Article(id=1242140793973059877, tenantId=1146029695717560320, journalId=1146031591421210625, issueId=1242140779540459765, articleNumber=null, orderNo=8, doi=10.3981/j.issn.1000-7857.2023.23.006, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1676822400000, receivedDateStr=2023-02-20, revisedDate=1686240000000, revisedDateStr=2023-06-09, acceptedDate=null, acceptedDateStr=null, onlineDate=1703135615557, onlineDateStr=2023-12-21, pubDate=1702396800000, pubDateStr=2023-12-13, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1703135615557, onlineIssueDateStr=2023-12-21, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1774079043140, creator=sys-migrate, updateTime=1774079043140, updator=sys-migrate, issue=Issue{id=1242140779540459765, tenantId=1146029695717560320, journalId=1146031591421210625, year='2023', volume='41', issue='23', pageStart='1', pageEnd='112', issueExtLink='null', onlineDate='null', pubDate='1702396800000', pubDateStr='2023-12-13', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=3, issueType=-1, specialIssue=null, createTime=1774079039699, creator='sys-migrate', updateTime=1774079039699, updator='sys-migrate', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=42, endPage=48, ext={EN=ArticleExt(id=1242140799870251348, articleId=1242140793973059877, tenantId=1146029695717560320, journalId=1146031591421210625, language=EN, title=Risk factors and rehabilitation assessment of elderly high bone turnover osteoporosis, columnId=1242140791943016734, journalTitle=Science & Technology Review, columnName=Exclusive: Era Development in Rehabilitation Medicine and Chinese Strategies, runingTitle=null, highlight=null, articleAbstract=Osteoporosis (OP) is common in the elderly population and can easily lead to brittle fractures. The bone formation and bone resorption processes of high bone turnover OP are both active, making treatment difficult and lacking effective treatment methods to improve bone density (BMD). This study focuses on patients with high bone turnover type OP and aims to identify independent prognostic factors through rehabilitation assessment and follow-up studies before treatment. The indicators include BMD, serum ferritin level, standing sit test (CRT) time for lower limb muscle strength, Berg balance function scale (BBS) score, etc. The results show that for every 1 unit increase in serum ferritin, the risk of brittle fracture is increased by 5.3%. For every 1 second extension of CRT, the risk of brittle fracture is increased by 4.12 times. The higher the patient's ferritin level and the longer the CRT, the lower the prognosis of BMD. However, for every 1 point increase in BBS, the risk of brittle fracture is decreased by 15.8%. The iron storage level, lower limb muscle strength, and balance ability are mutually independent factors that affect the prognosis of high bone turnover type OP., authors=ZHENG Xiaoxi1, HOU Jianlei2, QIU Xiaorong1, SHI Bing1, DU Peinan1, LIANG Zhenchang1, YE Mingxuan1, WU Jinying1, DING Yi2,3*, authorsList=ZHENG Xiaoxi, HOU Jianlei, QIU Xiaorong, SHI Bing, DU Peinan, LIANG Zhenchang, YE Mingxuan, WU Jinying, DING Yi, authorCompany=1. Department of Orthopedics, Zhongshan Rehabilitation Hospital, Zhongshan Shiqi Suhuazan Hospital, Zhongshan 528402, China1 ，侯建雷2 ，邱晓蓉1 ，石冰1 ，杜培南1 ，梁振昌1 ，叶明轩1 ，伍锦滢1 ，丁一2,3* , authorsList=郑晓熙，侯建雷，邱晓蓉，石冰，杜培南，梁振昌，叶明轩，伍锦滢，丁一, authorCompany=1. 中山市康复医院，中山市石岐苏华赞医院骨科，中山 528402
