Dénes Z, Varga M
Országos Orvosi Rehabilitációs Intézet, Budapest.
Orv Hetil. 2001 Jul 15;142(28):1493-6.
In developed countries as well as in Hungary polio virus related disease disappeared completely due to the extensive administering of vaccine. As a result, young and middle-aged doctors have no experience of encountering acute polio virus infection but instead they meet its resultant impairments and disabilities. Persons who had suffered the onset of poliomyelitis 3 or 4 decades earlier, may to develop a new set of symptoms and functional declines. The criteria for post-polio syndrome were identified and its impairments and disabilities were described. It is only within the last decade that the adaptive changes in muscular tissue, insufficiently compensed denervation, together with the effects of physiotherapy, have become better known. The aim of this paper is to review the present situation concerning the struggle for keeping the polio virus in check, to give a short summary of the post-polio syndrome and to draw attention to the importance of rehabilitation.
在发达国家以及匈牙利,由于广泛接种疫苗,与脊髓灰质炎病毒相关的疾病已完全消失。因此,中青年医生没有遭遇急性脊髓灰质炎病毒感染的经验,而是见到了其导致的损伤和残疾。三四十年前患过脊髓灰质炎的人,可能会出现一系列新的症状和功能衰退。已确定了小儿麻痹后遗症的标准,并描述了其损伤和残疾情况。直到最近十年,肌肉组织的适应性变化、失神经支配补偿不足以及物理治疗的效果才为人所知。本文旨在回顾控制脊髓灰质炎病毒的斗争现状,简要总结小儿麻痹后遗症,并提请注意康复的重要性。