{"id":6930,"date":"2026-03-29T14:39:51","date_gmt":"2026-03-29T11:39:51","guid":{"rendered":"https:\/\/dmdwarrior.com\/?p=6930"},"modified":"2026-03-29T14:41:29","modified_gmt":"2026-03-29T11:41:29","slug":"bone-fractures-in-duchenne-muscular-dystrophy","status":"publish","type":"post","link":"https:\/\/dmdwarrior.com\/zh\/bone-fractures-in-duchenne-muscular-dystrophy\/","title":{"rendered":"\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\uff08DMD\uff09\u9aa8\u6298\u7684\u7ba1\u7406\uff1a\u9884\u9632\u3001\u98ce\u9669\u548c\u6cbb\u7597"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7 (DMD) \u60a3\u8005\u7684\u9aa8\u6298\u7ba1\u7406\u662f\u591a\u5b66\u79d1\u62a4\u7406\u7684\u5173\u952e\u7ec4\u6210\u90e8\u5206\uff0c\u56e0\u4e3a DMD \u60a3\u8005\u7531\u4e8e\u8fdb\u884c\u6027\u808c\u8089\u65e0\u529b\u3001\u6d3b\u52a8\u80fd\u529b\u4e0b\u964d\u548c\u7cd6\u76ae\u8d28\u6fc0\u7d20\u6cbb\u7597\uff0c\u9762\u4e34\u7740\u663e\u8457\u589e\u52a0\u7684\u9aa8\u6298\u98ce\u9669\u3002.<\/strong> \u8106\u6027\u9aa8\u6298\uff0c\u5c24\u5176\u662f\u957f\u9aa8\u9aa8\u6298\uff0c\u53ef\u80fd\u5bfc\u81f4\u4e25\u91cd\u7684\u5e76\u53d1\u75c7\uff0c\u5305\u62ec\u6c38\u4e45\u6027\u4e27\u5931\u884c\u8d70\u80fd\u529b\u3001\u6162\u6027\u75bc\u75db\u4ee5\u53ca\u5371\u53ca\u751f\u547d\u7684\u75be\u75c5\uff0c\u4f8b\u5982\u8102\u80aa\u6813\u585e\u7efc\u5408\u5f81\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e86\u89e3\u9aa8\u6298\u9884\u9632\u3001\u65e9\u671f\u8bc6\u522b\u548c\u6700\u4f73\u6cbb\u7597\u7b56\u7565\u5bf9\u4e8e\u6539\u5584\u60a3\u6709 DMD \u60a3\u8005\u7684\u957f\u671f\u7597\u6548\u548c\u751f\u6d3b\u8d28\u91cf\u81f3\u5173\u91cd\u8981\u3002.<\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>\u76ee\u5f55<\/h2><nav><ul><li><a href=\"#understanding-management-of-bone-fracture-in-duchenne-muscular-dystrophy\">\u4e86\u89e3\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u7684\u9aa8\u6298\u7ba1\u7406<\/a><\/li><li><a href=\"#why-are-bone-fractures-common-in-duchenne-muscular-dystrophy\">\u4e3a\u4ec0\u4e48\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u5bb9\u6613\u53d1\u751f\u9aa8\u6298\uff1f<\/a><ul><\/ul><\/li><li><a href=\"#common-types-of-fractures-in-dmd\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u7684\u5e38\u89c1\u9aa8\u6298\u7c7b\u578b<\/a><ul><\/ul><\/li><li><a href=\"#recognizing-a-fracture-in-duchenne-muscular-dystrophy\">\u8bc6\u522b\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u4e2d\u7684\u9aa8\u6298<\/a><ul><\/ul><\/li><li><a href=\"#what-should-i-do-if-i-suspect-a-femur-fracture\">\u5982\u679c\u6211\u6000\u7591\u81ea\u5df1\u80a1\u9aa8\u9aa8\u6298\uff0c\u6211\u5e94\u8be5\u600e\u4e48\u529e\uff1f<\/a><\/li><li><a href=\"#emergency-response-to-suspected-fractures\">\u7591\u4f3c\u9aa8\u6298\u7684\u7d27\u6025\u5e94\u5bf9\u63aa\u65bd<\/a><ul><\/ul><\/li><li><a href=\"#fat-embolism-syndrome-fes-a-critical-complication\">\u8102\u80aa\u6813\u585e\u7efc\u5408\u5f81\uff08FES\uff09\uff1a\u4e00\u79cd\u4e25\u91cd\u7684\u5e76\u53d1\u75c7<\/a><ul><\/ul><\/li><li><a href=\"#treatment-options-for-bone-fractures-in-dmd\">DMD\u9aa8\u6298\u7684\u6cbb\u7597\u65b9\u6848<\/a><ul><\/ul><\/li><li><a href=\"#why-walkers-are-not-recommended-in-dmd\">\u4e3a\u4ec0\u4e48\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u4e0d\u5efa\u8bae\u4f7f\u7528\u52a9\u884c\u5668<\/a><\/li><li><a href=\"#preventing-bone-fractures-in-duchenne-muscular-dystrophy\">\u9884\u9632\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u7684\u9aa8\u6298<\/a><ul><\/ul><\/li><li><a href=\"#medical-management-of-osteoporosis-in-dmd\">DMD\u9aa8\u8d28\u758f\u677e\u75c7\u7684\u836f\u7269\u6cbb\u7597<\/a><ul><\/ul><\/li><li><a href=\"#long-term-impact-of-fractures-in-dmd\">\u9aa8\u6298\u5bf9\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u7684\u957f\u671f\u5f71\u54cd<\/a><\/li><li><a href=\"#multidisciplinary-approach-to-fracture-management\">\u9aa8\u6298\u6cbb\u7597\u7684\u591a\u5b66\u79d1\u65b9\u6cd5<\/a><\/li><li><a href=\"#future-directions-in-bone-health-management\">\u9aa8\u9abc\u5065\u5eb7\u7ba1\u7406\u7684\u672a\u6765\u65b9\u5411<\/a><\/li><li><a href=\"#faq-bone-fractures-in-duchenne-muscular-dystrophy\">\u5e38\u89c1\u95ee\u9898\uff1a\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u7684\u9aa8\u6298<\/a><ul><li><a href=\"#faq-question-1773909044631\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u9aa8\u6298\u7684\u539f\u56e0\u662f\u4ec0\u4e48\uff1f<\/a><\/li><li><a href=\"#faq-question-1773909051802\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u9aa8\u6298\u7684\u53d1\u751f\u7387\u6709\u591a\u9ad8\uff1f<\/a><\/li><li><a