脑卒中康复患者的步行能力预后

Prognosis of Walking Ability after Stroke Rehabilitation

对122例病后4个月内开始康复的脑卒中患者的步行预后情况及部分预后影响因素进行了分析,着重讨论了独立步行、持杖步行和不能步行3组患者的特点。本组患者的最终步行率为74.6％,其中近2/3为独立步行。病后1个月内开始康复组步行率高于1个月后开始康复组,步行能力的恢复主要发生在病后最初3个月内(占73.6％),而6个月后恢复步行者很少(1.1％)。步行能力恢复得越晚,持杖步行的可能性越大。下肢运动功能差、年龄大、失语、痴呆、心脏病及坐位平衡障碍均是步行能力预后的不利因素。

In this study,the prognosis and its affecting factors of walking ability were analyzed in 122 patients received a stroke rehabilitation treatment in 4 months after the onset.The discussion was empha- sized on the characteristics among the 3 groups (independent walking,walking with a stick and walking dis- ability).The results showed that the walking rate is 74.6% in these patients;The recovery of walking abili- ty occured mainly in the first three months (73.6%),but 6 months later,few patients got to walking (1.1 %).The later the ability was regained,the more possibly they walk with a stick.The prognosis was affected by many factors such as motor function of leg,age,aphasia,dimentia,heart diseases and balance function.