单侧空间忽略对左侧偏瘫患者ADL的影响及其康复  

Influence of unilateral spatial neglect on ADL ability in left hemiplegia and its rehabilitation

作　　者：张竹青[1] 孙启良[1] 杨文琳[1] 宋军[1] 

机构地区：[1]中日友好医院物理康复科

出　　处：《中国康复医学杂志》1997年第4期166-169,共4页Chinese Journal of Rehabilitation Medicine

摘　　要：对右脑损伤后伴有单侧空间忽略的１４例偏瘫患者与不伴有忽略症的３４例偏瘫患者进行日常生活活动能力的对照研究。结果表明，观察组的患者治疗前后ＡＤＬ的积分均明显低于对照组（Ｐ＜００１）。证实了单侧空间忽略的存在对患者ＡＤＬ能力的损害是严重的，并且妨碍康复效果。将复杂的作业进行分解，应用口头回忆法对观察组的患者进行ＡＤＬ的训练。结果显示，患者忽略行为的改善率为５９％。停止治疗２周后患者的忽略行为无明显增加（Ｐ＞００５）；患者的ＡＤＬ积分较治疗前有显著提高（Ｐ＜００１）。认为用完整的语言能力帮助训练运动作业是有效的，并且有累积效果。觉醒状态的低下可能是治疗后忽略人次所占比例较治疗前无明显减少的原因。The effects of rehabilitation on ability of ADL in 14 cases of hemiplegic patients with unilateral spatial neglect(USN) were studied with comparison of 34 cases hemiplegic patients without USN.The results showed: the score of group with USN was absolutely lower than that without USN ( P <0 01). It showed that the existing of USN did greatly harm the ADL ability. Detail analysis was given to training those patients of the observed group by oral recollection.The results demonstrated that patients recovering rate remained 59% after the treatment and training were stopped 2 weeks( P >0 05). The linguistic ability training effectively assisted their exercise training course. Forthermore, those effects could exist continously. The status of weakness awakening might be the reason why the possibility (occuring rate) of the spatial negelecting acted evidently less than before the treatment( P >0 05). Author′s address\ Dept. of Physical Rehabilitation, China Japan Friendship Hospital, Beijing, 100029

关 键 词：单侧空间忽略 左偏瘫 脑损伤 偏瘫 ADL 

分 类 号：R742.309[医药卫生—神经病学与精神病学]