href=\"#faq-question-1773909065017\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u6700\u4e25\u91cd\u7684\u9aa8\u6298\u662f\u4ec0\u4e48\uff1f<\/a><\/li><li><a href=\"#faq-question-1773909069056\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u7684\u6240\u6709\u9aa8\u6298\u90fd\u5e94\u8be5\u624b\u672f\u6cbb\u7597\u5417\uff1f<\/a><\/li><li><a href=\"#faq-question-1773909075457\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u53ef\u4ee5\u9884\u9632\u9aa8\u6298\u5417\uff1f<\/a><\/li><li><a href=\"#faq-question-1773909084113\">\u4ec0\u4e48\u662f\u8102\u80aa\u6813\u585e\u7efc\u5408\u5f81\uff1f<\/a><\/li><li><a href=\"#faq-question-1773909090434\">\u6709\u5fc5\u8981\u8fdb\u884c\u53cc\u80fdX\u5c04\u7ebf\u5438\u6536\u6cd5\uff08DEXA\uff09\u626b\u63cf\u5417\uff1f<\/a><\/li><li><a href=\"#faq-question-1773909109343\">\u7ef4\u751f\u7d20D\u548c\u9499\u6709\u7528\u5417\uff1f<\/a><\/li><\/ul><\/li><li><a href=\"#final-thoughts\">\u6700\u540e\u7684\u60f3\u6cd5<\/a><\/li><li><a href=\"#sources-and-scientific-references\">\u8d44\u6599\u6765\u6e90\u548c\u79d1\u5b66\u53c2\u8003\u6587\u732e<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"understanding-management-of-bone-fracture-in-duchenne-muscular-dystrophy\"><strong>\u4e86\u89e3\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u7684\u9aa8\u6298\u7ba1\u7406<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u4e86\u89e3\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u9aa8\u6298\u7684\u6cbb\u7597\u9700\u8981\u91c7\u53d6\u591a\u5b66\u79d1\u3001\u98ce\u9669\u9002\u5e94\u6027\u7684\u65b9\u6cd5\uff0c\u65e2\u8981\u89e3\u51b3\u9aa8\u6298\u672c\u8eab\uff0c\u53c8\u8981\u89e3\u51b3\u6f5c\u5728\u7684\u9aa8\u9abc\u8106\u5f31\u6027\u95ee\u9898\u3002.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u7531\u4e8e\u9aa8\u8d28\u758f\u677e\u3001\u957f\u671f\u4f7f\u7528\u7cd6\u76ae\u8d28\u6fc0\u7d20\u4ee5\u53ca\u808c\u8089\u65e0\u529b\u5bfc\u81f4\u7684\u673a\u68b0\u8d1f\u8377\u51cf\u5c11\uff0c\u5bb9\u6613\u53d1\u751f\u9aa8\u6298\u3002\u6709\u6548\u7684\u6cbb\u7597\u59cb\u4e8e\u53ca\u65f6\u8bc6\u522b\u548c\u7d27\u6025\u8bc4\u4f30\uff0c\u968f\u540e\u5236\u5b9a\u4e2a\u6027\u5316\u7684\u6cbb\u7597\u65b9\u6848\uff0c\u5176\u4e2d\u53ef\u80fd\u5305\u62ec\u5bf9\u4e0d\u7a33\u5b9a\u9aa8\u6298\u8fdb\u884c\u624b\u672f\u56fa\u5b9a\uff0c\u6216\u5bf9\u7a33\u5b9a\u9aa8\u6298\u8fdb\u884c\u77f3\u818f\u56fa\u5b9a\u548c\u5939\u677f\u56fa\u5b9a\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u65e9\u671f\u6d3b\u52a8\uff0c\u5c24\u5176\u662f\u5bf9\u4e8e\u53ef\u884c\u8d70\u7684\u60a3\u8005\uff0c\u662f\u9884\u9632\u6c38\u4e45\u6027\u529f\u80fd\u4e27\u5931\u7684\u9996\u8981\u4efb\u52a1\u3002\u540c\u65f6\uff0c\u5b9a\u671f\u8fdb\u884c\u9aa8\u9abc\u5065\u5eb7\u76d1\u6d4b\uff08\u53cc\u80fdX\u7ebf\u5438\u6536\u6cd5\u548c\u810a\u67f1\u5f71\u50cf\u5b66\u68c0\u67e5\uff09\u3001\u4f18\u5316\u9499\u548c\u7ef4\u751f\u7d20D\u6444\u5165\u4ee5\u53ca\u53cc\u81a6\u9178\u76d0\u6cbb\u7597\u7b49\u957f\u671f\u7b56\u7565\uff0c\u5728\u964d\u4f4e\u672a\u6765\u9aa8\u6298\u98ce\u9669\u65b9\u9762\u53d1\u6325\u7740\u81f3\u5173\u91cd\u8981\u7684\u4f5c\u7528\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u795e\u7ecf\u808c\u8089\u4e13\u5bb6\u3001\u9aa8\u79d1\u533b\u751f\u548c\u5185\u5206\u6ccc\u79d1\u533b\u751f\u4e4b\u95f4\u7684\u5bc6\u5207\u534f\u4f5c\u5bf9\u4e8e\u786e\u4fdd\u5b89\u5168\u5eb7\u590d\u548c\u7ef4\u6301\u751f\u6d3b\u8d28\u91cf\u81f3\u5173\u91cd\u8981\u3002\u4e86\u89e3\u66f4\u591a\uff1a <a href=\"https:\/\/dmdwarrior.com\/zh\/bone-joint-health-in-duchenne-muscular-dystrophy\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u7684\u9aa8\u9abc\u548c\u5173\u8282\u5065\u5eb7<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"why-are-bone-fractures-common-in-duchenne-muscular-dystrophy\"><strong>\u4e3a\u4ec0\u4e48\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u5bb9\u6613\u53d1\u751f\u9aa8\u6298\uff1f<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"pathophysiology-of-bone-fragility-in-dmd\">DMD\u9aa8\u8106\u6027\u7684\u75c5\u7406\u751f\u7406\u673a\u5236<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">DMD\u60a3\u8005\u7684\u9aa8\u9abc\u8106\u5f31\u662f\u7531\u591a\u79cd\u56e0\u7d20\u5171\u540c\u4f5c\u7528\u5bfc\u81f4\u7684\uff0c\u5305\u62ec\uff1a<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"chronic-muscle-weakness\">\u6162\u6027\u808c\u8089\u65e0\u529b<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fdb\u884c\u6027\u808c\u8089\u9000\u5316\u4f1a\u964d\u4f4e\u9aa8\u9abc\u7684\u673a\u68b0\u8d1f\u8377\uff0c\u5bfc\u81f4\u9aa8\u5bc6\u5ea6\uff08BMD\uff09\u4e0b\u964d\u3002\u673a\u68b0\u5e94\u529b\u5bf9\u9aa8\u9abc\u91cd\u5851\u81f3\u5173\u91cd\u8981\uff1b\u7f3a\u4e4f\u673a\u68b0\u5e94\u529b\u4f1a\u52a0\u901f\u9aa8\u8d28\u6d41\u5931\u3002.