截肢结局的性别差异。
Gender differences in amputation outcome.
作者信息
Singh Rajiv, Hunter John, Philip Alistair, Tyson Sarah
机构信息
Department of Rehabilitation Medicine, Astley Ainslie Hospital, Edinburgh, UK.
出版信息
Disabil Rehabil. 2008;30(2):122-5. doi: 10.1080/09638280701254095.
PURPOSE
To assess the influence of gender on the success of limb-fitting after amputation.
METHODS
One-hundred and five successive in-patients admitted to an amputee rehabilitation ward were followed to assess the success of limb-fitting at discharge. The influence of demographic, clinical and social factors on the success of lower limb-fitting was assessed using linear regression analysis and group comparisons.
RESULTS
There were 35 (33%) women in a cohort of 105 successive admissions. Men and women were comparable in terms of age, length of stay, medical comorbidity and level of amputation. Women were less likely to be successfully fitted with a prosthetic limb at discharge than men (42.9% vs. 68.6%, p = 0.011), and more women lived alone (57.1% vs. 38.6%, p = 0.021). Linear regression revealed that gender was an independent significant factor in the success of limb-fitting; age, level and cause of amputation, co-morbidity and length of stay were not significant factors.
CONCLUSIONS
Women were less likely to be successfully fitted with a lower limb prosthesis after amputation.
目的
评估性别对截肢后肢体适配成功的影响。
方法
对连续收治到截肢康复病房的105例住院患者进行随访，以评估出院时肢体适配的成功情况。采用线性回归分析和组间比较，评估人口统计学、临床和社会因素对下肢适配成功的影响。
结果
在连续收治的105例患者中，有35例（33%）为女性。男性和女性在年龄、住院时间、合并症和截肢水平方面具有可比性。女性出院时成功安装假肢的可能性低于男性（42.9%对68.6%，p = 0.011），且独居的女性更多（57.1%对38.6%，p = 0.021）。线性回归显示，性别是肢体适配成功的一个独立显著因素；截肢年龄、水平和原因、合并症及住院时间均不是显著因素。
结论
截肢后女性成功安装下肢假肢的可能性较小。
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