CAJ | 학술논문

背景:通过入院时资料早期预测其出院时的功能结局对于了解预后、计划出院后的转归很有意义,目前关于脑卒中患者平衡功能的研究越来越受到重视,而国内缺乏关于平衡功能与出院时的功能结局的关系报道.目的:根据收集的资料预测脑卒中患者出院时的功能结局,以及它与Fugl-Meyer平衡得分、Berg平衡量表得分的相关性.设计:以患者为研究对象,多因素、多变量研究.单位:一所大学医院的康复科.对象:2002-08/2003-05同济医院康复科和神经科住院的符合入选标准的首次脑卒中患者40例.方法:将收集的脑卒中患者资料与出院时的功能结局进行单因素和多因素分析,收集的资料包括患者的病史、体格检查、入院时Fugl-Meyer平衡量表评分、Berg平衡量表评分、日常生活活动能力及功能独立性评分,出院时评定功能独立性评分作为功能结局.主要观察指标:Berg平衡量表,Fugl-Meyer平衡量表与功能独立性评定的简单相关性分析,出院时功能独立性评分影响因子的逐步回归分析.结果:简单线性相关分析提示Berg平衡量表,Fugl-Meyer平衡量表得分与入院、出院功能独立性评定得分有较强的相关性(P＜0.001或P＜0.05),逐步回归分析发现入院时功能独立性评定,日常生活活动能力评分,Berg平衡量表评分可以预测脑卒中患者出院时的功能结局.结论:出院时功能结局的预测因子为入院时功能独立性评定,日常生活活动能力评分,Berg平衡量表评分,它与Berg平衡量表有较强的相关性.
배경:통과입원시자료조기예측기출원시적공능결국대우료해예후、계화출원후적전귀흔유의의,목전관우뇌졸중환자평형공능적연구월래월수도중시,이국내결핍관우평형공능여출원시적공능결국적관계보도.목적:근거수집적자료예측뇌졸중환자출원시적공능결국,이급타여Fugl-Meyer평형득분、Berg평형량표득분적상관성.설계:이환자위연구대상,다인소、다변량연구.단위:일소대학의원적강복과.대상:2002-08/2003-05동제의원강복과화신경과주원적부합입선표준적수차뇌졸중환자40례.방법:장수집적뇌졸중환자자료여출원시적공능결국진행단인소화다인소분석,수집적자료포괄환자적병사、체격검사、입원시Fugl-Meyer평형량표평분、Berg평형량표평분、일상생활활동능력급공능독립성평분,출원시평정공능독립성평분작위공능결국.주요관찰지표:Berg평형량표,Fugl-Meyer평형량표여공능독립성평정적간단상관성분석,출원시공능독립성평분영향인자적축보회귀분석.결과:간단선성상관분석제시Berg평형량표,Fugl-Meyer평형량표득분여입원、출원공능독립성평정득분유교강적상관성(P＜0.001혹P＜0.05),축보회귀분석발현입원시공능독립성평정,일상생활활동능력평분,Berg평형량표평분가이예측뇌졸중환자출원시적공능결국.결론:출원시공능결국적예측인자위입원시공능독립성평정,일상생활활동능력평분,Berg평형량표평분,타여Berg평형량표유교강적상관성.
BACKGROUND: To predict the functional outcome basing on hospitalization data as earlier as possible has important significance for evaluating the prognosis and discharged recovery. In recent years, researches on the balance function of stroke patients has drew more and more attentions, but less related reports about the relationship between balance and discharge functional outcome are available.OBJECTIVE: To predict the discharg functional outcomes of stoke patients basing on hospitalization data, as well as the relationship between it and scores for Fugl-Meyer balance(FMB) and Berg balance scale(BBS).DESIGN: Multiple factors and multi-variable study based on patient' s clinical presentation.SETTING: Rehabilitative department in a college hospital.PARTICIPANTS: Between August 2002 and May 2003, 40 patients with stoke for the first time were hospitalized in Rehabilitative and Neurological Department of Tongji Hospital, who accorded with the enrolling standards.METHODS: The available hospitalization data and discharge functional outcomes were subjected to single factor and multiple factor analysis, and collected data includes the history of disease, physical examination, scores for FMB and BBS when hospitalization, scores for daily life ability(ADL)and functional independence measure(FIM) . Functional outcome was presented by the discharge FIM.MAIN OUTCOME MEASURES: Simple correlative analysis of BBS, FMB and FIM, regressive analysis of discharge FIM influencing factors.RESULTS: Simple liner correlative analysis indicted that scores for BBS and FMB was strongly correlated with the scores for FIM at hospitalization and discharge( P ＜ 0. 001 or P ＜ 0.05), regressive analysis revealed that scores for FIM, ADL and BBS at hospitalization could be used for predicting the discharge functional outcomes of stroke patients.CONCLUSION: Predictors for discharge functional outcomes includes scores for FIM, ADL and BBS when hospitalization, which are closely correlated with BBS.