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近年,脑卒中后骨折的发生率逐年升高,脑卒中后第1年骨折的发生率为3%～4%。脑卒中后骨折高发的主要原因是卒中后骨质疏松的发生以及卒中患者易向偏瘫侧跌倒。口服维生素D、钙剂、双磷酸盐等药物预防骨质疏松,口服维生素B12与叶酸降低同型半胱氨酸水平,预防跌倒,卒中后应用髋骨骨折保护装置等可减少骨折的发生。
In recent years, the incidence of post-stroke fracture increased year by year, the first year after stroke, the incidence of fractures was 3% to 4%. The main cause of post-stroke fracture is the incidence of post-stroke osteoporosis and stroke patients prone to hemiplegic fall. Oral vitamin D, calcium, bisphosphonates and other drugs to prevent osteoporosis, oral vitamin B12 and folic acid to reduce homocysteine levels, prevent falls, the application of hip fracture protection after stroke and other devices can reduce the occurrence of fractures.