科技导报
| 专题：康复医学的时代发展与中国策略 2023, 41(23): 42-48
老年高骨转换型骨质疏松的危险因素及康复评定
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郑晓熙1 ，侯建雷2 ，邱晓蓉1 ，石冰1 ，杜培南1 ，梁振昌1 ，叶明轩1 ，伍锦滢1 ，丁一2,3*
作者信息
1. 中山市康复医院，中山市石岐苏华赞医院骨科，中山 528402
通讯作者:
丁一（通信作者），主治医师，研究方向为运动系统疾病与康复，电子信箱：dl_dingyi@126.com
Risk factors and rehabilitation assessment of elderly high bone turnover osteoporosis
Affiliations
出版时间: 2023-12-13
doi: 10.3981/j.issn.1000-7857.2023.23.006
文章导航
骨质疏松症（OP）常见于老年群体，易引发脆性骨折。高骨转换型OP的骨形成和骨吸收过程均表现为活跃，治疗困难，缺乏有效改善骨密度（BMD）的治疗方式。以高骨转换型OP患者为研究对象，通过治疗前的康复评定和随访研究，旨在寻找其预后的独立性影响因素。指标包括：BMD、血清铁蛋白水平、下肢肌力的站起-坐下测试（CRT）时间、Berg平衡功能量表（BBS）评分等。结果显示，血清铁蛋白每增加1个单位，发生脆性骨折的风险增加5.3%，CRT每延长1 s，发生脆性骨折的风险增加4.12倍，患者的铁蛋白水平越高，CRT越长，则预后的BMD越低，而BBS每增加1分，发生脆性骨折的风险减少15.8%。说明铁储存水平、下肢肌力和平衡能力是影响高骨转换型OP预后的独立性因素。
骨质疏松症
/
高骨转换型骨质疏松
/
脆性骨折
/
骨密度
/
血清铁蛋白
/
下肢肌力
/
平衡能力
/
骨质疏松症预后
Osteoporosis (OP) is common in the elderly population and can easily lead to brittle fractures. The bone formation and bone resorption processes of high bone turnover OP are both active, making treatment difficult and lacking effective treatment methods to improve bone density (BMD). This study focuses on patients with high bone turnover type OP and aims to identify independent prognostic factors through rehabilitation assessment and follow-up studies before treatment. The indicators include BMD, serum ferritin level, standing sit test (CRT) time for lower limb muscle strength, Berg balance function scale (BBS) score, etc. The results show that for every 1 unit increase in serum ferritin, the risk of brittle fracture is increased by 5.3%. For every 1 second extension of CRT, the risk of brittle fracture is increased by 4.12 times. The higher the patient's ferritin level and the longer the CRT, the lower the prognosis of BMD. However, for every 1 point increase in BBS, the risk of brittle fracture is decreased by 15.8%. The iron storage level, lower limb muscle strength, and balance ability are mutually independent factors that affect the prognosis of high bone turnover type OP.
osteoporosis
/
high conversion type osteoporosis
/
fragile fracture
/
bone density
/
serum ferritin
/
lower limb muscle strength
/
balance ability
/
prognosis of osteoporosis
郑晓熙，侯建雷，邱晓蓉，石冰，杜培南，梁振昌，叶明轩，伍锦滢，丁一.
老年高骨转换型骨质疏松的危险因素及康复评定.
科技导报,
2023
, 41
(23)
: 42
-48
.
DOI: 10.3981/j.issn.1000-7857.2023.23.006
ZHENG Xiaoxi, HOU Jianlei, QIU Xiaorong, SHI Bing, DU Peinan, LIANG Zhenchang, YE Mingxuan, WU Jinying, DING Yi.
Risk factors and rehabilitation assessment of elderly high bone turnover osteoporosis[J].
Science & Technology Review ,
2023
, 41
(23)
: 42
-48
.
DOI: 10.3981/j.issn.1000-7857.2023.23.006
2023年第41卷第23期
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文章信息
doi: 10.3981/j.issn.1000-7857.2023.23.006
接收时间：2023-02-20
首发时间：2023-12-21
出版时间：2023-12-13
收稿日期：2023-02-20
修回日期：2023-06-09
通讯作者:
丁一（通信作者），主治医师，研究方向为运动系统疾病与康复，电子信箱：dl_dingyi@126.com
https://castjournals.cast.org.cn/joweb/kjdb/CN/10.3981/j.issn.1000-7857.2023.23.006
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2种不同金属材料的力学参数
科 属数 种数 占总种数比例 属 种数 占总种数比例 鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78 小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39 多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39 红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87 小菇属 Mycena 11 5.26 光柄菇属 Pluteus 5 2.39 红菇属 Russula 17 8.13 栓菌属 Trametes 5 2.39
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