[大脑的先天性形被误解为脊髓灰质炎的后果]
Marija Djukic1,2, Helmut Eiffert2,3, Johannes Gossner4
1Geriatrisches Zentrum, Evangelisches Krankenhaus Göttingen-Weende, An der Lutter 24, 37075, Göttingen, Deutschland.
Zeitschrift fur Gerontologie und Geriatrie
|December 18, 2023
概括
脊髓灰质炎后综合征是脊髓灰质炎的晚期并发症,由于童年感染,会影响老年人. 脊髓灰质炎后患者的功能缺陷增加可能严重损害独立性,一些症状可能来自其他疾病.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
背景情况:
- 脊髓灰质炎是一种影响运动神经元的病毒性疾病,主要影响儿童,导致残留.
- 自20世纪60年代以来,德国广泛的口服脊髓灰质炎疫苗接种使得脊髓灰质炎后综合征转移到主要影响老年人.
- 脊髓灰质炎后综合征 (PPS) 的特征是经过几十年的补偿后,功能缺陷增加.
研究的目的:
- 描述脊髓灰质炎后综合征患者的临床特征和治疗方法.
- 突出在老龄化人口中诊断和治疗脊髓灰质炎后综合征的挑战.
主要方法:
- 对33名在脊髓灰质炎门诊咨询服务中心接受治疗的患者进行了回顾性分析.
- 对患者病历进行审查,以评估持续的缺陷,并发症和功能状态.
主要成果:
- 患者出现了广泛的缺陷,包括四肢,脊椎病和呼吸系统损害.
- 退行性脊柱和关节疾病是常见的二次并发症.
- 很大一部分患者 (2/33) 患有非脊髓灰质炎引起的神经缺陷,这强调了诊断方面的挑战.
结论:
- 虽然儿童脊髓灰质炎缺陷往往得到补偿,但老年人的补偿能力降低使他们容易受到功能衰退的影响.
- 准确的诊断至关重要,因为模仿脊髓灰质炎后综合征的症状可能源于其他神经系统疾病.
- 有效的管理需要解决与脊髓灰质炎相关的缺陷和二次并发症,以保持患者的独立性.
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