Stanghelle J K, Helseth R, Roaldsen K S, Rand-Hendriksen S
Sunnaas sykehus, Nesoddtangen.
Tidsskr Nor Laegeforen. 1991 Oct 30;111(26):3159-62.
We describe a retrospective study of 42 patients admitted to Sunnaas Rehabilitation Hospital with suspect postpolio syndrome over a period of two years. The patients were 32 females and 10 males aged 28-74 years (mean 54 years). 29 were married or cohabitant, 31 had children, and 20 were in paid employment. The mean age at onset of polio was 12 years, with an average interval of 36 years between onset of polio and onset of new problems. The mean duration of new health problems was seven years. The most common such problems were pain in muscles and joints, general fatigue and new weakness of the muscles. 28 of the patients needed personal assistance to carry out everyday activities. 33 had braces, crutches or wheelchair for ambulation. Lung function was moderately reduced and physical working capacity was severely reduced. Physiotherapy, ergotherapy and technical aids were provided for 38 of the patients, 16 received assistance to organizing social support or help at home, 13 were helped to make practical changes in their homes, and eight were provided with a wheelchair. According to this study, most patients with the postpolio syndrome need interdisciplinary evaluation and management in a rehabilitation hospital.
我们描述了一项为期两年的回顾性研究，该研究纳入了42名入住松纳斯康复医院、疑似患有小儿麻痹后遗症的患者。患者中有32名女性和10名男性，年龄在28至74岁之间（平均54岁）。29人已婚或同居，31人育有子女，20人有带薪工作。小儿麻痹症发病的平均年龄为12岁，小儿麻痹症发病与新问题出现之间的平均间隔为36年。新出现健康问题的平均持续时间为7年。最常见的此类问题是肌肉和关节疼痛、全身疲劳以及肌肉新出现的无力。28名患者在进行日常活动时需要个人协助。33人使用支具、拐杖或轮椅辅助行走。肺功能中度下降，体力工作能力严重下降。38名患者接受了物理治疗、职业治疗和辅助器具，16人在组织社会支持或家庭帮助方面得到协助，13人在家庭实际改造方面得到帮助，8人获得了轮椅。根据这项研究，大多数小儿麻痹后遗症患者需要在康复医院接受多学科评估和管理。
