不同平衡量表应用于脑卒中患者的相关性分析  

The correlation of different balance scales in stroke patients

作　　者：王云龙[1] 陈长香[1] 马素慧[1] 窦娜[1] 李丹[1] 

机构地区：[1]河北联合大学护理与康复学院,唐山063000

出　　处：《中国康复医学杂志》2015年第2期143-146,共4页Chinese Journal of Rehabilitation Medicine

基　　金：河北省科技厅科技支撑课题(13277748D)

摘　　要：目的:探讨简易平衡评定系统测试(mini-BESTest)、Berg平衡量表(BBS)、Brunel平衡量表(BBA)应用于脑卒中患者时的相关性,为临床选择适宜的平衡量表提供客观依据。方法:对308例脑卒中患者进行mini-BESTest、BBS、BBA、改良巴氏指数(MBI)和神经功能缺损程度评分量表评测,用Spearman相关系数分析mini-BESTest、BBS和BBA之间的相关性以及三者与肢体运动功能和MBI间的相关性,分析mini-BESTest和BBA各维度之间的相关性以及两者各维度与肢体运动功能和MBI间的相关性。结果:mini-BESTest、BBS和BBA之间相关系数为0.832—0.911(P<0.01);肢体运动功能、MBI与三个平衡量表的相关系数为-0.589—-0.669(P<0.01)、0.514—0.548(P<0.01)。mini-BESTest和BBA各维度之间的相关系数为0.365—0.769(P<0.01),肢体运动功能、MBI与mini-BESTEST、BBA两个平衡量表各维度的相关系数分别为-0.392—-0.655(P<0.01)、0.359—0.573(P<0.01)。结论:三个平衡量表之间具有较好的相关性。但mini-BESTest要优于BBS,更适宜在临床上应用,BBA适宜在临床进行快速评估使用。Objective： To explore the correlation of mini- balance evaluation systems test（mini- BESTest）, Berg balance scale（BBS） and Brunel balance assessment（BBA） in stroke patients.Method： Three hundred and eight patients with stroke were assessed with mini-BESTest, BBS, BBA, modified Barthel index（MBI） and neurologic impairment rating scale. The levels of association among mini- BESTest,BBS and BBA were examined with Spearman＇s correlation coefficients. Spearman correlation analysis were conducted to relationship among three balance scales and MBI, neurologic impairment rating scale, and relationship among the domains of mini-BESTest and BBA with MBI, neurologic impairment rating scale.Result： The significant correlation was shown among three balance scales（mini-BESTest, BBS and BBA）, the correlation coefficients were 0.832—0.911（P0.01）, the correlation coefficients of three balance scales with neurologic impairment rating scale were- 0.589—- 0.669（P0.01）, with MBI were 0.514—0.548（P0.01）.The scores of whole assessment and related domains were significantly correlated among mini- BESTest and BBA, and the correlation coefficients were 0.365—0.769（P0.01）. The correlation coefficients of domains in mini- BESTest and BBA with neurologic impairment rating scale were- 0.392—- 0.655（P0.01）, with MBI were 0.359—0.573（P0.01）.Conclusion： There are good correlation among three balance scales, but mini-BESTest is superior to BBS inclinic and BBA is suitable for rapid assessment in clinic.

关 键 词：平衡量表 脑卒中 简易平衡评定系统测试 BERG平衡量表 Brunel平衡量表 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]