腦中風患者髖骨礦物質密度分析之研究

Bone Mineral Analysis of Femoral Neck in CVA Patient

劉作仁(Tcho-Jen Liu) ； 徐道昌(Tao-Chang Hsu)

《中華民國復健醫學會雜誌》 19期 (1991/12) Pp. 15-23

摘要

An instrument for clinical measurement of bone mineral content in the axial skeleton was contructed, components including a modified dual probe scanner, a PC/AT type computer system, a 153 Gd source, and a detector. Bone mineral density of the femoral neck bilateral was measured using Dual Photon Absorptiometry (DPA) in 50 male cerebral vascular accident (CVA) patients. The femoral neck bone density was expressed as grams mineral per unit skeletal area (g/cm2). Patients had no history of renal disease, hepatic disease, hyperthyroidism, hyperparathyroidisms, and drug therapies as glucocoticoids, anticonvulsants thyroxin. methotrexate. cyclosporin. lithium, heparin and phenothiazine derivatives. Bone Mineral Density (BMD) of femora! neck was used in comparison with age. duration, body weight, smoking.milk, alcohol consumption, Activities of Daily Living (ADL) and radiologic examination. Peason correlation, pair t-test and one-way ANOVA were used to determine statistical significance. There is evidence that over 6 months duration from CVA onset, body weight, milk and ADL seem to make a significant difference in BMD. Early diagnosis of hip osteoporosis by DPA is better the radiologic examination. Decreases in femoral neck BMD were associated with increased risk of hip fractures.

並列摘要

An instrument for clinical measurement of bone mineral content in the axial skeleton was contructed, components including a modified dual probe scanner, a PC/AT type computer system, a 153 Gd source, and a detector. Bone mineral density of the femoral neck bilateral was measured using Dual Photon Absorptiometry (DPA) in 50 male cerebral vascular accident (CVA) patients. The femoral neck bone density was expressed as grams mineral per unit skeletal area (g/cm2). Patients had no history of renal disease, hepatic disease, hyperthyroidism, hyperparathyroidisms, and drug therapies as glucocoticoids, anticonvulsants thyroxin. methotrexate. cyclosporin. lithium, heparin and phenothiazine derivatives. Bone Mineral Density (BMD) of femora! neck was used in comparison with age. duration, body weight, smoking.milk, alcohol consumption, Activities of Daily Living (ADL) and radiologic examination. Peason correlation, pair t-test and one-way ANOVA were used to determine statistical significance. There is evidence that over 6 months duration from CVA onset, body weight, milk and ADL seem to make a significant difference in BMD. Early diagnosis of hip osteoporosis by DPA is better the radiologic examination. Decreases in femoral neck BMD were associated with increased risk of hip fractures.

並列關鍵字

Bone Mineral Density ； Femoral Neck CVA ； DPA