《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (03): 218-219.

• 专题 脑梗死康复 • 上一篇    下一篇

脑卒中偏瘫患者站立重心偏移对功能预后的影响

刘翠华; 张盘德; 彭小文; 皮周凯; 杨杰华   

  1. 佛山市第一人民医院康复科,广东佛山市 528000
  • 收稿日期:2006-07-24 出版日期:2007-03-01 发布日期:2007-03-01

Prognosis of Center of Gravity Excursion in Standing on Functional Outcome in Stroke Patients

LIU Cui-hua, ZHANG Pan-de,PENG Xiao-wen, et al   

  1. Department of Rehabilitation, the First People's Hospital of Foshan, Foshan 528000, Guangdong, China
  • Received:2006-07-24 Published:2007-03-01 Online:2007-03-01

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摘要： 目的研究脑卒中偏瘫患者站立时重心的偏移对其功能预后的影响。方法46例脑卒中偏瘫患者根据站立时重心的偏移情况分为重心偏向健侧组(即非瘫痪侧组,简称健侧组)和重心偏向患侧组(即瘫痪侧组,简称患侧组),对两组患者的平衡能力、步行能力、日常生活活动能力和住院时间进行评测。结果健侧组的平衡能力、步行能力和日常生活能力明显优于患侧组;健侧组住院时间比患侧组显著缩短(P<0.001)。结论患者站立时重心的偏移与脑卒中偏瘫患者功能预后相关,可作为功能恢复预后的一个重要指标。

关键词: 偏瘫, 脑卒中, 重心偏移, 功能, 预后

Abstract: Objective To study the influence of center of gravity excursion in standing on function outcome of stroke patients.Methods46 stroke patients were assessed with static posturography in standing,Fugl-Meyer Balance Scale,Barthel Index and the time in hospital.The patients were divided into 2 groups according to posturography results:center of gravity was inclined to the normal side (normal group),center of gravity was inclined to the hemiplegia side (hemiplegia group).ResultsThe ability of balance,walking and activity of daily living(ADL)of the normal group patients were better than that of the hemiplegia group patients,and the in-hospital time was shorter (P<0.001).ConclusionThe center of gravity excursion in standing is highly correlated with functional outcome of stroke patients.

Key words: hemiplegia, stroke, gravity excursion, function, prognosis