脊髓损伤患者股骨远端和胫骨近端骨密度的变化

doi:10.3969/j.issn.1006-9771.2022.07.018

Abstract

Abstract:

Objective To investigate the changes of bone mineral density of distal femur and proximal tibia in patients with spinal cord injury.

Methods Nine inpatients with spinal cord injury in Beijing Bo'ai Hospital for rehabilitation from November, 2018 to January, 2021 were recruited. The bone mineral density of distal femur, proximal tibia, total hip and femoral neck at admission and six months after admission was measured.

Results Compared with the results of admission, the bone mineral density of distal femur, proximal tibia, total hip and femoral neck decreased significantly six months after admission (∣Z∣ > 2.265, P < 0.01). The percentage of decreased bone mineral density in the femoral neck was inversely correlated with the lower extremity movement score at the second measurement (r = -0.515, P = 0.035).

Conclusion Within one year after the onset of spinal cord injury, the bone mineral density of distal femur and proximal tibia decreases.

Key words: spinal cord injury, bone mineral density, distal femur, proximal tibia

CLC Number:

R651.2

KANG Haiqiong,ZHOU Hongjun,LIU Genlin,WEI Bo,ZHENG Ying,ZHANG Ying,HAO Chunxia,WANG Yiji,LU Xiaolei,YUAN Yuan,MENG Qianru. Changes of bone mineral density in distal femur and proximal tibia in patients with spinal cord injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 855-858.

Figures/Tables 2

References 36

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患者编号	性别	损伤时年龄/岁	第1次检测时病程/d	损伤级别	损伤部位	第1次检测时BMI/kg·m^-2	第1次运动评分				第2次运动评分
							左侧		右侧		左侧		右侧
							股四头肌	下肢	股四头肌	下肢	股四头肌	下肢	股四头肌	下肢
1	女	28	82	B	胸椎	20.1	0	0	0	0	0	0	0	0
2	女	44	109	C	胸椎	24.7	1	2	1	2	3	5	2	4
3	女	30	44	A	胸椎	21.2	0	0	0	0	0	0	0	0
4	男	39	58	A	腰椎	21.6	4	8	4	8	4	8	4	8
5	男	27	117	C	胸椎	21.1	0	0	1	6	0	1	1	10
6	男	41	31	A	颈椎	20.8	0	0	0	0	0	0	0	0
7	男	32	23	A	胸椎	29.4	0	0	0	0	0	0	0	0
8	男	29	201	A	胸椎	22.1	0	0	4	7	0	0	4	8
9	男	41	34	A	腰椎	21.2	4	6	-	-	4	8	-	-

部位	n	第1次/g·cm^-2	第2次/g·cm^-2	骨密度下降百分数/%	Z值	P值
股骨颈	17	0.743(0.610, 0.979)	0.700(0.517, 0.94)	5.02(-10.66, 18.84)	-2.675	0.007
全髋	17	0.872(0.694, 1.094)	0.821(0.558, 0.998)	6.47(-9.65, 25.8)	-2.817	0.005
股骨远端	17	0.847(0.605, 1.034)	0.818(0.458, 0.975)	5.71(-7.51, 30.61)	-2.841	0.004
胫骨近端	17	0.856(0.603, 1.023)	0.819(0.460, 0.932)	9.00(-6.16, 33.10)	-3.479	0.001

Changes of bone mineral density in distal femur and proximal tibia in patients with spinal cord injury

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