Vuković Vlasta, Galinović Ivana, Lovrencić-Huzjan Arijana, Budisić Mislav, Demarin Vida
Department of Neurology, University Hospital "Sestre milosrdnice", Reference Center for Neurovascular Diseases of the Ministry of Health of Republic of Croatia, Reference Center for Headaches of the Ministry of Health of Republic of Croatia, Zagreb, Croatia.
Coll Antropol. 2009 Sep;33(3):977-84.
In this article, the authors have gathered data from epidemiological, observational, case-control and cohort studies to evaluate the differences between men and women in terms of ischemic events, mainly stroke. The authors are highlighting the differences that exist between men and women and play a role in terms of social diversities, and the pathophysiological differences that may be responsible at least in part for ischemic events. Studies show that male stroke patients are more likely to have a history of ischemic heart disease, smoking and alcohol consumption, whereas female stroke patients suffer from ischemic events at an older age, are more likely to have hypertension and atrial fibrillation. Women are more likely to arrive to an emergency room in a comatose state, with paralysis, aphasia, swallowing problems and urinary incontinence, which all indicates a more severe stroke. Also, women suffer from a higher level of disability than men, even though their survival rates are the same. Even though clear guidelines for the treatment of stroke exist, there are still differences in both diagnostic procedures and discharge destination between male and female patients.
在本文中，作者收集了来自流行病学、观察性、病例对照和队列研究的数据，以评估男性和女性在缺血性事件（主要是中风）方面的差异。作者强调了男性和女性之间存在的差异，这些差异在社会多样性方面发挥作用，以及可能至少部分导致缺血性事件的病理生理差异。研究表明，男性中风患者更有可能有缺血性心脏病、吸烟和饮酒史，而女性中风患者发生缺血性事件的年龄较大，更有可能患有高血压和心房颤动。女性更有可能在昏迷状态下被送往急诊室，伴有瘫痪、失语、吞咽问题和尿失禁，这一切都表明中风更严重。此外，女性的残疾程度高于男性，尽管她们的生存率相同。尽管存在明确的中风治疗指南，但男性和女性患者在诊断程序和出院目的地方面仍存在差异。
