脑卒中患者平衡功能与自理能力的相关性

摘要 目的:评估脑卒中患者的平衡功能，以助于确定脑卒中严重程度、判断预后和制定康复方案。本研究观察Berg平衡功能评定表(BBS)和Fugl-Meyer平衡功能评定表(FM-B)在脑卒中偏瘫患者临床上的实用价值，并探讨平衡能力与日常生活活动能力的相关性。 方法：将符合条件的38例住院脑卒中偏瘫患者纳入本研究，对其进行3周的康复治疗，于康复治疗前后分别采用BBS、FM-B以及改良的Barthel指数（MBI）进行评定，对所得资料进行比较分析。 结果：康复治疗后患者BBS、FM-B、MBI评分均有增加，治疗前后各评分差异性比较，其中FM-B为P<0.05，BBS和MBI均为P<0.01。患者康复治疗前的BBS、FM-B评分与康复治疗前MBI评分的相关系数分别为0.58和0.55（P<0.05)；患者康复治疗前的BBS、FM-B评分与康复治疗后MBI评分的相关系数分别为0.75和0.69（P<0.01)。 结论:BBS与FM-B都可反映急性脑卒中患者的平衡能力，在平衡功能评定上都有良好的一致性，但BBS对效果评定更为敏感，临床使用性更高；平衡功能与自理能力有较密切的相关性，平衡功能的缺失对脑卒中患者生存质量有显著的影响，可预测生存质量。 关键词 脑卒中；平衡功能；平衡量表；日常生活活动能力；康复 中图分类号：R743.3，R493 文献标识码：A 文章编号：1001-1242（2010）-02-0149-03

Research on correlations between balance function and abilities of activities of daily living of patients with stroke

Abstract Objective: To evaluate the balance function of patients with stroke to confirm stroke severity,judge outcome and establish rehabilitation project, and to observe the practicability of Berg balance scale(BBS) and balance subscale of Fugle-Meyer test(FM-B), to explore the correlations between balance function and abilities of ADL. Method: Thirty-eight stroke in patients were enrolled and assessed with BBS,FM-B and modified Barthel index(MBI) before and after rehabilitation treatment, and the scores were analyzed. Result: The score of FM-B after treatment was better than that before treatment(P<0.05),while there were significant differences in scores of BBS and MBI between before treatment and after treatment(P<0.01).There were significant correlations among BBS,FM-B before treatment and MBI before treatment(0.58,P<0.05;0.55,P<0.05), and there were very significant correlations among BBS,FM-B before treatment and MBI after treatment. Conclusion: BBS and FM-B are good tools for assessing balance function in acute stroke;BBS shows better sensitivity and is suitable for assessing patients with stroke.There is close correlation between balance function and ability of ADL.The loss of balance function obviously influence quality of living for stroke patient,balance function can predict quality of living.