Department and Clinic of Internal Disease , Diabetology and Nephrology--Metabolic Bone Disease Unit, Zabrze, Medical University of Silesia in Katowice, Poland.
Endokrynol Pol. 2011 Jan-Feb;62(1):48-50.
Loss of bone mineral density and fractures in patients after stroke are among the most serious health complications. Regarding serious post-stroke impediments, significantly contributing to elevated fracture incidence are falls. An increasing number of subjects after stroke have been observed and better understanding of the nature of skeletal changes might improve the efficacy of their management. The most important issues in post-stroke patients include an evaluation of bone loss magnitude, the occurrence of falls, fracture incidence and prevention procedures. An early start of pharmacological treatment plus exercise are recommended procedures in the early post-stroke stages, in order to diminish as much as possible subsequent bone loss, the direct consequences of which may include hemiosteoporosis, prolonged immobilisation, further falls and fractures.
中风后患者的骨密度丢失和骨折是最严重的健康并发症之一。在严重的中风后遗症中，导致骨折发生率升高的主要原因是跌倒。越来越多的中风患者被观察到，更好地了解骨骼变化的性质可能会提高对他们的管理效果。中风患者最重要的问题包括评估骨丢失程度、跌倒发生、骨折发生率和预防措施。建议在中风后早期开始进行药物治疗加运动，以尽可能减少随后的骨丢失，其直接后果可能包括半骨质疏松症、长时间固定、进一步跌倒和骨折。
