三种量表评定脑卒中急性期患者姿势控制能力的分析研究

目的探讨3种量表在评定脑卒中急性期患者姿势控制能力方面的应用情况。方法对45例脑卒中急性期患者分别采用脑卒中患者姿势评定量表（PASS）、Fugl—Meyer平衡量表（FM—B）及Berg平衡量表（BBS）对其姿势控制能力进行评定。所有病例均评定3次，评定时间分别为脑卒中起病后1周内、起病第3周时及出院前。选用Spearman统计法分析3种量表间的相关性；并同时计算3种量表的地板效应及天花板效应。结果PASS与FM—B及BBS间均具有高度相关性（r=0.867—0．957，P〈0．01）；在本研究各次评定中，PASS无明显的地板效应和天花板效应，而FM-B和BBS在第1次评定时均存在明显的地板效应（FM—B为26．6％．BBS为26．6％）。结论PASS与FM—B及BBS均能客观反映脑卒中急性期患者的姿势控制能力，而且PASS还能对脑卒中患者的卧位姿势控制能力进行评定，故在评定脑卒中急性期患者姿势控制能力方面，PASS优于FM—B和BBS。

A study about three postural assessment scales on postural control in patients with stroke in acute stage

Objective To compare three postural assessment scales(PAS) on postural control(PC) in patients with stroke in acute stage. Methods Forty-five patients with stroke were assessed with the postural assessment scale for stroke patients (PASS), the balance sub scale of the Fugl Meyer movement assessment (FM-B) and the Berg Balance Scale (BBS) at 1 w and 3 w post-stroke, before discharging from hospital. The correlation between PASS, FM-B and BBS was examined with Spearman correlation coefficients, and floor and ceiling effects were calculated. Results There was positive correlation among PASS, FM-B and BBS (r=0.867~0.957,P<0.01). There were obvious floor and ceiling effects in FM-B and BBS (26.6%, 26.6%) in the first assessment, but not in PASS. Conclusion The ability of PC in stroke patients in acute stage could be evaluated with PASS, FM-B and BBS, and PASS is the best suitable among above scales.