MBI及ICF量表在评定芦山地震伤员康复中的价值  

Value of MBI and ICF for Rehabilitation Evaluation in Patients of Lushan Earthquake

作　　者：刘思佳[1,2] 何成奇 LIU Si-jia;HE Cheng-qi(Center of Rehabililation Medicine, Wset China Hospital,Sichuan University, Chengdu 610041, China)

机构地区：[1]四川大学华西医院康复医学中心,成都610041 [2]康复医学四川省重点实验室 [3]四川大学香港理工大学灾后重建与管理学院

出　　处：《中国急救复苏与灾害医学杂志》2019年第10期925-929,共5页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：国家卫生和计划生育委员会公益性行业科研专项(201302003);四川省卫生厅专项(150169);成都卫生计生委课题专项(CDWSYJ-2016-01).

摘　　要：目的探索地震伤员常用功能性测量表与国际功能、残疾和健康分类(international classification of function,disability,and health,ICF)核心要素量表之间的相关性。方法选取芦山地震灾区在四川大学华西医院康复住院治疗的,进行了改良Barthel指数(modified barthel index,MBI)、ICF核心要素量表评定的78例地震伤员,用相关分析与曲线估计法,分析ICF评分与MBI评分的关系。结果共纳入78名地震伤员,其中男性43例(占55.1%),年龄(32.44±21.62)岁,治疗前MBI46.240±21.676分、ICF24.667±5.921分。Spearman相关分析显7J\,BMI评分与ICF评分呈显著负相关(r=-0.628,P=0.000).用Linear直线、Logarithmic对数模型Inverse逆函数曲线模型、Compound复合曲线模型、Power需函数曲线模型、S曲线模型、Growth增长曲线模型和Exponentia指数曲线模型评定ICF评分与MBI评分的曲线关系,用值分别为0.339、0.270、0.052、0.341、0.247、0.037、0.341,0.341(均P<0.01)。其中最适合描述二者曲线关系的是Compound复合曲线模型。结论MBI在国际功能、残疾和健康评定中的有一定的应用价值。Objective The purpose of the pilot study was to assess the function outcome of patients after Lushan earthquake using common functional measurements and a newly developed tool based on the International Classification of Functioning, Disability and Health(ICF),and find the correlation. Methods 78 earthquake injured patients were recruited in this study in west China Hospital, Sichuan University. MBI score and international comprehensive version of ICF Core Set score were calculated in each case. The relationship between MBI score and ICF score was analyzed by correlation analysis and curve estimation. Results A total of 78 patients were enrolled, including 43 male (55.1 %),and age of (32.44±21.62) years old, MBI score was 46.240±21.676, and ICF score was 24.667±5.921. The Spearman correlation coefficient between MBI score and ICF score was -0.628 (P=0.000), and that among the linear model, Logarithmic model, Inverse model, Compound model, Power model, S model ,Growth curve model and exponential model R2 were 0.339、 0.270、0.052、0.341、0.247、0.037、0.341、0.341, respectively (all P<0.01), and the most suitable description for relationship between MBI score and ICF score was Compound model. Conclusion MBI was a useful score for assessing the International Classification of Functioning, Disability and Health.

关 键 词：改良Barthel指数(MBI) ICF 地震伤员 康复评定 

分 类 号：R49[医药卫生—康复医学]