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采用Ｂａｒｔｈｅｌ指数对１２０例脑卒中住院患者在发病后５～６周进行ＡＤＬ评定。因脑卒中患者肢体的Ｂｒｕｎｎｓｔｒｏｍ功能分级与ＡＤＬ积分高度相关，下肢相关性高于上肢；多元逐步回归分析显示，躯体（偏瘫）和心理（认知障碍和抑郁）因素对ＡＤＬ均有影响。提示ＡＤＬ能力的提高，不仅依赖于肢体功能障碍的改善，提高认知功能，改善情感状况对于脑卒中患者获得全面康复、回归社会同样是重要的。
The Barthel index was used to assess ADL in 120 stroke inpatients at 5-6 weeks after onset. Because of the Brunnstrom functional classification of stroke patients’ limbs was highly correlated with ADL score, lower limb correlation was higher than that of upper limbs. Multiple stepwise regression analysis showed that somatic (hemiplegia) and psychological (cognitive impairment and depression) factors affected ADL. These findings suggest that the improvement of ADL ability is not only dependent on the improvement of limb dysfunction, improving cognitive function and improving the emotional status, but also for the comprehensive rehabilitation and return to society of stroke patients.