Farbu E, Gilhus N E
Department of Neurology, Haukeland University Hospital, Bergen, Norway.
Eur J Neurol. 2002 May;9(3):233-41. doi: 10.1046/j.1468-1331.2002.00390.x.
Patients with previous polio represent a challenge for neurological rehabilitation. We examined 168 previous polio patients and 239 of their siblings, the patients either from the 1950-1954 epidemic cohort, or from a cohort of hospital-admitted rehabilitation patients. Ninety-four paralytic patients and 74 non-paralytic patients were included. All patients and siblings answered the same questionnaires for socioeconomic and health factors and chi-square comparisons were performed. Previous polio did not affect the level of education. Both patients and siblings rated their educational options to have been good. Significantly less patients were full-time employed at the age of 40 years compared to their siblings (P=0.015). This was the result of a lower full-time employment rate amongst the paralytic patients, only 52% of this group being employed full-time. Male patients and paralytic patients reported to have experienced reduced professional options. More patients were living alone compared to their siblings (P=0.035). The perception of general health was lower amongst patients than siblings, as was assessment of total life situation and patients reported more frequently symptoms like pain and tiredness. In conclusion, previous polio had not lowered the polio patients' educational status, but fewer patients were employed full-time at the age of 40 years.
曾患小儿麻痹症的患者给神经康复带来了挑战。我们研究了168名曾患小儿麻痹症的患者及其239名兄弟姐妹，这些患者要么来自1950 - 1954年的流行队列，要么来自住院康复患者队列。其中包括94名麻痹患者和74名非麻痹患者。所有患者及兄弟姐妹都回答了关于社会经济和健康因素的相同问卷，并进行了卡方比较。曾患小儿麻痹症并未影响教育水平。患者和兄弟姐妹都认为他们的教育选择良好。与他们的兄弟姐妹相比，40岁时全职工作的患者明显更少（P = 0.015）。这是由于麻痹患者的全职就业率较低，该组中只有52%的人全职工作。男性患者和麻痹患者报告称职业选择受限。与他们的兄弟姐妹相比，独自生活的患者更多（P = 0.035）。患者对总体健康的认知低于兄弟姐妹，对整体生活状况的评估也是如此，并且患者更频繁地报告疼痛和疲劳等症状。总之，曾患小儿麻痹症并未降低小儿麻痹症患者的教育程度，但40岁时全职工作的患者较少。
