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題名 | 周全性老年評估個案報告:骨質疏鬆症骨折併梨狀肌症候群=Comprehensive Geriatric Assessment of a Patient with Osteoporotic Fracture, and Piriformis Syndrome: A Case Report |
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作者 | 羅名宇; 郭嘉昇; 陳晶瑩; 陳恆順; 黃國晉; 陳慶餘; Lo, Ming-yu; Kuo, Chia-sheng; Chen, Chin-ying; Chen, Heng-shuen; Haung, Kuo-chin; Chen, Chin-yu; |
期刊 | 臺灣老年醫學暨老年學雜誌 |
出版日期 | 20130800 |
卷期 | 8:3 2013.08[民102.08] |
頁次 | 頁202-215 |
分類號 | 417.7926 |
語文 | chi |
關鍵詞 | 周全性老年評估; 骨質疏鬆骨折; 梨狀肌症候群; 日常生活功能; Comprehensive geriatric assessment; Osteoporotic fracture; Piriformis syndrome; Activity of daily living; |
中文摘要 | 骨質疏鬆症藥物治療需要一年以上才可見到減少骨折的成效,病人本身亦難以直接感受治療之效果,加上部分藥物使用複雜,故病人容易出現藥物順從性不佳之情況。本個案為一位患有嚴重骨質疏鬆症、休格連氏症候群(Sjögren's syndrome)、椎間盤突出之八十三歲女性病人,診斷後沒有規則服用骨質疏鬆藥物,因為跌倒後嚴重疼痛影響行動力與日常生活功能,由於初步評估治療後沒有明顯改善,故嘗試以周全性老年評估的方式介入,再詳細的評估之後,診斷為多處細微骨折合併梨狀肌症候群(piriformis syndrome),並透過跨領域的醫療團隊幫助病人與家屬了解病因、建立多重介入的治療方式及預防追蹤。 |
英文摘要 | For most osteoporosis therapies, it takes at least one year for patients to experience the desired result of reduced incidence of fracture. Inconvenience of drug use renders it even more difficult for patients to perceive the direct effect of a therapy. Poor drug compliance has accordingly been noted frequently. In this article, an 83-year-old lady with severe osteoporosis, Sjögren's syndrome, and herniated intervertebral disc presented with mobility impairment and functional decline in daily activity after a fall. Since there was no obvious improvement after initial treatment, a comprehensive geriatric assessment was conducted, leading to the diagnosis of multiple linear fracture and piriformis syndrome. Through interdisciplinary team assessment, we endeavored to develop an integrated plan for multi-intervention treatment and prevention. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。