论文部分内容阅读
采用Barthel指数对120例脑卒中住院患者在发病后5~6周进行日常生活活动(ADL)能力的评定,因脑卒中遗留的功能不全,ADL的受损率达66.7%,肢体的Brunnstrom功能分级与ADL积分高度相关,相关性下肢高于上肢;多元逐步回归分析显示,躯体(偏瘫)和心理(认知障碍和抑郁因素)影响ADL的能力。认为ADL能力的提高,不仅依赖于肢体功能障碍的改善,提高认知功能,改善情感状况,对于脑卒中患者获得全面康复和回归社会,同样是重要的。
The Barthel Index was used to evaluate the ability of ADLs in 120 stroke inpatients to develop 5-6 weeks after onset. The loss of ADL was 66.7% due to the left ventricular dysfunction. The Brunnstrom Functional classification was highly correlated with ADL score, with correlation lower extremity higher than upper extremity; multiple stepwise regression analysis showed that somatic (paralysis) and psychology (cognitive impairment and depression) affected ADL ability. It is also important that the improvement of ADL capacity not only depends on improvement of limb dysfunction, improvement of cognitive function and improvement of emotional status, but also on the comprehensive rehabilitation and return to society of stroke patients.