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目的 根据患者入院时的各项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 (FMB)得分、Berg平衡量表 (BergBalanceScale ,BBS)得分的相关性。方法 收集的资料包括患者的病史、体格检查、入院时FMB评分、BBS评分、日常生活活动能力 (ADL)及功能独立性评定 (FunctionalIndepen denceMeasure ,FIM )得分 ,出院时评定FIM作为功能结局 ,资料采用简单线性相关分析、逐步回归分析。结果 简单线性相关分析提示BBS、FMB得分与入院、出院FIM得分有较强的相关性 ,逐步回归分析发现入院时FIM、ADL、BBS评分可以预测脑卒中患者出院时的功能结局。结论 入院时功能状态如FIM、ADL、BBS评分可以预测脑卒中患者出院时的功能结局 ,并且出院时的功能结局与患者入院时的BBS有较强的相关性。
OBJECTIVE: To predict the functional outcomes of stroke patients at discharge and their association with the scores of the Fugl Meyer Balance (FMB) and the Berg Balance Scale (BBS) based on various data at admission. Methods The data collected included the patient’s medical history, physical examination, admission FMB score, BBS score, ADL and FIM score, FIM score at discharge as functional outcome, Simple linear correlation analysis, stepwise regression analysis. Results The simple linear correlation analysis indicated that there was a strong correlation between BBS and FMB scores and admission FIM scores. By stepwise regression analysis, FIM, ADL and BBS scores on admission could predict the functional outcome of patients with stroke at discharge. Conclusions Functional status such as FIM, ADL and BBS at admission may predict the functional outcome of patients with stroke at discharge, and the functional outcome at discharge is strongly correlated with BBS at admission.