视觉扫描阅读训练对脑卒中偏侧忽略患者认知功能及日常生活活动能力的影响  

Effect of Visual Exploration Therapy on Cognitive Function and Activities of Daily Living of Stroke Patients with Unilateral Neglect

作　　者：程凯[1] 杨婷[1] 李雪萍[1] 林强[1] 陈安亮[1] 俞长君[1] 

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)康复医学科,江苏南京市210006

出　　处：《中国康复理论与实践》2016年第12期1430-1433,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：南京市医学科技发展计划青年人才启动项目(QYK11171)

摘　　要：目的观察视觉扫描阅读训练对脑卒中偏侧忽略患者认知功能及日常生活活动能力的影响。方法 2012年1月~2014年6月在本科住院的脑卒中偏侧忽略患者24例,随机分为对照组（n=12）和观察组（n=12）。对照组接受常规康复训练,观察组另外接受视觉扫描阅读训练,共3周。采用简易精神状态检查（MMSE）、蒙特利尔认知评估量表（Mo CA）、改良Barthel指数（MBI）和中国行为性忽略测试-香港版（CBIT-HK）进行评价。结果两组各评分均在治疗后显著提高（t〉5.375,P〈0.001）;除MMSE（P〉0.05）外,治疗组各评分均高于对照组（t〉2.120,P〈0.05）。结论视觉扫描阅读训练不仅能提高脑卒中患者的偏侧忽略症状,还能改善患者的认知功能和日常生活活动能力。Objective To evaluate whether visual exploration therapy could lead to the recovery of cognitive function and activities of daily living（ADL） of stroke patients with unilateral neglect. Methods From January, 2012 to June, 2014, 24 stroke patients with unilateral neglect were randomly divided into control group（n=12） and observaton group（n=12）. The control group received conventional rehabilitation therapy, and the observation group received visual exploration therapy additionally. They were evaluated with Mini-Mental State Examination（MMSE）, Montreal Cognitive Assessment（Mo CA）, modified Barthel index（MBI） and Chinese Behavioral Inattention Test- Hong Kong version（CBIT-HK）. Results All the scores improved after treatment in both groups（t〉5.375, P〈0.001）, and were higher in the observation group than in the control group（t〉2.120, P〈0.05）, except MMSE（P〉0.05）. Conclusion Visual exploration therapy could not only facilitate the recovery of unilateral neglect in stroke patients, but also improve their cognitive function and activities of daily living.

关 键 词：脑卒中 偏侧忽略 视觉扫描训练 认知功能 日常生活活动能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]