Burke倾斜量表评价Pusher综合征康复的研究

Study of Burke Lateropulsion Scale on Pusher Syndrome Recovery

目的探讨Burke倾斜量表(BLS)对Pusher综合征康复的灵敏度以及研究对象在应用BLS作为评估工具时的特点。方法以48例脑卒中后发生Pusher综合征的患者为研究对象,于入院当天、入院后每2周以及出院时均行BLS评分以评价康复情况。分析患者出、入院时的BLS评分特点以及标准反应均数(SRM)。结果入院时56.3%的参与者评分为轻度,16.7%为重度,而出院时无重度患者,43.8%的参与者无Pusher综合征诊断,47.9%的参与者评分为轻度。整个住院期间、住院4周以及住院6周的SRM分别为1.27、1.41和2.18。结论 BLS量表适于评价Pusher综合征,并且对疾病恢复情况具有较高的灵敏度。

Objective To investigate the responsiveness of the Burke Lateropulsion Scale（BLS） evaluating Pusher syndrome recovery and the characteristics of BLS.Methods 48 patients diagnosed as Pusher syndrome after stroke were included.All the patients were assessed with BLS to measure the progress at admission,every 2 weeks and at discharge,respectively.The characteristics of BLS score at admission and discharge and the standardized response mean（SRM） were analyzed.Results 56.3% patients were rated as mild and 16.7% were rated as severe at admission;none were classified as severe,43.8% were not enough to be diagnosed as Pusher syndrome and 47.9% were classified as mild on discharge.SRM was 1.27 during the whole hospitalization,and SRM was 1.41 and 2.18 at 4 and 6 weeks,respectively.Conclusion BLS is an appropriate tool for the evaluation of patients with Pusher syndrome and is responsive to monitor the progress and recovery during rehabilitation.