脑栓塞患者的视空间能力测评和体外反搏治疗  

Evaluation of Visual Space Perception and Enhanced External Counterpulsation in Patients with Stroke

作　　者：李小敏[1] 骆荣江[2] 赵连旭[1] 马翠萍[2] 刘韶瑞[2] 谢强[3] 

机构地区：[1]南方医科大学附属珠江医院神经内科,广东省广州市510280 [2]中山大学附属第一医院眼科,广州市510020 [3]中山大学附属第一医院体外反搏室,广州市510020

出　　处：《中华全科医学》2011年第7期1008-1010,共3页Chinese Journal of General Practice

基　　金：广东省科技计划基金资助项目(2008B030301083)

摘　　要：目的观察视空间能力障碍测评和增强型体外反搏等综合康复方法对评价和治疗脑栓塞患者的效果。方法脑栓塞患者78例,随机分为A、B两组。A组进行常规康复训练,B组除此之外,还使用增强型体外反搏器（气囊压力0.35~0.40 mPa.cm2）进行治疗,1次/d,每次1 h,14次为1个疗程,规律治疗4个疗程。采用改良Barthel指数、生存质量量化表和临床症状综合计分法等进行疗效评定。结果治疗后2月后,两组患者临床症状综合计分与治疗前比较均有明显提高（P〈0.01）;B组的改良BI指数较A组显著提高（P〈0.01）;而且,B组的生存质量评定总分、精力、家庭角色、活动、情绪、自理能力、社会角色和上肢功能各因子分均显著高于A组。结论采用视空间能力障碍测评等方法能准确评价脑栓塞的疗效;综合康复方法联合增强型体外反搏可显著改善脑栓塞患者的临床症状。Objective To investigate the effect of the comprehensive rehabilitation approach such as the visual space perception evaluation and enhanced external counterpulsation（EECP） in patients with stroke.Methods Seventy eight patients with acute stroke were randomly divided into two groups： Group A and group B.Both groups received the general rehabilitation therapy including motor relearning program,acupuncture and neuromuscular electrical stimulation;while group B was also treated with EECP（the balloon pumping pressure was 0.35-0.40 mPa.cm2,once time a day,one hour at a time,a course of treatment was 14 days,total 4 courses）.Visual space capability evaluating and training software（VETS） score and modified Barthel index（BI） were used to assess the cognitive function and activities of daily living（ADL） before the treatment and two months after the treatment,respectively.Results Two months after the treatment,both groups showed significant improvement in the clinical symptom score（P0.01）.The evaluation on BI,quality of life,energy,family and social role,activity,emotion,self-care ability and upper limb function in group B were better than group A（P0.01）.Conclusion The visual space perception evaluation can actually show the curative effects on stoke;the comprehensive rehabilitation approach combined with EECP can obviously improve the clinical symptoms of patients with stroke.

关 键 词：脑栓塞 视空间能力 体外反搏 治疗 

分 类 号：R743.33[医药卫生—神经病学与精神病学]