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"glucocorticoid-therapy\">\u7cd6\u76ae\u8d28\u6fc0\u7d20\u7597\u6cd5<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">\u957f\u671f\u4f7f\u7528\u76ae\u8d28\u7c7b\u56fa\u9187\uff08\u4f8b\u5982\u6cfc\u5c3c\u677e\u3001\u5730\u592b\u53ef\u7279\uff09\u662f\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7 (DMD) \u7684\u6807\u51c6\u6cbb\u7597\u65b9\u6cd5\uff0c\u4f46\u4f1a\u5bfc\u81f4\u4ee5\u4e0b\u540e\u679c\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9aa8\u5f62\u6210\u51cf\u5c11<\/li>\n\n\n\n<li>\u9aa8\u5438\u6536\u589e\u52a0<\/li>\n\n\n\n<li>\u9499\u5438\u6536\u53d7\u6291\u5236<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u53d1\u73b0\u66f4\u591a\uff1a <a href=\"https:\/\/dmdwarrior.com\/zh\/pros-and-cons-of-steroids-for-duchenne-muscular-dystrophy\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u4f7f\u7528\u7c7b\u56fa\u9187\uff08\u53ef\u7684\u677e\uff09\u7684\u5229\u5f0a\u662f\u4ec0\u4e48\uff1f<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"reduced-mobility-and-immobilization\">\u884c\u52a8\u80fd\u529b\u4e0b\u964d\u548c\u6d3b\u52a8\u53d7\u9650<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e27\u5931\u884c\u8d70\u80fd\u529b\u4f1a\u663e\u8457\u52a0\u901f\u9aa8\u8d28\u758f\u677e\u75c7\u7684\u53d1\u751f\uff0c\u539f\u56e0\u5982\u4e0b\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7f3a\u4e4f\u8d1f\u91cd\u6d3b\u52a8<\/li>\n\n\n\n<li>\u9aa8\u5438\u6536\u589e\u52a0<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"delayed-puberty-and-hormonal-factors\">\u9752\u6625\u671f\u5ef6\u8fdf\u4e0e\u6fc0\u7d20\u56e0\u7d20<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">\u5185\u5206\u6ccc\u529f\u80fd\u969c\u788d\uff08\u4f8b\u5982\u6027\u817a\u529f\u80fd\u51cf\u9000\uff09\u4f1a\u8fdb\u4e00\u6b65\u635f\u5bb3\u9aa8\u9abc\u53d1\u80b2\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcda <strong>\u8bc1\u636e\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ward LM \u7b49 (2016)\u3002\u5bb6\u957f\u9879\u76ee\u808c\u8089\u840e\u7f29\u75c7\u9aa8\u9abc\u5065\u5eb7\u7814\u8ba8\u4f1a\u8bba\u6587\u96c6<\/li>\n\n\n\n<li>Buckner \u7b49\u4eba (2015) \u6307\u51fa\uff0c\u690e\u4f53\u9aa8\u6298\u662f DMD \u4e2d\u672a\u5f97\u5230\u5145\u5206\u8bca\u65ad\u7684\u5e76\u53d1\u75c7\u3002.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"common-types-of-fractures-in-dmd\"><strong>\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u7684\u5e38\u89c1\u9aa8\u6298\u7c7b\u578b<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"long-bone-fractures\">\u957f\u9aa8\u9aa8\u6298<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u6700\u5e38\u53d7\u5f71\u54cd\u7684\u9aa8\u9abc\u5305\u62ec\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u80a1\u9aa8\uff08\u5927\u817f\u9aa8\uff09<\/li>\n\n\n\n<li>\u80eb\u9aa8<\/li>\n\n\n\n<li>\u8153\u9aa8<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u7531\u4e8e\u6f5c\u5728\u7684\u9aa8\u8d28\u758f\u677e\u75c7\uff0c\u8fd9\u4e9b\u9aa8\u6298\u5f80\u5f80\u5728\u8f7b\u5fae\u5916\u4f24\u7684\u60c5\u51b5\u4e0b\u53d1\u751f\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"vertebral-compression-fractures\">\u690e\u4f53\u538b\u7f29\u6027\u9aa8\u6298<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u901a\u5e38\u65e0\u75c7\u72b6\u4f46\u5177\u6709\u4e34\u5e8a\u610f\u4e49\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u53ef\u80fd\u8868\u73b0\u4e3a\u80cc\u75db<\/li>\n\n\n\n<li>\u53ef\u80fd\u5bfc\u81f4\u810a\u67f1\u7578\u5f62<\/li>\n\n\n\n<li>\u4e0e\u7c7b\u56fa\u9187\u4f7f\u7528\u5bc6\u5207\u76f8\u5173<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcda <strong>\u5b66\u4e60\u5fc3\u5f97\uff1a<\/strong> \u63a5\u53d7\u7c7b\u56fa\u9187\u6cbb\u7597\u7684 DMD \u60a3\u8005\u4e2d\uff0c\u9ad8\u8fbe 30-50% \u7684\u4eba\u53ef\u80fd\u4f1a\u53d1\u751f\u690e\u4f53\u9aa8\u6298\uff08Ma \u7b49\u4eba\uff0c2017\uff09\u3002.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"recognizing-a-fracture-in-duchenne-muscular-dystrophy\"><strong>\u8bc6\u522b\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u4e2d\u7684\u9aa8\u6298<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"key-signs-and-symptoms\">\u4e3b\u8981\u4f53\u5f81\u548c\u75c7\u72b6<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u7167\u62a4\u8005\u548c\u4e34\u5e8a\u533b\u751f\u5e94\u76d1\u6d4b\u4ee5\u4e0b\u60c5\u51b5\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5267\u70c8\u6216\u6301\u7eed\u6027\u75bc\u75db<\/li>\n\n\n\n<li>\u80bf\u80c0\u548c\u7600\u4f24<\/li>\n\n\n\n<li>\u80a2\u4f53\u7578\u5f62\u6216\u7f29\u77ed<\/li>\n\n\n\n<li>\u7a81\u7136\u4e27\u5931\u884c\u52a8\u80fd\u529b<\/li>\n\n\n\n<li>\u62d2\u7edd\u627f\u53d7\u91cd\u91cf<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u5bf9\u4e8e\u65e0\u6cd5\u884c\u8d70\u7684\u4e2a\u4f53\uff0c\u75c7\u72b6\u53ef\u80fd\u5f88\u8f7b\u5fae\uff0c\u5305\u62ec\u8f6c\u79fb\u8fc7\u7a0b\u4e2d\u7684\u4e0d\u9002\u3002.