摘要
研究站立时重心的偏移对脑卒中偏瘫患者功能预后的影响。46例脑卒中偏瘫患者根据站立时重心的偏移情况分为重心偏向健侧组（即非瘫痪侧组，简称健侧组）和重心偏向患侧组（即瘫痪侧组，简称患侧组），对两组患者的平稳能力、步行能力、日常生活能力和住院时间进行评测。健侧组的平衡能力、步行能力和日常生活能力明显优于患侧组；健侧组住院时间明显比患侧组短（P〈0．001），说明健侧组比患侧组的功能恢复快。结论患者站立时重心的偏移与脑卒中偏瘫患者功能预后密切相关，可作为功能恢复预后的一个重要指标。
Objective To study the influence of center of gravity excursion in standing on function outcome of stroke patients.Methods Forty-six stroke patients were assessed by static posturograpby in standing, The Fugl-Meyer Balance Scale, ADL （Barthel Index）and in hospital time.The patients were divided into 2 groups according to posturography results： center of gravity was inclined to the normal side （normal group）, center of gravity was inclined to the hemiplegia side （bemiplegia group） .Results The ability of balance, walking and ADL of the normal group patients were better significantly than the hemiplegia group patients, and the in-hospital time was shorter than the hemiplegia group patients （P〈0.001）.Conclusion The center of gravity excursion in standing is highly correlated with functional outcome Of stroke patients.
关键词
偏瘫
脑卒中
重心偏移
功能
预后
Hemiplegic stroke shift the focus of functional prognosis
