老人变得弯腰驼背怎么回事？该怎么治?
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">本文未经授权谢绝转载。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">关注骨科<span style="color: black;">医生</span>公众号：gukedf</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">认识</span><span style="color: black;">更加多</span>骨科科普<span style="color: black;">新闻</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">今天和您聊聊老人弯腰驼背的事。在<span style="color: black;">咱们</span>的印象中，人只要年岁大了，不管<span style="color: black;">青年</span>时多么腰身挺拔，绝大<span style="color: black;">都数</span>人都会变得弯腰驼背。<span style="color: black;">导致</span>于<span style="color: black;">非常多</span>人都觉得这是上了岁数以后的正常现象。<span style="color: black;">并不</span>然！</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q4.itc.cn/images01/20240430/2a1ce6db7f914b5e94bb0aee36824bfb.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">都数</span>老人<span style="color: black;">显现</span>背弯的<span style="color: black;">基本</span><span style="color: black;">原由</span>，其实是<span style="color: black;">由于</span>随着年龄的增大，我们的消化系统衰弱、运动量减少、身体激素水平变化、<span style="color: black;">长时间</span><span style="color: black;">疾患</span>或<span style="color: black;">运用</span>某些<span style="color: black;">药品</span>等<span style="color: black;">原由</span>综合<span style="color: black;">引起</span>的骨质疏松症。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">骨质疏松症会<span style="color: black;">导致</span>骨密度或强度下降、骨小梁稀疏。其<span style="color: black;">初期</span><span style="color: black;">一般</span><span style="color: black;">无</span><span style="color: black;">显著</span>的表现，<span style="color: black;">倘若</span>未足够<span style="color: black;">注意</span>，随着病情的<span style="color: black;">发展</span>就<span style="color: black;">能够</span><span style="color: black;">显现</span><span style="color: black;">病痛</span>、脊柱变形和骨折等<span style="color: black;">状况</span>，而脊柱骨质疏松性压缩骨折多发在胸腰段椎体，会<span style="color: black;">引起</span>脊柱生理弯曲逐渐<span style="color: black;">出现</span>反向弯曲，于是就<span style="color: black;">显现</span>了弯腰驼背。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/images01/20240430/5ed6b925bc764f47bb99f65a3ca25fd9.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>时候，一个健康人眼中很小的力量，都会<span style="color: black;">引起</span>老人<span style="color: black;">出现</span>这种严重的骨折，<span style="color: black;">例如</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1. <span style="color: black;">因为</span>路滑，一不小心坐了个“屁墩”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2. 走在路上忽然扭身看东西，<span style="color: black;">或</span>搬着东西转身</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3. 感冒、鼻子痒痒，打了个大喷嚏</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/images01/20240430/c478be32b2a449a891639a0958751cb7.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">“哎呦！我的后背好痛！”</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>当老人<span style="color: black;">显现</span>了<span style="color: black;">显著</span>的弯腰驼背或腰背痛的<span style="color: black;">状况</span>时，<span style="color: black;">必定</span><span style="color: black;">不可</span><span style="color: black;">忽略</span>，尽快到医院请<span style="color: black;">大夫</span>系统<span style="color: black;">检测</span>，进行诊断治疗才是明智之举。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">此时</span>又会<span style="color: black;">显现</span>一个问题：该<span style="color: black;">选取</span>什么治疗才好？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">脊柱骨质疏松性压缩骨折要<span style="color: black;">按照</span>骨折压缩程度、<span style="color: black;">病人</span>年龄、身体<span style="color: black;">情况</span>等<span style="color: black;">原因</span>分析，决定<span style="color: black;">详细</span>治疗<span style="color: black;">方法</span>，<span style="color: black;">包含</span>保守治疗和手术治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q1.itc.cn/images01/20240430/a5ad6e34e0914985ac0026943850b4ef.gif" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">1.保守治疗</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q9.itc.cn/images01/20240430/5378174c573844fe8bfb96044663ad72.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">对压缩程度较轻、<span style="color: black;">没</span><span style="color: black;">显著</span>症状、<span style="color: black;">没</span>神经功能损害或不适合接受手术的<span style="color: black;">病人</span>，<span style="color: black;">能够</span>采取保守治疗。<span style="color: black;">包含</span>：卧床<span style="color: black;">休憩</span>、<span style="color: black;">药品</span><span style="color: black;">止疼</span>、支具外固定、<span style="color: black;">初期</span>活动和功能<span style="color: black;">熬炼</span>、抗骨质疏松治疗等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">卧床<span style="color: black;">休憩</span>需<span style="color: black;">连续</span><span style="color: black;">几周</span>至数月，并保持<span style="color: black;">必定</span>的特殊卧位；腰背部<span style="color: black;">病痛</span>消失后，需<span style="color: black;">起始</span>腰背肌的<span style="color: black;">熬炼</span>。抗骨质疏松治疗，<span style="color: black;">重点</span>分为抗骨吸收<span style="color: black;">控制</span>剂、骨矿化物、骨形成促进剂以及<span style="color: black;">拥有</span>双重<span style="color: black;">功效</span>的制剂。