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"what-should-i-do-if-i-suspect-a-femur-fracture\"><strong>\u5982\u679c\u6211\u6000\u7591\u81ea\u5df1\u80a1\u9aa8\u9aa8\u6298\uff0c\u6211\u5e94\u8be5\u600e\u4e48\u529e\uff1f<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u5982\u679c\u60a8\u6000\u7591\u80a1\u9aa8\u9aa8\u6298\uff0c\u8bf7\u7acb\u5373\u91c7\u53d6\u884c\u52a8\uff0c\u5e76\u5c06\u5176\u89c6\u4e3a\u533b\u7597\u6025\u75c7\u3002\u907f\u514d\u79fb\u52a8\u60a3\u80a2\uff0c\u4fdd\u6301\u60a3\u80a2\u5728\u5f53\u524d\u4f4d\u7f6e\u5e76\u52a0\u4ee5\u652f\u6491\uff0c\u7136\u540e\u524d\u5f80\u6700\u8fd1\u7684\u6025\u8bca\u79d1\u5c31\u533b\u3002\u5207\u52ff\u5c1d\u8bd5\u4f38\u76f4\u60a3\u80a2\u6216\u4f7f\u5176\u8d1f\u91cd\uff0c\u56e0\u4e3a\u8fd9\u53ef\u80fd\u4f1a\u52a0\u91cd\u4f24\u60c5\u3002\u8bf7\u544a\u77e5\u533b\u7597\u56e2\u961f\u60a8\u7684\u6f5c\u5728\u75c5\u56e0\uff0c\u5e76\u5c3d\u5feb\u8054\u7cfb\u60a8\u7684\u795e\u7ecf\u808c\u8089\u4e13\u79d1\u533b\u751f\u3002\u65e9\u671f\u8bc4\u4f30\u548c\u534f\u8c03\u6cbb\u7597\u5bf9\u4e8e\u51cf\u5c11\u6d3b\u52a8\u53d7\u9650\u3001\u4f24\u53e3\u6108\u5408\u4e0d\u826f\u6216\u8102\u80aa\u6813\u585e\u7efc\u5408\u5f81\u7b49\u5e76\u53d1\u75c7\u81f3\u5173\u91cd\u8981\u3002.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"emergency-response-to-suspected-fractures\"><strong>\u7591\u4f3c\u9aa8\u6298\u7684\u7d27\u6025\u5e94\u5bf9\u63aa\u65bd<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"immediate-steps\">\u7acb\u5373\u91c7\u53d6\u7684\u63aa\u65bd<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5982\u679c\u6000\u7591\u9aa8\u6298\uff1a<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u7acb\u5373\u5bfb\u6c42\u7d27\u6025\u533b\u7597\u6551\u52a9<\/li>\n\n\n\n<li>\u907f\u514d\u4e0d\u5fc5\u8981\u7684\u52a8\u4f5c<\/li>\n\n\n\n<li>\u901a\u77e5\u795e\u7ecf\u808c\u8089\u4e13\u79d1\u533b\u751f<\/li>\n\n\n\n<li>\u63d0\u4f9b\u7d27\u6025\u533b\u7597\u6587\u4ef6<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"why-rapid-intervention-matters\">\u5feb\u901f\u5e72\u9884\u4e3a\u4f55\u81f3\u5173\u91cd\u8981<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5ef6\u8bef\u6cbb\u7597\u4f1a\u589e\u52a0\u4ee5\u4e0b\u98ce\u9669\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8102\u80aa\u6813\u585e\u7efc\u5408\u5f81\uff08FES\uff09<\/li>\n\n\n\n<li>\u611f\u67d3<\/li>\n\n\n\n<li>\u6c38\u4e45\u6027\u529f\u80fd\u8870\u9000<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e86\u89e3\u66f4\u591a\uff1a <a href=\"https:\/\/dmdwarrior.com\/zh\/emergency-care-in-duchenne-muscular-dystrophy\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u6025\u8bca\u62a4\u7406<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"fat-embolism-syndrome-fes-a-critical-complication\"><strong>\u8102\u80aa\u6813\u585e\u7efc\u5408\u5f81\uff08FES\uff09\uff1a\u4e00\u79cd\u4e25\u91cd\u7684\u5e76\u53d1\u75c7<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"what-is-fes\">\u4ec0\u4e48\u662fFES\uff1f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u8102\u80aa\u6813\u585e\u7efc\u5408\u5f81\uff08FES\uff09\u662f\u6307\u9aa8\u9abc\u53d7\u5230\u521b\u4f24\u540e\uff0c\u8102\u80aa\u6ef4\u8fdb\u5165\u8840\u6db2\u5faa\u73af\u6240\u81f4\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"symptoms-of-fes\">FES\u7684\u75c7\u72b6<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u547c\u5438\u7a98\u8feb<\/li>\n\n\n\n<li>\u610f\u8bc6\u6df7\u4e71\u6216\u610f\u8bc6\u6539\u53d8<\/li>\n\n\n\n<li>\u7600\u70b9\u76ae\u75b9<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"clinical-importance\">\u4e34\u5e8a\u610f\u4e49<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u867d\u7136\u7f55\u89c1\uff0c\u4f46FES\u53ef\u80fd\u81f4\u547d\uff0c\u9700\u8981\u7d27\u6025\u5e72\u9884\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcda <strong>\u53c2\u8003\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gupta \u7b49\u4eba (2018) \u5f3a\u8c03\u4e86\u65e9\u671f\u8bc6\u522b\u795e\u7ecf\u808c\u8089\u75be\u75c5\u4e2d\u7684 FES\u3002.