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脑卒后患者的性别与生活质量。

Gender and quality of life after cerebral stroke.

机构信息

Department of Family Medicine, Health Care Center Mostar, Hrvatskih branitelja bb, Mostar, Bosnia and Herzegovina.

出版信息

Bosn J Basic Med Sci. 2010 May;10(2):94-9. doi: 10.17305/bjbms.2010.2701.

Abstract

The aim of this work is to investigate the influence of gender on recovery after cerebral stroke.It is believed that functional outcome of cerebral stroke (CS) depends on gender. Female gender is mildly negative prognostic factor in after stroke results. Two hundred and two patients who had first ischemic cerebral stroke were questioned with help of, HADS and WHOQOL-Bref questionnaires, looking for differences in recovery depending on gender. Average patients' age was 72+/-13 (ME+/-IR) years. The youngest patient had 40 years, and the oldest 92 years, and medium range was 52 years. There were 112 males and 90 females. Quality of life was equally graded by both male and female after CS (p=0.208). Male patients had significantly better results in physical (p=0.035) and psychological (p=0.020) domain of life quality. After CS, male patients had better results only in memory dimension (p=0.003). Anxiety was statistically more frequent among female patients (p=0.009). Gender did not influence frequency of metabolic syndrome in patients with CS. Quality of life after CS was better in male patients, and statistically significant difference has been shown in physical, psychological domain and memory dimension. Female patients were more anxious then male after CS.

摘要

本研究旨在探讨性别对脑卒后康复的影响。据信,脑卒后的功能结局取决于性别。女性在卒中后结果中是一个轻度的负预后因素。我们使用 HADS 和 WHOQOL-Bref 问卷对 202 名首次发生缺血性脑卒中的患者进行了调查,以寻找性别对康复的影响。患者的平均年龄为 72+/-13(ME+/-IR)岁。年龄最小的患者为 40 岁,最大的为 92 岁,中位数为 52 岁。其中男性 112 例,女性 90 例。卒中后,男性和女性的生活质量评分相等(p=0.208)。男性患者在生活质量的生理(p=0.035)和心理(p=0.020)领域的结果明显更好。卒中后,男性患者仅在记忆维度(p=0.003)的结果更好。焦虑在女性患者中更为常见(p=0.009)。卒中后,代谢综合征在患者中的发生频率不受性别影响。卒中后男性患者的生活质量更好,在生理、心理领域和记忆维度方面存在显著差异。卒中后女性患者比男性患者更焦虑。

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