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">必须</span>提醒的是，保守治疗并<span style="color: black;">不可</span><span style="color: black;">快速</span>止疼，骨折<span style="color: black;">导致</span>的<span style="color: black;">病痛</span>可能会<span style="color: black;">连续</span><span style="color: black;">几周</span><span style="color: black;">乃至</span>数月，<span style="color: black;">况且</span><span style="color: black;">长期</span>卧床会有致骨质流失，加重骨松症状而再次骨折的<span style="color: black;">危害</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/images01/20240430/7cd642d5eeeb44018f9fa9cb82da581e.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另一</span><span style="color: black;">长时间</span>卧床还可能会<span style="color: black;">显现</span>褥疮、血栓等并发症，<span style="color: black;">极重</span>地降低<span style="color: black;">病人</span>的生活质量，<span style="color: black;">因此</span><span style="color: black;">日前</span>临床多不主张病人<span style="color: black;">长时间</span>卧床，而提倡佩戴支具，<span style="color: black;">协同</span>消炎止痛<span style="color: black;">药品</span>，鼓励病人<span style="color: black;">初期</span>下地活动。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q3.itc.cn/images01/20240430/38e0085d0aa04b18850ca1252b3f960d.gif" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">2.手术治疗</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>压缩骨折病情较严重、保守治疗效果<span style="color: black;">不良</span>、<span style="color: black;">病痛</span>严重影响<span style="color: black;">平常</span>生活、不宜<span style="color: black;">长期</span>卧床以及高龄<span style="color: black;">病人</span>等；在排除了<span style="color: black;">关联</span>绝对禁忌症，<span style="color: black;">例如</span>感染、<span style="color: black;">显著</span><span style="color: black;">流血</span>倾向的<span style="color: black;">状况</span>下，均<span style="color: black;">意见</span><span style="color: black;">选取</span>在抗骨质疏松治疗<span style="color: black;">基本</span>上进行手术治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">对骨折后存在神经、脊髓受压以及结构性失衡的<span style="color: black;">病人</span>，需采用内固定<span style="color: black;">安装</span>解除神经压迫，并恢复脊柱稳定性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span><span style="color: black;">没</span><span style="color: black;">显著</span>神经压迫<span style="color: black;">病人</span>，<span style="color: black;">能够</span>采取微创手术。临床开展较多、技术较成熟的方式有：经皮椎体成形术（PVP）或经皮球囊扩张椎体后凸成形术（PKP）。微创通道下的椎<span style="color: black;">身体</span>植骨手术临床中<span style="color: black;">亦</span>在<span style="color: black;">逐步</span>开展。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q6.itc.cn/images01/20240430/6c81d0de333141f5987afd16cb561fe6.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">（PKP手术示意图）</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">微创手术<span style="color: black;">能够</span>快速达到稳定骨折、恢复椎体力学强度，防止椎体进一步压缩和缓解<span style="color: black;">病痛</span>的<span style="color: black;">目的</span>，<span style="color: black;">帮忙</span><span style="color: black;">病人</span><span style="color: black;">早点</span>恢复正常的活动。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">提醒您<span style="color: black;">重视</span>：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不论是<span style="color: black;">选取</span>保守治疗还是手术治疗，<strong style="color: blue;">治疗的<span style="color: black;">重要</span>是<span style="color: black;">必定</span>要<span style="color: black;">长时间</span>接受抗骨质疏松的<span style="color: black;">基本</span>治疗。</strong>治疗大致<span style="color: black;">包括</span>：钙片、维生素D的<span style="color: black;">弥补</span>，结合平时含钙<span style="color: black;">食品</span>的重点摄入以及户外活动，<span style="color: black;">增多</span>骨质的钙含量，<span style="color: black;">加强</span>身体的协调性，防止再跌倒。<span style="color: black;">针对</span>严重骨质疏松<span style="color: black;">病人</span>，<span style="color: black;">同期</span>应<span style="color: black;">定时</span>进行双膦酸盐类<span style="color: black;">药品</span>的注射，目的是<span style="color: black;">控制</span>破骨细胞的活性，<span style="color: black;">必定</span>程度减缓骨松的<span style="color: black;">发展</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q5.itc.cn/images01/20240430/472c284329634be589a73971ba0a46ba.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">切记脊柱骨质疏松性压缩骨折发病的<span style="color: black;">基本</span><span style="color: black;">原由</span>是骨质疏松，<strong style="color: blue;"><span style="color: black;">倘若</span>忽略这方面的治疗，对椎体压缩骨折的治疗只是治标不治本。</strong><span style="color: black;">那样</span>今天好<span style="color: black;">不易</span>骨折治疗好了，有可能过不了多久，脆弱的椎体又会<span style="color: black;">由于</span><span style="color: black;">类似</span>的<span style="color: black;">原由</span>，在别的位置再度上演“悲剧”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q9.itc.cn/images01/20240430/a5ea298bf008476e92aa8691701128f7.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">END</strong></p>声明：本文未经授权谢绝转载。<span style="color: black;">文案</span>仅供参考和学习分享，一切视<span style="color: black;">病人</span><span style="color: black;">自己</span>情况和以专业<span style="color: black;">大夫</span>诊断治疗为准。<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛：http://www.fok120.com/</span>，查看<span style="color: black;">更加多</span></span></a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">责任编辑：网友投稿</span></p>
软文发布论坛开幕式圆满成功。 http://www.fok120.com 顶楼主，说得太好了！ 你的话语如春风拂面，让我心生暖意。
页:
[1]