目的　研究初诊时坐位姿势保持能力对急性脑卒中偏瘫患者功能预后的价值。方法　 86例急性脑卒中偏瘫患者根据初诊时坐位姿势保持能力的评价分为良好组和不良组 ,对两组患者出院时的步行能力、日常生活活动能力和住院时间进行评测。结果　初诊时坐位姿势保持能力良好组 ,站立训练开始的时间、步行训练开始的时间和住院时间明显比不良组短 (P <0 .0 0 1 ) ,说明良好组比不良组功能恢复快。出院时步行自立度和日常生活活动能力方面 ,良好组明显优于不良组 (P <0 .0 0 1 )。结论　初诊时坐位姿势保持能力与功能恢复密切相关 ,可作为功能预后的一个重要指标 Objective To study the value of sitting posture retention in newly diagnosed patients with hemiplegia after acute stroke. Methods Eighty-six patients with acute stroke who developed hemiplegia were divided into two groups according to the evaluation of sitting position and posture retention ability. The walking ability, activities of daily living and length of hospital stay were evaluated in both groups. Results In the first visit, the position and posture retention ability of the good group was significantly lower than that of the poor group (P <0.01), which indicated that the recovery time of standing training, walking training and hospitalization was significantly shorter than that of the poor group (P <0.01). In the group of walking self-improvement and activities of daily living, the good group was significantly better than the bad group (P <0.01). Conclusions The ability to maintain position and posture during first visit is closely related to functional recovery, which can be used as an important index of functional prognosis