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e86\u89e3\u66f4\u591a\uff1a <a href=\"https:\/\/dmdwarrior.com\/zh\/fat-embolism-syndrome-in-duchenne-muscular-dystrophy\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u7684\u8102\u80aa\u6813\u585e\u7efc\u5408\u5f81<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"treatment-options-for-bone-fractures-in-dmd\"><strong>DMD\u9aa8\u6298\u7684\u6cbb\u7597\u65b9\u6848<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u6cbb\u7597\u65b9\u6848\u5fc5\u987b\u56e0\u4eba\u800c\u5f02\uff0c\u5e76\u7531\u9aa8\u79d1\u533b\u751f\u548c\u795e\u7ecf\u808c\u8089\u4e13\u5bb6\u534f\u8c03\u5236\u5b9a\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"surgical-management\">\u5916\u79d1\u6cbb\u7597<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"indications\">\u9002\u5e94\u75c7<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u79fb\u4f4d\u6027\u9aa8\u6298<\/li>\n\n\n\n<li>\u4e0d\u7a33\u5b9a\u9aa8\u6298<\/li>\n\n\n\n<li>\u9700\u8981\u5c3d\u65e9\u52a8\u5458<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"techniques\">\u6280\u672f<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9ad3\u5185\u68d2<\/li>\n\n\n\n<li>\u677f\u6750\u548c\u87ba\u4e1d<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"benefits\">\u597d\u5904<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u66f4\u5feb\u7684\u52a8\u5458<\/li>\n\n\n\n<li>\u964d\u4f4e\u529f\u80fd\u8870\u9000\u7684\u98ce\u9669<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"risks\">\u98ce\u9669<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9ebb\u9189\u5e76\u53d1\u75c7<\/li>\n\n\n\n<li>DMD\u60a3\u8005\u56f4\u624b\u672f\u671f\u98ce\u9669\u589e\u52a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcda <strong>\u8bc1\u636e\uff1a<\/strong> \u624b\u672f\u56fa\u5b9a\u53ef\u63d0\u9ad8\u7ef4\u6301\u884c\u8d70\u80fd\u529b\u7684\u53ef\u80fd\u6027\uff08Bushby \u7b49\u4eba\uff0c2010\uff09\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u53d1\u73b0\u66f4\u591a\uff1a <a href=\"https:\/\/dmdwarrior.com\/zh\/dmd-surgery-anesthesia\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u9ebb\u9189\u4e0b\u624b\u672f<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"non-surgical-management\">\u975e\u624b\u672f\u6cbb\u7597<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"casting\">\u94f8\u4ef6<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5168\u817f\u77f3\u818f\u56fa\u5b9a\uff08\u5efa\u8bae\u4fdd\u6301\u4e2d\u7acb\u4f4d\uff09<\/li>\n\n\n\n<li>\u5982\u679c\u53ef\u884c\uff0c\u53ef\u4ee5\u627f\u91cd\u3002<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"splinting\">\u5939\u677f\u56fa\u5b9a<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9002\u7528\u4e8e\u7a33\u5b9a\u6027\u9aa8\u6298<\/li>\n\n\n\n<li>\u5e38\u7528\u4e8e\u65e0\u6cd5\u884c\u8d70\u7684\u60a3\u8005<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"rehabilitation-after-fracture\">\u9aa8\u6298\u540e\u7684\u5eb7\u590d<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u65e9\u671f\u5eb7\u590d\u81f3\u5173\u91cd\u8981\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7269\u7406\u6cbb\u7597<\/li>\n\n\n\n<li>\u9010\u6b65\u8d1f\u91cd<\/li>\n\n\n\n<li>\u9884\u9632\u631b\u7f29<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u591a\u5b66\u79d1\u534f\u4f5c\u62a4\u7406\u5bf9\u4e8e\u4f18\u5316\u5eb7\u590d\u81f3\u5173\u91cd\u8981\u3002.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"why-walkers-are-not-recommended-in-dmd\"><strong>\u4e3a\u4ec0\u4e48\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u4e0d\u5efa\u8bae\u4f7f\u7528\u52a9\u884c\u5668<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e0d\u5efa\u8bae\u4f7f\u7528\u52a9\u884c\u5668\uff0c\u539f\u56e0\u5982\u4e0b\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u91cd\u5fc3\u6539\u53d8<\/li>\n\n\n\n<li>\u8dcc\u5012\u98ce\u9669\u589e\u52a0<\/li>\n\n\n\n<li>\u4e0a\u80a2\u65e0\u529b<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u66f4\u5b89\u5168\u7684\u66ff\u4ee3\u65b9\u6848\u5305\u62ec\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8f6e\u6905<\/li>\n\n\n\n<li>\u8f85\u52a9\u79fb\u52a8\u8bbe\u5907<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e86\u89e3\u66f4\u591a\uff1a <a href=\"https:\/\/dmdwarrior.com\/zh\/power-wheelchair-in-duchenne-muscular-dystrophy\/\" target=\"_blank\" rel=\"noreferrer