《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (11): 1040-1041.

• 论文 • 上一篇    下一篇

不同病变性质和病变半球的急性脑卒中对平衡功能和日常生活活动能力的影响

谢财忠1a，徐格林1b，刘新峰1b   

  1. 1.南京军区南京总医院,a康复医学科；b.神经内科，江苏南京市 210002
  • 收稿日期:2010-08-25 修回日期:2010-09-21 出版日期:2010-11-25 发布日期:2010-11-25

Influences of Type and Hemisphere of Acute Stroke for Balance Function and Ability of Daily Living

XIE Cai-zhong, XU Ge-lin, LIU Xin-feng   

  1. Department of Rehabilitation Medicine, Nanjing General Hospital of Nanjing Military Command, PLA, Nanjing 210002, Jiangsu, China
  • Received:2010-08-25 Revised:2010-09-21 Published:2010-11-25 Online:2010-11-25

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被引次数

6

摘要： 目的探讨不同病变性质和病变半球的急性脑卒中对患者平衡功能和日常生活能力的影响。方法对住院治疗的急性脑卒中患者50例进行回顾性分析。结果出血性脑卒中患者Fugl-Meyer平衡功能量表（FMB）（t=5.888，P=0.000）、修订的Barthel指数(MBI)（t=3.504，P=0.001）评分均较缺血性脑卒中患者低。析因分析表明，对于FMB评分，病变性质和病变半球之间存在交互效应（P=0.525），不同病变性质(出血或缺血)的脑卒中患者FMB评分有显著性差异(P<0.05)，不同病变半球(左侧或右侧)的脑卒中患者FMB评分无显著性差异(P>0.05)；对于MBI评分，病变性质和病变半球之间存在交互效应（P=0.534），不同病变性质(出血或缺血)的脑卒中患者MBI评分有显著性差异(P<0.05)，不同病变半球(左侧或右侧)的脑卒中患者MBI评分无显著差异(P>0.05)。结论急性出血性脑卒中患者平衡功能和日常生活能力的损害均较急性缺血性脑卒中患者严重，与病灶在左或右半球无关。

关键词: 脑卒中, 脑出血, 脑缺血, 半球, 平衡功能, 日常生活活动能力

Abstract: ObjectiveTo explore the effects of type and hemisphere of acute stroke on balance function and activity of daily living (ADL). Methods50 stroke patients were studied retrospectively. ResultsThe scores of balance subscale of Fugle-Meyer Assessment (FMB) (t=5.888, P=0.000) and Modified Barthel Index (MBI) (t=3.504, P=0.001) were lower in the hemorrhagic stroke patients than in the ischemic ones. Factor analysis showed that there was interaction between types and hemispheres of stroke for the scores of FMB (P=0.525), the score of FMB in the difference types (hemorrhagic or ischemic) was significantly different (P<0.05), but was not between left and right hemisphere focus (P<0.05). There were interaction between types and hemispheres of stroke for the scores of MBI (P=0.534), the score of MBI in the difference types (hemorrhagic or ischemic) of stroke patients was significantly different (P<0.05), but was not between left and right hemisphere focus (P>0.05). ConclusionPatients with hemorrhagic stroke result in more poor balance function and ADL than those with ischemic stroke.

Key words: stroke, cerebral hemorrhage, cerebral ischemia, hemisphere, balance function, activity of daily living