棱镜适应技术治疗卒中后偏侧空间忽略的临床研究  

Effect of prism adaption on unilateral spatial neglect

作　　者：杜晓霞[1] 宋鲁平[1] 徐莹[1] 公维军[1] 

机构地区：[1]中国康复研究中心北京博爱医院神经康复中心,北京100068

出　　处：《中国医学前沿杂志（电子版）》2013年第10期26-30,共5页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：中央级公益性科研院所基本科研业务费专项资金(2012-CZ-20)

摘　　要：目的探讨棱镜适应技术治疗卒中后偏侧空间忽略的临床疗效。方法将30例卒中后偏侧空间忽略的患者分为治疗组及对照组各15例,并对治疗组进行每日2次,每周5次,为期2周的棱镜治疗。在治疗前后采用半侧空间忽略量表分别对两组患者进行评定。结果治疗前两组患者半侧空间忽略程度无显著差异(P>0.05),治疗后,治疗组偏侧空间忽略程度较对照组改善(P<0.05)。棱镜适应技术具有持久的较好的即时效应和后续效应。结论棱镜适应技术是一种主动的适应过程,治疗卒中后偏侧空间忽略安全有效。Objective To investigate the efifcacy of prism adaptation (PA) for stroke patients with unilateral spatial neglect (USN). Methods 30 cases of post-stroke USN patients were divided into treatment group (n= 15) and control group (n = 15), the treatment group performed PA therapy two times a day, ifve times a week, training 2 weeks. Before and after treatment using the hemi-spatial neglect scales evaluated two groups of patients. Results Before the treatment, there were no signiifcant difference of USN degree between two groups (P>0.05), after the treatment. The USN degree of patient in the treatment group decreased signiifcantly after PA treatment (P < 0.05). PA technologies have long-lasting effects. Conclusion PA is an effective procedure for rehabilitation symptoms of USN-producing relatively sustained improvements on a variety of spatial attention.

关 键 词：偏侧空间忽略 脑卒中 棱镜适应技术 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]