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祸首是骨质疏松,腕部首当其冲
2017-08-22 03:51:36 中国青年网
边平达医生(左)为患者检查
人到中年,女性比男性更易骨折。浙江省人民医院骨质疏松诊疗中心主任医师边平达统计分析了800例中年人(45~59岁)的骨折情况,发现男性骨折发生率为7.13%,而中年女性为18.86%,其中女性受伤最常见部位是腕部。“原因与中年女性普遍存在骨质疏松的情况有关,因此预防骨质疏松就可以避免滑倒受伤。”边平达医生提醒说。
绝经期后,女性骨质丢失较快,通常在绝经当年约会流失全部骨质的10%,随后每年约流失2%~5%。边平达医生在调查中发现,近1/5的中年女性会发生骨折,且其骨折发生率约是中年男性的2.6倍。
调查还显示,中年女性骨折的常见部位与男性并不完全一致,男性好发于足骨(30%)、髋部(19%)和腕部(即桡、尺骨远端,11%)等处,而女性好发在腕部(45%)、足骨(26%)和腰椎(21%)等处。
“因为中年男性一般没有骨质疏松的困扰,即使滑倒,用手去撑一下,也不至于腕部骨折,而女性则不同,骨头疏松脆弱,一撑就骨折。所以女性一是要预防、治疗骨质疏松,二是万一滑倒时,要学会避免用手直接去撑地面。”边平达医生说。
预防滑倒,边平达建议女性要尽量减少在雨后或雪后的日子里外出,尽量少到小溪、池塘和草坪等湿滑的地方行走,行走时要注意地面、地板或地砖上有无水渍、砂石和瓜皮等异物,以免滑倒。此外,浴室应放置防滑垫。
如何预防骨质疏松,边平达医生建议女性坚持参加太极拳等锻炼,注意补充钙剂和活性维生素D等药物,增强下肢肌力,同时积极治疗骨质疏松,进而减少跌倒后骨折的发生。
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