脑卒中残损评价表评定急性脑卒中患者的有效性分析

目的 初步探讨脑卒中残损评价表（SIAS）评估急性脑卒中患者的有效性。方法 对42例急性脑卒中患者用SIAS，Brunnstrom运动功能评定，Fugl-Meyer运动功能评定以及功能独立性测量（FIM）4种量表进行评定，将SIAS运动项目部分与Brunnstrom运动功能评定和Fugl-Meyer运动功能评定结果。SIAS总分与FIM总分进行相关和回归分析。结果 SIAS运动项目部分得分与Brunnstrom运动功能评定分级，Fugl-Meyer运动功能评定得分之间显著相关（r=0.7440-0.9426)。SIAS总分与Fugl-Meyer运动功能得分间，SIAS总分与FIM总分间可建立回归方程。结论 SIAS评定急性脑卒中患者显示出良好的效度，可在临床推广应用。

A preliminary study of validity of the Stroke Impairment Assessment Set

Objective To test the validity of the Stroke Impairment Assessment Set (SIAS) among the subjects with acute stroke. Methods Forty two patients with acute stroke were assessed by use of SIAS, Brunnstrom movement assessment, Fugl Meyer movement assessment and Functional Independence Measure (FIM). The correlations among SIAS motor function item scores, Brunnstrom grades and Fugl Meyer scores and the correlation between SIAS total scores and FIM scores were studied. Results There were significantly positive correlations among SIAS motor function item scores, Brunnstrom grades and Fugl Meyer scores ( r =0.7440-0.9426). A significantly positive correlation also existed between the SIAS total score and FIM score( r =0.9231). The intra class correlation within SIAS was significant( r =0.8892-0.9787). The regression equations could be made between SIAS motor function scores and Fugl Meyer scores, SIAS total scores and FIM scores. Conclusion SIAS is a valid instrument when it is used to assess the subjects with acute stroke.