探究恢复期脑卒中患者注意力缺陷与平衡控制及跌倒的关系  

Relationship among Attention Deficit,Balance Control and Fall for Stroke at Chronic Stage

作　　者：钟琳晔[1] 刘喆[2] 常冬梅[1,3] 刘文博[2] 

机构地区：[1]首都医科大学康复医学院,康复治疗专业北京市100068 [2]北京市丰台区方庄社区卫生服务中心,北京市100078 [3]中国康复研究中心北京博爱医院运动疗法科,北京市100068

出　　处：《中国康复理论与实践》2010年第12期1160-1163,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中国康复研究中心科研课题(2007-10)

摘　　要：目的探究恢复期脑卒中患者注意力缺陷与平衡控制及跌倒的关系。方法选取符合入选条件的恢复期脑卒中患者40例,调查受试者的跌倒情况,统计跌倒次数;通过划销测验评价受试者的注意力水平,计算出注意力持续性指数;用Berg平衡量表评价受试者的平衡控制能力。比较注意力持续性指数、Berg评分与跌倒之间的相关性,并比较无跌倒组和跌倒组的注意力持续性指数以及Berg评分有无显著性差异。结果 40例受试者中有14例发生过跌倒,跌倒发生率为35%;注意力持久性指数与平衡评分呈正相关(r=0.550,P<0.01),注意力持久性指数与跌倒次数呈负相关(r=-0.458,P<0.01),平衡评分与跌倒次数呈负相关(r=-0.500,P<0.01);无跌倒组的注意力持续性指数和平衡评分明显高于跌倒组(P<0.01)。结论恢复期脑卒中患者跌倒的发生率较高;恢复期脑卒中患者注意力持续性水平与平衡控制能力有关;恢复期脑卒中患者注意力持续性水平减退和平衡控制能力下降均会增加患者的跌倒风险。Objective To explore relationships among attention deficits,balance control and falls for stroke at chronic stage.Methods 40 subjects were recruited.Fall histories were collected by Questionnaire.The Cancellation Test was used to measure sustained attention.The Berg Balance Scale（BBS） was used to measure the balance ability.Results 14 subjects fell among 40 subjects,with fall rate 35%.Sustained attention scores were found to correlate with measures of balance（r=0.550,P〈0.01） and with the number of fall（r=-0.458,P〈0.01）.Balance scores were found to correlate with the number of fall（r=-0.500,P〈0.01）.Scores for attention and balance for fallers were found to be significantly different from the scores of non-fallers（P=0.006,P=0.004 respectively）.Conclusion High rate of fall can be found in stroke at chronic stage with a significant relationship among attention deficit,balance control and fall.

关 键 词：注意力 平衡 跌倒 脑卒中 

分 类 号：R743[医药卫生—神经病学与精神病学]