noopener\">DMD\u60a3\u8005\u4f55\u65f6\u6700\u9002\u5408\u4f7f\u7528\u7535\u52a8\u8f6e\u6905\uff1f<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"preventing-bone-fractures-in-duchenne-muscular-dystrophy\"><strong>\u9884\u9632\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u7684\u9aa8\u6298<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"fall-prevention-strategies\">\u9884\u9632\u8dcc\u5012\u7b56\u7565<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"for-ambulatory-individuals\">\u5bf9\u4e8e\u80fd\u591f\u884c\u8d70\u7684\u4e2a\u4eba<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4fdd\u6301\u9053\u8def\u7545\u901a<\/li>\n\n\n\n<li>\u7a7f\u5408\u9002\u7684\u978b\u5b50\u3002<\/li>\n\n\n\n<li>\u907f\u514d\u8fc7\u5ea6\u52b3\u7d2f<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"for-non-ambulatory-individuals\">\u5bf9\u4e8e\u65e0\u6cd5\u884c\u8d70\u7684\u4e2a\u4eba<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5b89\u5168\u8f6c\u79fb\u6280\u672f<\/li>\n\n\n\n<li>\u8f6e\u6905\u5b89\u5168\u5e26<\/li>\n\n\n\n<li>\u76d1\u7763\u5b9a\u4f4d<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"monitoring-bone-health\">\u76d1\u6d4b\u9aa8\u9abc\u5065\u5eb7<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"dexa-scans\">\u53cc\u80fdX\u5c04\u7ebf\u5438\u6536\u6cd5\uff08DEXA\uff09\u626b\u63cf<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5f00\u59cb\u4f7f\u7528\u7c7b\u56fa\u9187\u540e\u6bcf\u5e74\u8fdb\u884c\u7b5b\u67e5<\/li>\n\n\n\n<li>\u6d4b\u91cf\u9aa8\u77ff\u7269\u8d28\u5bc6\u5ea6<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"spine-imaging\">\u810a\u67f1\u5f71\u50cf<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8170\u690e\u4fa7\u4f4dX\u5149\u7247<\/li>\n\n\n\n<li>Genant \u8bc4\u5206\u7528\u4e8e\u690e\u4f53\u9aa8\u6298<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcda <strong>\u6307\u5357\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.parentprojectmd.org\/wp-content\/uploads\/2018\/06\/Duchenne_CareConsiderations_2018_Part2.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">2018 \u5e74 DMD \u62a4\u7406\u6ce8\u610f\u4e8b\u9879\u5efa\u8bae\u8fdb\u884c\u5e38\u89c4\u9aa8\u9abc\u5065\u5eb7\u76d1\u6d4b\u3002.<\/a><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-3-role-of-endocrinology\">\u5185\u5206\u6ccc\u5b66\u7684\u4f5c\u7528<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5185\u5206\u6ccc\u5b66\u5bb6\u5728\u4ee5\u4e0b\u65b9\u9762\u53d1\u6325\u7740\u5173\u952e\u4f5c\u7528\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9aa8\u8d28\u758f\u677e\u75c7\u7684\u8bca\u65ad<\/li>\n\n\n\n<li>\u6fc0\u7d20\u7f3a\u4e4f\u75c7\u7684\u6cbb\u7597<\/li>\n\n\n\n<li>\u5f00\u5177\u9aa8\u4fdd\u62a4\u7597\u6cd5<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"medical-management-of-osteoporosis-in-dmd\"><strong>DMD\u9aa8\u8d28\u758f\u677e\u75c7\u7684\u836f\u7269\u6cbb\u7597<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"calcium-and-vitamin-d\">\u9499\u548c\u7ef4\u751f\u7d20D<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5fc5\u5907\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9aa8\u77ff\u5316<\/li>\n\n\n\n<li>\u9884\u9632\u4e0d\u8db3<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"bisphosphonate-therapy\">\u53cc\u81a6\u9178\u76d0\u7597\u6cd5<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"mechanism\">\u673a\u5236<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6291\u5236\u9aa8\u5438\u6536<\/li>\n\n\n\n<li>\u589e\u52a0\u9aa8\u5bc6\u5ea6<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"administration\">\u884c\u653f<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u53e3\u670d\u6216\u9759\u8109\u6ce8\u5c04<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"benefits-1\">\u597d\u5904<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u964d\u4f4e\u9aa8\u6298\u98ce\u9669<\/li>\n\n\n\n<li>\u6539\u5584\u690e\u9aa8\u5b8c\u6574\u6027<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcda <strong>\u8bc1\u636e\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ward LM \u7b49 (2016)\u3002\u5bb6\u957f\u9879\u76ee\u808c\u8089\u840e\u7f29\u75c7\u9aa8\u9abc\u5065\u5eb7\u7814\u8ba8\u4f1a\u8bba\u6587\u96c6<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"long-term-impact-of-fractures-in-dmd\"><strong>\u9aa8\u6298\u5bf9\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u7684\u957f\u671f\u5f71\u54cd<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u9aa8\u6298\u53ef\u80fd\u5bfc\u81f4\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6c38\u4e45\u6027\u4e27\u5931\u884c\u8d70\u80fd\u529b<\/li>\n\n\n\n<li>\u4f9d\u8d56\u6027\u589e\u5f3a<\/li>\n\n\n\n<li>\u751f\u6d3b\u8d28\u91cf\u4e0b\u964d<\/li>\n\n\n\n<li>\u8f83\u9ad8\u7684\u53d1\u75c5\u7387<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u56e0\u6b64\uff0c\u65e9\u671f\u5e72\u9884\u548c\u9884\u9632\u81f3\u5173\u91cd\u8981\u3002.