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与脊髓灰质炎及其后遗症相关的医学合并症和并发症。

Medical Comorbidities and Complications Associated with Poliomyelitis and Its Sequelae.

机构信息

Department of Physical Medicine and Rehabilitation, University of Miami Leonard M. Miller School of Medicine, PO Box 016960 (C-206), Miami, FL 33101, USA.

Department of Physical Medicine and Rehabilitation, University of Miami Leonard M. Miller School of Medicine, PO Box 016960 (C-206), Miami, FL 33101, USA.

出版信息

Phys Med Rehabil Clin N Am. 2021 Aug;32(3):591-600. doi: 10.1016/j.pmr.2021.02.010. Epub 2021 May 20.

DOI:10.1016/j.pmr.2021.02.010
PMID:34175017
Abstract

Survivors of poliomyelitis may experience long-term sequelae that put them at increased risk for injury, pain, cardiovascular deconditioning, and functional decline. Osteoporotic fractures and entrapment neuropathies, in particular, may result in greater impairments in one's mobility and ability to perform activities of daily living. Dysphagia may necessitate the use of compensatory swallow strategies to minimize aspiration risk. Comorbid conditions, including hypertension, dyslipidemia, obesity, and stroke, are also very prevalent in this population. Risk factor modification, including diet, exercise, and medication compliance, is essential to achieve optimal health and function among survivors of poliomyelitis.

摘要

脊髓灰质炎幸存者可能会经历长期的后遗症,使他们更容易受伤、疼痛、心血管功能不全和功能下降。特别是骨质疏松性骨折和神经卡压症,可能会导致其活动能力和日常生活活动能力更大程度受损。吞咽困难可能需要使用代偿性吞咽策略来最大限度地降低吸入风险。合并症,包括高血压、血脂异常、肥胖和中风,在这一人群中也非常普遍。危险因素的改变,包括饮食、运动和药物依从性,对于脊髓灰质炎幸存者实现最佳健康和功能至关重要。

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