (dual energy x-ray absorptiometry, DXA) 測量28 位腦性麻痺患者(16位男性,12位女性;年齡範圍:2-24 歲;平均年齡:9.8 歲)的腰椎骨質密度、評估他們的臨床特徵、營養狀態以及與骨質代謝相關的生化因子。並且追蹤3年的骨折發生率。 結果:本研究發現腦性麻痺患者的腰椎骨質密度顯著減少(平均z值 + 標準差,-2.46 ± 1.06)。長期臥床(-3.28±0.99,與行走者比較,p<0.005:與依賴輪椅者比較,p<0.05)、四肢麻痺 (-2.89±1.24,p<0.05) 和大於10歲 (-3.12±1.12,p<0.01) 的患者更加嚴重。對於必須依賴輪椅活動的患者,他們的骨質密度z值與每日熱量攝取的不足量成正相關(r=0.79,p<0.01)、與血清白蛋白值成負相關 (r=-0.68,p<0.05)。對於長期臥床的患者,他們的骨質密度z值與體重分率成正相關 (r=0.77,p<0.05)。在3年的追蹤期間內,所有患者中的2位發生股骨骨折,年發生率為2.4%。 結論:腦性麻痺患者的腰椎骨質密度顯著減少。腦性麻痺患者較常發生股骨骨折,然而測量腰椎的骨質密度可能不是一個理想的預測指標。 |
英文摘要 | Objective: Children with cerebral palsy (CP) have complicated disabilities, and also have the tendency to suffer from osteoporotic fractures. The aim of this study was to explore the bone mineral density (BMD) and to estimate the fracture rate in Taiwanese CP subjects. Materials and methods: To study the BMD and its related factors in 28 Taiwanese CP subjects (16 males, 12 females; age range, 2-24 years; mean age, 9.8 years), we evaluated their BMD in the lumbar spine (LS-BMD) with dual energy x-ray absorptiometry, clinical characteristics, biochemical bone metabolism-related factors, and nutritional status. The fracture rate was evaluated during a three-year follow-up. Statistical comparisons were made using the Student’s t test and correlation analyses. Results: In our study, we found that CP subjects had significantly reduced LS-BMD z score (mean ± standard deviation, -2.46±1.06), especially in those who were bedridden (-3.28 ± 0.99, vs. the ambulatory group, p<0.005; vs. the wheelchair group, p<0.05), quadriplegic (-2.89±1.24, p<0.05) and older than 10 years of age (-3.12 ± 1.12, p<0.01); that for wheelchair-dependent ones, the z score was correlated positively with the deficiency of daily caloric intake (r=0.79, p<0.01) and negatively with the serum albumin level (r=-0.68, p<0.05); that for bedridden ones, the z score and the body weight fraction were positively correlated (r=0.77, p<0.05); that two subjects had new femoral fractures during a three-year follow-up; and that the fracture rate was 2.4 per 100 person-years. Conclusion: The CP subjects have significantly reduced LS-BMD z score, especially in those who have been bedridden, quadriplegic and older than 10 years of age. The BMD measured in the lumbar spine may not be an ideal predictor for the risk of femoral fracture found in CP subjects. |
本系統中英文摘要資訊取自各篇刊載內容。