新型冠状病毒肺炎后股骨头坏死的三级防治策略探讨  

Three-stage Strategy for the Prevention and Treatment of Femur Head Necrosis after COVID-19

作　　者：何俊[1] 李佳[1] HE Jun;LI Jia(Rehabilitation Medical Center,Changzhou Dean Hospital,Changzhou 213000,China)

机构地区：[1]江苏省常州市德安医院康复医学中心,213000

出　　处：《实用心脑肺血管病杂志》2020年第9期1-5,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目前,新型冠状病毒肺炎(COVID-19)后发生股骨头坏死有两个潜在原因,一是使用糖皮质激素所致,二是病毒感染所致;基于严重急性呼吸综合征(SARS)患者康复后股骨头坏死发生率较高这一临床经验,早期预防股骨头坏死是COVID-19防治中不可或缺的部分。本文从“三级康复预防”角度探讨COVID-19后股骨头坏死的防治策略,并提出规范COVID-19患者糖皮质激素的应用、预防中高风险人群COVID-19后股骨头坏死的发生、预防股骨头坏死后塌陷的发生的三级防治策略,以避免或延缓患者髋关节功能损伤,有效降低病残率。At present,there are two potential causes of femur head necrosis after coronavirus diseases 2019(COVID-19),one is caused by the use of glucocorticoids,and the other is caused by viral infection.Based on the clinical experience of a higher incidence of femur head necrosis after recovery in severe acute respiratory syndrome(SARS)patients,early prevention of femur head necrosis is an indispensable part of the prevention and treatment of COVID-19.This paper expounds the prevention and treatment strategy of femur head necrosis after COVID-19 from the perspective of"three-stage rehabilitation prevention",and puts forward three-stage prevention strategies to standardize the application of glucocorticoid in patients with COVID-19,prevent the occurrence of femur head necrosis after COVID-19,and prevent the occurrence of collapse after femur head necrosis,so as to avoid or delay the damage of hip joint function and effectively reduce the disability rate.

关 键 词：股骨头坏死 新型冠状病毒肺炎 糖皮质激素 三级康复预防 

分 类 号：R563.1[医药卫生—呼吸系统] R681.8[医药卫生—内科学]