脊髓功能障碍患者的心血管疾病——特定主题的最新进展

Cardiovascular disease in persons with spinal cord dysfunction-an update on select topics.

作者信息

Svircev Jelena N

机构信息

Department of Rehabilitation Medicine, University of Washington, Seattle, 98195, USA.

出版信息

Phys Med Rehabil Clin N Am. 2009 Nov;20(4):737-47. doi: 10.1016/j.pmr.2009.06.012.

DOI:10.1016/j.pmr.2009.06.012

PMID:19781509

Abstract

Cardiovascular disease (CVD) is a leading cause of death in people with spinal cord injury (SCI), yet little is known about the prevalence of the disorder and how risk factors for CVD, such as dyslipidemia, diabetes, and obesity, differ compared with the able-bodied population. Additionally, limb loss, an underappreciated topic in the setting of SCI, is a frequent complication of SCI, and may be related to CVD, either directly, as undiagnosed peripheral vascular disease, or indirectly, as a consequence of diabetes or obesity. This article briefly reviews the topics of dyslipidemia, diabetes, and obesity in SCI and discusses the management of limb loss for individuals with SCI.

摘要

心血管疾病（CVD）是脊髓损伤（SCI）患者的主要死因，但对于该疾病的患病率以及与健全人群相比，CVD的危险因素（如血脂异常、糖尿病和肥胖）有何不同，我们知之甚少。此外，肢体缺失在SCI背景下是一个未得到充分重视的话题，它是SCI的常见并发症，可能与CVD直接相关，如未被诊断出的外周血管疾病，也可能间接相关，如糖尿病或肥胖的后果。本文简要回顾了SCI中的血脂异常、糖尿病和肥胖等话题，并讨论了SCI患者肢体缺失的管理。