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"multidisciplinary-approach-to-fracture-management\"><strong>\u9aa8\u6298\u6cbb\u7597\u7684\u591a\u5b66\u79d1\u65b9\u6cd5<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u6700\u4f73\u62a4\u7406\u9700\u8981\u4ee5\u4e0b\u5404\u65b9\u7684\u534f\u8c03\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u795e\u7ecf\u808c\u8089\u4e13\u5bb6<\/li>\n\n\n\n<li>\u9aa8\u79d1\u533b\u751f<\/li>\n\n\n\n<li>\u5185\u5206\u6ccc\u5b66\u5bb6<\/li>\n\n\n\n<li>\u7406\u7597\u5e08<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fd9\u79cd\u7efc\u5408\u6a21\u5f0f\u53ef\u4ee5\u6539\u5584\u6cbb\u7597\u6548\u679c\u5e76\u51cf\u5c11\u5e76\u53d1\u75c7\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u9605\u8bfb\u66f4\u591a\uff1a <a href=\"https:\/\/dmdwarrior.com\/zh\/multidisciplinary-neuromuscular-team-duchenne-muscular-dystrophy\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u591a\u5b66\u79d1\u795e\u7ecf\u808c\u8089\u56e2\u961f<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"future-directions-in-bone-health-management\"><strong>\u9aa8\u9abc\u5065\u5eb7\u7ba1\u7406\u7684\u672a\u6765\u65b9\u5411<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u65b0\u5174\u7b56\u7565\u5305\u62ec\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u65b0\u578b\u9aa8\u9abc\u5408\u6210\u4ee3\u8c22\u7597\u6cd5<\/li>\n\n\n\n<li>\u6539\u8fdb\u7684\u51cf\u5c11\u7c7b\u56fa\u9187\u7528\u91cf\u7684\u6cbb\u7597\u65b9\u6cd5<\/li>\n\n\n\n<li>\u57fa\u56e0\u7597\u6cd5\u5e94\u5bf9\u75be\u75c5\u8fdb\u5c55<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u76ee\u524d\u7684\u7814\u7a76\u65e8\u5728\u964d\u4f4e DMD \u60a3\u8005\u7684\u9aa8\u6298\u8d1f\u62c5\u3002.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"faq-bone-fractures-in-duchenne-muscular-dystrophy\"><strong>\u5e38\u89c1\u95ee\u9898\uff1a\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u7684\u9aa8\u6298<\/strong><\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1773909044631\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u9aa8\u6298\u7684\u539f\u56e0\u662f\u4ec0\u4e48\uff1f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u9aa8\u6298\u4e3b\u8981\u662f\u7531\u4e8e\u7c7b\u56fa\u9187\u4f7f\u7528\u548c\u6d3b\u52a8\u51cf\u5c11\u5bfc\u81f4\u7684\u9aa8\u8d28\u758f\u677e\u75c7\u5f15\u8d77\u7684\u3002.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1773909051802\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u9aa8\u6298\u7684\u53d1\u751f\u7387\u6709\u591a\u9ad8\uff1f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u9ad8\u8fbe 60% \u7684\u60a3\u8005\u4f1a\u53d1\u751f\u9aa8\u6298\uff0c\u5c24\u5176\u662f\u957f\u9aa8\u9aa8\u6298\u3002.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1773909065017\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u6700\u4e25\u91cd\u7684\u9aa8\u6298\u662f\u4ec0\u4e48\uff1f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u80a1\u9aa8\u9aa8\u6298\u5c24\u5176\u4e25\u91cd\uff0c\u56e0\u4e3a\u5b83\u6709\u53ef\u80fd\u5bfc\u81f4\u6c38\u4e45\u6027\u4e27\u5931\u884c\u8d70\u80fd\u529b\u3002.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1773909069056\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u7684\u6240\u6709\u9aa8\u6298\u90fd\u5e94\u8be5\u624b\u672f\u6cbb\u7597\u5417\uff1f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u4e0d\u3002\u6cbb\u7597\u65b9\u6848\u53d6\u51b3\u4e8e\u9aa8\u6298\u7c7b\u578b\u3001\u7a33\u5b9a\u6027\u4ee5\u53ca\u60a3\u8005\u7684\u884c\u8d70\u80fd\u529b\u3002.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1773909075457\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u53ef\u4ee5\u9884\u9632\u9aa8\u6298\u5417\uff1f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u662f\u7684\u3002\u76d1\u6d4b\u9aa8\u9abc\u5065\u5eb7\u3001\u9884\u9632\u8dcc\u5012\u4ee5\u53ca\u4f7f\u7528\u53cc\u81a6\u9178\u76d0\u7b49\u836f\u7269\u6709\u52a9\u4e8e\u964d\u4f4e\u98ce\u9669\u3002.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1773909084113\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u4ec0\u4e48\u662f\u8102\u80aa\u6813\u585e\u7efc\u5408\u5f81\uff1f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u9aa8\u6298\u540e\u8102\u80aa\u8fdb\u5165\u8840\u6db2\u662f\u4e00\u79cd\u7f55\u89c1\u4f46\u4e25\u91cd\u7684\u5e76\u53d1\u75c7\uff0c\u9700\u8981\u7d27\u6025\u6cbb\u7597\u3002.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1773909090434\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u6709\u5fc5\u8981\u8fdb\u884c\u53cc\u80fdX\u5c04\u7ebf\u5438\u6536\u6cd5\uff08DEXA\uff09\u626b\u63cf\u5417\uff1f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u662f\u7684\u3002\u5b9a\u671f\u626b\u63cf\u6709\u52a9\u4e8e\u53ca\u65e9\u53d1\u73b0\u9aa8\u8d28\u6d41\u5931\uff0c\u5e76\u6307\u5bfc\u6cbb\u7597\u3002.