“桶中人”综合征的性别分析：“桶中人”是否是一个更合适的术语？
Gender analysis of 'man-in-the-barrel' syndrome: is 'person-in-the-barrel' a more adequate term?
机构信息
Department of Neurology, Centro Hospitalar Universitário São João, EPE, Porto, Portugal.
Department of Clinic Neurosciences and Mental Health, Faculty of Medicine of University of Porto, Porto, Portugal.
出版信息
Eur J Neurol. 2021 Jan;28(1):341-343. doi: 10.1111/ene.14551. Epub 2020 Oct 19.
BACKGROUND AND PURPOSE
Gender bias is a known issue in healthcare and academia. We analysed the gender of patients reported in the literature with 'man-in-the-barrel' syndrome or equivalent semiological terms.
METHODS
A search in the PubMed database was conducted using the terms 'man-in-the-barrel', 'person-in-the-barrel', 'woman-in-the-barrel', 'brachial diplegia', 'flail arm' and 'cruciate paralysis'. All articles published between 1969 and 2020 containing a detailed description compatible with the original description of man-in-the-barrel syndrome were included.
RESULTS
Ninety-five patients with a clinical picture compatible with man-in-the-barrel syndrome were included. Up to 33% of patients were female. Overall, the proportion of female patients with man-in-the-barrel syndrome was 25%.
DISCUSSION AND CONCLUSIONS
The term man-in-the-barrel may disenfranchise up to a third of women presenting with brachial diplegia with undesirable consequences. We propose a gender-neutral alternative such as 'person-in-the-barrel'.
背景与目的
性别偏见是医疗保健和学术界的一个已知问题。我们分析了文献中报道的以“桶中之人”综合征或等效半定量术语描述的患者的性别。
方法
使用“桶中之人”、“桶中之人”、“桶中之人”、“臂丛瘫”、“flail arm”和“cruciate paralysis”等术语在 PubMed 数据库中进行了检索。纳入了所有发表于 1969 年至 2020 年间的包含与桶中之人综合征原始描述相匹配的详细描述的文章。
结果
共纳入 95 例临床症状符合桶中之人综合征的患者。女性患者占 33%。总体而言，桶中之人综合征女性患者的比例为 25%。
讨论与结论
“桶中之人”这一术语可能会剥夺三分之一出现臂丛瘫的女性患者的权利，并带来不良后果。我们提出了一个性别中立的替代术语，如“桶中之人”。
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