摘要
本研究是收集自71年9月至77年9月間，因腦中風後跌倒發生骨折的住院病患共45位作分析。病人以女性為最多共29位，其中以老年人65歲到90歲最多佔68.8%。骨折發生於腦中風後2個月到20年不等，骨折以hemiplegia患者佔最多數，且以患側為主(77.8%)，以不曾接受過復健治療的病人佔最多數，共35位。骨折部份以股骨最多，共43位，其中粗隆間骨折最多，佔44.5%。病人在骨折前，以利用輔具助行的病人最多，佔51.3%。
關鍵字
無資料並列摘要
CVA patients with traumatic bone fracture admitted to Chang Gung Memorial Hospital from September 1982 to September 1988 were analysed. There were 45 patients. Among them, 29 cases were female (64.4%), 16 cases were male (35.6%). The age ranged from 49 to 90 year old. The age distributions of them were old in majority, 31 cases were over 65 year old (68.8%). Fracture happened after stroke for 2 months to 20 years. There were no significant difference at side of lesion. Most of them were hemiplegic patients. The fractures usually occurred on the weakness side (77.8%), with femoral fracture in majority (95.6%), especially common at intertrochanteric or femoral neck area. Thirty-two cases were ambulatory with (51.3%) or without device (30.8%) Fracture usually developed by fallen down to the ground accidently during walking because most of them never received any rehabilitation program after stroke, but applied the walking aids by themselves. Most of them should receive rehabilitation for ambulation training after fracture management. Therefore, it is very important for every CVA patient who has more weakness to receive proper rehabilitation program and select adequate walking aid by well trained personnels. Otherwise, they are high risk for bone fracture, should pay more medical expenses whenever fracture developed.
延伸閱讀
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