Nagayoshi Misako, Takahashi Masanori, Saeki Satoru, Hachisuka Kenji
Department of Rehabilitation Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.
J UOEH. 2007 Dec 1;29(4):407-15. doi: 10.7888/juoeh.29.407.
To evaluate subacute myelo-optico-neuropathy (SMON) and stroke patients and elderly persons by using the Barthel Index (BI) and Frenchay Activities Index (FAI) and to reveal the disability and lifestyle of SMON patients, cross sectional comparison study was performed. Forty SMON patients, 92 age-matched stroke patients with the same level of BI score and 92 age-matched elderly persons living at home were subjected in this study. The SMON patients responded to a self-administered BI and FAI at their yearly health counseling, and the score of the BI and FAI of stroke outpatients and elderly persons were sampled from the databases. The differences in age distribution and sex ratio between the three groups were analyzed by the chi2 test and one-way analysis of variance, respectively, and the differences in BI and FAI between the three groups were analyzed by the Kruskal-Wallis test, followed by the Mann-Whitney test. The BI total score of the SMON patients was the same as that of the stroke patients and lower than that of the elderly persons. The 4 items of self-care index and 2 items of mobility index in the SMON patients were rated significantly higher and lower than the stroke patients respectively, and all items except eating and toileting in the SMON patients were rated lower than elderly persons (Mann-Whitney test, P < 0.05). The FAI scores in the SMON patients were lower than the elderly persons and higher than the stroke patients. These results suggest that the scores of the BI and FAI differentiated the features of disability and lifestyle of the SMON patients from those of stroke patients and elderly persons.
为了使用巴氏指数（BI）和法国ay活动指数（FAI）评估亚急性脊髓视神经病（SMON）患者、中风患者和老年人，并揭示SMON患者的残疾情况和生活方式，进行了横断面比较研究。本研究纳入了40例SMON患者、92例年龄匹配且BI评分相同的中风患者以及92例年龄匹配的居家老年人。SMON患者在每年的健康咨询时自行填写BI和FAI，中风门诊患者和老年人的BI和FAI评分则从数据库中抽取。分别采用卡方检验和单因素方差分析对三组的年龄分布和性别比例差异进行分析，采用Kruskal-Wallis检验分析三组间BI和FAI的差异，随后进行Mann-Whitney检验。SMON患者的BI总分与中风患者相同，但低于老年人。SMON患者的自我护理指数中的4项和活动指数中的2项分别显著高于和低于中风患者，SMON患者除进食和如厕外的所有项目评分均低于老年人（Mann-Whitney检验，P<0.05）。SMON患者的FAI评分低于老年人但高于中风患者。这些结果表明，BI和FAI评分区分了SMON患者与中风患者和老年人在残疾特征和生活方式方面的差异。
