《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (02): 122-124.

• 专题　脑卒中康复 • 上一篇    下一篇

影响脑卒中患者躯干控制能力的相关因素分析

王凯1; 吴朝阳1; 姜宏2; 周文益1   

  1. 1.上海市静安老年医院康复科,上海市 200042;2.上海市长宁区遵义社区卫生服务中心康复科,上海市 200051
  • 收稿日期:2006-07-31 出版日期:2007-02-01 发布日期:2007-02-01

Correlative Influencial Factors of Trunk Control for Stroke Patients

WANG Kai, WU Zhao-yang, JIANG Hong, et al   

  1. The Department of Rehabilitation, Shanghai Jingan Geriatric Hospital, Shanghai 200042, China
  • Received:2006-07-31 Published:2007-02-01 Online:2007-02-01

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被引次数

19

摘要： 目的探讨脑卒中不同病变性质和损伤半球对躯体控制能力的影响及躯干控制能力与认知功能、日常生活能力的相关性。方法75例住院脑卒中患者分为A组(右脑出血)15例、B组(右脑梗死)25例、C组(左脑出血)14例和D组(左脑梗死)21例,于康复治疗前及治疗1个月后进行简明认知功能评定(MMSE)、躯干控制能力评定(Sheikh)和改良Brathel指数(MBI)评定。结果治疗前,A组、C组患者的Sheikh、MBI评分低于B组、D组(P<0.05～0.001);治疗后,4组患者的MMSE、Sheikh、MBI评分均有提高,但A组、C组患者的提高幅度更大。Sheikh评分左、右半球病变患者间差异无显著性意义。Sheikh评分与MBI在治疗前后均高度相关,与MMSE评分在治疗前无相关,但治疗后部分相关。结论脑出血患者较脑梗死患者躯体控制能力受损大,但康复治疗后恢复也较快;左右半球卒中对躯体控制能力损害无差异;躯体控制能力与日常生活活动能力在康复治疗前后高度相关,与认知功能在康复治疗前无相关性,但治疗后有相关性。

关键词: 脑卒中, 大脑半球, 病变性质, 认知, 躯干控制, 日常生活活动

Abstract: ObjectiveTo explore the effect of different properties and hemisphere of stroke on trunk control ability and the relationships between the trunk control and cognition, activities of daily living (ADL).Methods75 inpatient stroke patients were divided into the group A (right hemorrhages, n=15), group B (right infarcts, n=25), group C (left hemorrhages, n=14) and group D (left infarcts, n=21). All cases in four groups were assessed by Mini-Mental Status Examination (MMSE), Sheikh Trunk Control Evaluation and Modified Brathel Index (MBI) before and after rehabilitation therapy.ResultsThe scores of Sheikh and MBI of the group A and group C were significantly lower than that of the group B and group D before treatment ( P<0.05～0.001). After treatment, the scores of MMSE, Sheikh Trunk Control Evaluation and MBI of the patients in four groups all increased, but the scores of the patients in the group A and group C increased more than other groups. There was no significant difference in Sheikh scores between right and left hemisphere stroke. All groups had high relationship between Sheikh Trunk Control Evaluation and MBI before and after treatment. There was no relationship between Sheikh Trunk Control Evaluation and MMSE before treatment, but having part relationship after treatment.ConclusionThe trunk control of hemorrhage patients are damaged more severe than that of the infarct cases, but they resume also faster. There are no different between right and left hemisphere stroke in trunk control impairment. The ability of trunk control has high relationship with ADL before and after treatment, it has no relationship with cognize before treatment but has relationship after treatment.

Key words: stroke, hemisphere, property, cognize, trunk control, activities of daily living (ADL)