脑卒中后偏瘫患者肢体运动能力与日常生活能力的相关性分析

【摘要]目的评估脑卒中后偏瘫患者肢体运动能力，并探讨肢体运动能力与日常生活能力的相关性。方法采用回顾性分析方法，选择2011年11月～2013年1月住院治疗的脑卒中后偏瘫患者68例．入院后根据患者情况制定相应的康复训练措施，并采用Fugl—Meyer平衡功能量表（FMB）和Barthel指数（MBI）量表分别对患者的肢体运动能力和日常生活能力进行评定。结果治疗前患者的FMB、MBI评分分别为（5．2±1．6）分、（45．3±6．9）分，治疗后FMB、MBI评分分别为（9．2±1．8）分、（60．2±7．1）分，治疗后FMB、MBI评分均较治疗前明显增加，差异均具有统计学意义（tFMB=17．352，P=-0．000；tMBI=28．246，P=0．000）。患者治疗前FMB评分与治疗前MBI评分的相关系数为0．596（P〈0．05）；治疗前的FMB评分与治疗后MBI评分的相关系数为0．425（P〈0．05）。结论脑卒中患者肢体运动能力与日常生活能力呈正相关，改善脑卒中患者的肢体运动能力有助于提高患者的日常生活能力。

Correlation analysis of limb exercise capacity and daily living skills for post-stroke hemiplegic patients

Objective To explore relevance of physical exercise capacity and daily living skills relevant by assessing the physical exercise capacity in patients with hemiplegia post-stroke. Methods A total of 68 cases of patients with post-stroke hemiplegia retrospective were retrospective analysised from November 2011 to January 2013. After admis- sion, the patients received relevant rehabilitation training according to the condition. Fugl-Meyer balance function Scale Scale and Barthel Index were used to evaluation of physical exercise capacity and activities of daily living. Re- sults Before treatment, the FMB and MBI scores were （5.2_＋1.6） points, （45.3_＋6.9） points, while the FMB and MBI scores were （9.2_＋1.8） points, （60.2_＋7.1） points after treatment. The FMB, MBI scores were significantly increased （tFM~ = 17.352, P = 0.000; tMBI = 28.246, P = 0.000）. Before treatment, the correlation coefficient of FMB score and MBI score was 0.596 （P 〈 0.05）; The correlation coefficient of FMB score before treatment and MBI score after treatment was 0.425 （P 〈 0.05）. Conclusion Limb motor ability and ADL has positively correlated on stroke patients, improving the ability of patients with stroke limb movements can help improve the daily living skills.