摘要
目的:评定脑卒中急性期患者的姿势控制能力,可明确其存在问题,探讨脑卒中患者急性期的姿势控制能力与出院时日常生活活动能力的相关性。方法:选择2002-08/2004-08在中山大学附属第二医院康复医学科治疗的45例脑卒中急性期患者为观察对象。所有患者在发病1周内应用脑卒中患者姿势评定量表(12项,每项0～3分,总分36分)评定其姿势控制能力、简式Fugl-Meyer量表(共50项,总分100分,上肢66分,下肢34分)评定其运动功能,Berg平衡量表(14项,每项0～4分,总分56分)评定其平衡能力,Barthel指数(10项,总分100分)评定其日常生活活动能力,在出院时再次评定Barthel指数,所有量表评分越高,患者功能状态越好。应用Pearson检验分析脑卒中患者急性期的各量表得分和年龄等变量与出院时Barthel指数的相关性;并以逐步回归分析上述变量与出院时日常生活活动能力的关联程度。结果:按意向处理分析,45例患者均进入结果分析。Pearson相关分析显示脑卒中患者急性期的脑卒中患者姿势评定量表、简式Fugl-Meyer量表、Berg平衡量表、Barthel指数等变量与出院时Barthel指数高度正相关(r=0.708,0.602,0.655,0.635,P<0.001),患者年龄与出院时Barthel指数中度负相关(r=-0.468,P<0.05)。逐步回归分析结果显示脑卒中患者姿势评定量表评分是出院时日常生活活动能力的显著预测因子(R2=0.563,P<0.001),仅脑卒中患者姿势评定量表单独就可解释出院时56%的日常生活活动能力,而4个量表和年龄等变量共同才可解释出院时69%的日常生活活动能力。结论:脑卒中患者急性期的姿势控制能力、偏瘫侧肢体的运动功能、平衡能力、日常生活活动能力和年龄与患者出院时日常生活活动能力密切相关,是患者出院时日常生活活动能力的预测因素,而姿势控制能力更是显著预测因子。
AIM： The evaluation of postural control ability in patients with stroke during acute period can clarify the existent problem. To explore the relationship between postural control ability in patients with stroke at acute phase and activity of daily living （ADL） ability at the moment of discharge. METHODS： Forty-five inpatients with acute stroke from Department of Rehabilitation Medicine of Second Affiliated Hospital of Sun Yat-sen University from August 2002 to August 2004 were selected as observation object. All the patients within l week onset of illness were assessed for ability of postural control with the Postural Assessment Scale for Stroke Patients （PASS） （12 terms with every term for 0-3 points and full mark for 36 points）. Its motor function was evaluated by Fugl-Meyer Movement Assessment （FM） （totally 50 terms, full mark for 100 points with upper limb for 66 points and lower limb for 34 points）. Its balance function was evaluated by Berg Balance Scale （BBS） （14 terms with every term 0-4 points and full mark for 56 points）. Its ADL ability was evaluated by Barthel Index （BI） （10 terms with full mark for 100 points）. The BI at discharge was evaluated again. The high the scales, the better the patients＇ functional status were. Using Pearson＇s correlation （r） to determine the relationship between the scores of every scale in patients with stroke in acute period and age etc variance and the BI at discharge; Stepwise regression analyzed the association degree between the upper variance and ADL ability at discharge. RESULTS： According to intention-to-treat analysis, 45 patients were all involved in the result analysis. PASS scale, FM scale BBS scale and BI etc. variance in patients with stroke in acute phase were positive related severly to BI at discharge （r=0.708, 0.602, 0.655, 0.635, P 〈 0.001）. Age was negative related moderately to BI at discharge （r=-0.468,P 〈 0.05 ）. The regression analysis result showed that the PASS scale was in significantl
出处
《中国临床康复》
CSCD
北大核心
2005年第25期6-7,共2页
Chinese Journal of Clinical Rehabilitation
