뇌졸중 환자의 절대안정 기간이 골밀도에 미치는 영향 = Effects of Absolute Bed Resting Period on Bone Mineral Density in Acute Stroke Patients

다국어 초록 (Multilingual Abstract)

Objective: The aim of this study was to investigate the effects of absolute bed resting(ABR) period on bone mineral density(BMD) recovery in acute stroke patients. It is necessary for acute stroke patients to spend a few days-absolute bed resting period-for treatment. During ABR period, bone mineral density have a tendency to decrease. But During exercise period, BMD have a tendency to increase. Therefore this clinical study investigate the change of BMD in acute stroke patients. Methods: This clinical study have been carried out with 50 cases of acute stroke patients that entered Cheongju Oriental Hospital from March to October 2003 and investigates through several items-diagnosis, sex, age, ABR period, smoking, drinking, hypertension, diabetes mellitus(DM) and osteoporosis. Results & Conclusions: The results were as follows; 1. In change of BMD, 31cases(62%) increased and 19cases(38%) decreased. In 43`s infarction patients 26 cases(60%) increased and. in 7`s hemorrhage patients 5 cases(71%) increased. But significant increase was not. 2. In sexual change of BMD, BMD of female patients increased(p<0.05) significantly. 3. In ABR periodic change of BMD, BMD significantly decreased(p<0.01) according as ABR period were long. 4. In change of BMD according to smoking and drinking, BMD of non-smoking group increased(p<0.05) significantly. 5. In change of BMD according to hypertension, DM and osteoporosis, BMD of non-hypertension group increased(p<0.05) significantly. These results indicate that female, non-smoking group, non-hypertension and group that spent short ABR period BMD increased significantly.