脑白质疏松症患者分级与跌倒风险的相关性研究  

Correlation study of risk of tumble with gradings in patients with leukoaraiosis

作　　者：张舒校[1] 王建平[1] 苗勤[1] 牛延良[1] 刘玉府[1] 田志强[1] 贺钢锐[1] 

机构地区：[1]郑州大学第五附属医院神经内科二区,郑州450052

出　　处：《中华神经医学杂志》2013年第8期794-796,共3页Chinese Journal of Neuromedicine

摘　　要：目的 探讨脑白质疏松症患者分级与跌倒风险的相关性. 方法 选取自2010年6月至2012年6月在郑州大学第五附属医院神经内科住院的脑白质疏松症患者100例设为观察组,选择同期在体检中心健康体检的老年人100例作为对照组.行头颅CT或MRI检查脑白质情况.采用Berg平衡功能量表评价平衡能力,并根据平衡功能障碍程度的不同分为平衡功能差（0～20分）、有一定的平衡能力（21～40分）、平衡功能较好（41～56分）. 结果 观察组平衡功能差者、有一定的平衡能力者的比例均明显高于对照组,平衡功能较好者比例低于对照组.观察组中Berg平衡功能量表评分＜40分者比例明显高于对照组,差异有统计学意义（P＜0.05）.脑白质疏松症分级与平衡功能障碍程度经Spearman秩相关性分析显示具有正相关性（Ts=0.790,P=0.000）. 结论 老年脑白质疏松症患者均存在不同程度的平衡功能障碍,且级数越高其平衡功能障碍程度越重.Objective To explore the correlation of risk of tumble with gradings in patients with leukoaraiosis.Methods One hundred patients with leukoaraiosis,admitted to our hospital from June 2010 to June 2012,were selected as an observation group; another 100 elderly controls accepted physical examinations in our physical examination center at the same period were also selected.All subjects from the observation group underwent head CT or MRI examination to compare the cerebral white matter.The Berg balance scale was used to evaluate the ability of balance and divided into poor balance （0-20 scores）,balance （21-40 scores） and better balance （41-56 scores）.Results In the observation group,the proportion of poor balance and balance patients was averagely higher than that of control group; and the ratio of better balance function was lower than the control group.About the Berg balance scale scores with less than 40,the observation group was higher than that of the control group （P〈0.05）.Spearman rank correlation analysis showed a positive correlation between leukoaraiosis grading and balance dysfunction （Ts=0.790,P=0.000）.Conclusion Senile leukoaraiosis patients have different degrees of balance dysfunction and the higher leukoaraiosis degrees they have,the severer of balance dysfunction they will get.

关 键 词：脑白质疏松症 平衡功能 跌倒 相关性 

分 类 号：R743.3[医药卫生—神经病学与精神病学]