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1773909109343\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u7ef4\u751f\u7d20D\u548c\u9499\u6709\u7528\u5417\uff1f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u662f\u7684\u3002\u5b83\u4eec\u5bf9\u4e8e\u7ef4\u6301\u9aa8\u9abc\u5f3a\u5ea6\u548c\u964d\u4f4e\u9aa8\u6298\u98ce\u9669\u81f3\u5173\u91cd\u8981\u3002.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"final-thoughts\">\u6700\u540e\u7684\u60f3\u6cd5<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u60a3\u8005\u7684\u9aa8\u6298\u7ba1\u7406\u9700\u8981\u79ef\u6781\u76d1\u6d4b\u3001\u5bf9\u635f\u4f24\u5feb\u901f\u53cd\u5e94\u4ee5\u53ca\u4e2a\u6027\u5316\u6cbb\u7597\u7b56\u7565\u3002.<\/strong> \u901a\u8fc7\u9002\u5f53\u7684\u591a\u5b66\u79d1\u62a4\u7406\uff0c\u8bb8\u591a\u5e76\u53d1\u75c7\u53ef\u4ee5\u9884\u9632\u6216\u6700\u5927\u7a0b\u5ea6\u5730\u51cf\u5c11\u3002\u589e\u5f3a\u9aa8\u9abc\u5065\u5eb7\u3001\u9884\u9632\u8dcc\u5012\u548c\u4f18\u5316\u6cbb\u7597\u51b3\u7b56\u662f\u957f\u671f\u62a4\u7406\u7684\u5173\u952e\u652f\u67f1\u3002. <strong>\u968f\u7740\u7814\u7a76\u7684\u8fdb\u5c55\uff0c\u6539\u8fdb\u7684\u7597\u6cd5\u53ef\u80fd\u4f1a\u8fdb\u4e00\u6b65\u964d\u4f4e\u9aa8\u6298\u98ce\u9669\uff0c\u5e76\u63d0\u9ad8 DMD \u60a3\u8005\u7684\u751f\u6d3b\u8d28\u91cf\u3002.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"sources-and-scientific-references\">\u8d44\u6599\u6765\u6e90\u548c\u79d1\u5b66\u53c2\u8003\u6587\u732e<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Bushby K \u7b49 (2010)\u3002\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u7684\u8bca\u65ad\u548c\u6cbb\u7597\u3002. <a href=\"https:\/\/www.thelancet.com\/journals\/laneur\/article\/PIIS1474-4422(09)70271-6\/fulltext\" target=\"_blank\" rel=\"noopener\">\u300a\u67f3\u53f6\u5200\u795e\u7ecf\u75c5\u5b66\u300b<\/a>.<\/li>\n\n\n\n<li>Ward LM \u7b49\uff082016\uff09\u3002. <a href=\"https:\/\/www.nmd-journal.com\/article\/S0960-8966(17)30158-X\/fulltext\" target=\"_blank\" rel=\"noopener\">\u5bb6\u957f\u9879\u76ee\u808c\u8425\u517b\u4e0d\u826f\u75c7\u9aa8\u9abc\u5065\u5eb7\u7814\u8ba8\u4f1a\u4f1a\u8bae\u8bb0\u5f55<\/a><\/li>\n\n\n\n<li>Buckner JL \u7b49 (2015)\u3002\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u7684\u690e\u4f53\u9aa8\u6298\u3002\u795e\u7ecf\u75c5\u5b66\u3002.<\/li>\n\n\n\n<li>Ma J \u7b49 (2017)\u3002\u675c\u6c0f\u808c\u8425\u517b\u4e0d\u826f\u75c7\u7684\u9aa8\u9abc\u5065\u5eb7\u3002\u795e\u7ecf\u808c\u8089\u75be\u75c5\u3002.<\/li>\n\n\n\n<li>Birnkrant DJ \u7b49 (2018)\u3002DMD \u62a4\u7406\u6ce8\u610f\u4e8b\u9879\u3002\u300a\u67f3\u53f6\u5200\u795e\u7ecf\u75c5\u5b66\u300b\u3002.<\/li>\n\n\n\n<li>Gupta A \u7b49 (2018)\u3002\u8102\u80aa\u6813\u585e\u7efc\u5408\u5f81\u7efc\u8ff0\u3002.<\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<p>Managing Bone Fractures in Duchenne muscular dystrophy (DMD) is a critical component of multidisciplinary care, as individuals with DMD face significantly increased fracture risk due to progressive muscle weakness, reduced mobility, and glucocorticoid therapy. Fragility fractures\u2014especially of the long bones\u2014can lead to severe complications, including permanent loss of ambulation, chronic pain, and life-threatening conditions such [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6935,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[563],"tags":[560,564,585,554,379,586,552],"class_list":["post-6930","post","type-post","status-publish","format-standard","has-post-thumbnail","category-care-guidelines","tag-bisphosphonate-therapy","tag-bone-fractures","tag-bone-fragility","tag-bone-health","tag-dmd-care","tag-femur-fracture","tag-osteoporosis"],"_links":{"self":[{"href":"https:\/\/dmdwarrior.com\/zh\/wp-json\/wp\/v2\/posts\/6930","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dmdwarrior.com\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dmdwarrior.com\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/zh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/zh\/wp-json\/wp\/v2\/comments?post=6930"}],"version-history":[{"count":0,"href":"https:\/\/dmdwarrior.com\/zh\/wp-json\/wp\/v2\/posts\/6930\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/zh\/wp-json\/wp\/v2\/media\/6935"}],"wp:attachment":[{"href":"https:\/\/dmdwarrior.com\/zh\/wp-json\/wp\/v2\/media?parent=6930"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dmdwarrior.com\/zh\/wp-json\/wp\/v2\/categories?post=6930"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dmdwarrior.com\/zh\/wp-json\/wp\/v2\/tags?post=6930"}],"curies":[{"name":"\u53ef\u6e7f\u6027\u7c89\u5242","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}