镜像视觉反馈对脑梗死后单侧空间忽略患者的康复疗效  

Rehabilitatiive effect of mirror visual feedback in unilateral spatial neglect patients after cerebral infarction

作　　者：杨美丽[1] 吴振纲 叶励超[1] 陈雅芳[1] 黄银辉[3] 卓识途 何惠玲 王凌星[1] Yang Meili;Wu Zhengang;Ye Lichao;Chen Yafang;Huang Yinhui;Zhuo Shitu;He Huiling;Wang Lingxing(Department of Neurology,Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,Fujian Province,China)

机构地区：[1]福建医科大学附属第二医院神经内科,泉州362000 [2]泉州医学高等专科学校外科教研室 [3]晋江市医院神经内科

出　　处：《中华老年心脑血管病杂志》2019年第1期45-48,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

基　　金：福建省教育厅中青年教师教育科研项目(JAT160193);福建省卫生计生中青年骨干人才培养项目(2016-ZQN-53);福建医科大学苗圃科研基金(2014MP032);福建医科大学附属第二医院苗圃基金暨科研骨干基金(2016MP08)

摘　　要：目的探讨镜像视觉反馈对脑梗死后单侧空间忽略患者的康复疗效。方法选择脑梗死后单侧空间忽略患者42例,按照随机信封法隐藏分配方案分为对照组20例和镜像组22例。对照组采用常规治疗和康复,镜像组在常规治疗和康复基础上采用镜像视觉反馈治疗。对治疗前、治疗4周后进行评价,忽略程度采用凯瑟林-波哥量表(CBS)评分,平衡功能采用Berg平衡量表(BBS)评分,日常生活活动能力采用功能独立性评定法(FIM)评分。结果与治疗前比较,2组治疗后CBS评分明显降低,BBS和FIM评分明显升高,差异有统计学意义(P <0. 05)。与对照组比较,镜像组治疗后CBS评分明显降低[(10. 65±4. 17)分vs (15. 76±8. 89)分,BBS和FIM评分明显升高(56. 10±20. 23)分vs (44. 43±11. 38)分,(74. 69±17. 71)分vs (57. 82±12. 11)分,P <0. 05]。结论镜像视觉反馈对脑梗死后单侧空间忽略患者能显著改善平衡功能及生活自理能力,是临床便捷有效的康复治疗方法。Objective To study the rehabilitative effect of mirror visual feedback(MVF)therapy in unilateral spatial neglect patients after cerebral infarction(CI).Methods Forty-two unilateral spatial neglect patients admitted to our hospital were randomly divided into MVF therapy group(n=22)and control group(n=20).The patients in control group received routine therapy and rehabilitative therapy while those in MVF therapy group received MVF therapy on the basis of routine therapy and rehabilitative therapy.The patients were evaluated before treatment and at week 4 after treatment.The neglect degree was assessed according to the CBS score,BBS score and FIM score respectively before and after treatment.Results The CBS score was significantly lower while the BBS and FIM scores were significantly higher in two groups after treatment than before treatment(P<0.05).The CBS score was significantly lower while the BBS and FIM scores were significantly higher in MVF therapy group than in control group after treatment(10.65±4.17 vs 15.76±8.89,P<0.05;56.10±20.23 vs 44.43±11.38,74.69±17.71 vs 57.82±12.11,P<0.05).Conclusion MVF therapy can improve the balance function and selfcare ability of unilateral spatial neglect patients after CI and is thus a convenient and effective rehabilitative therapy for unilateral spatial neglect patients

关 键 词：脑梗死 功能偏侧化 视觉 反馈 

分 类 号：R743.3[医药卫生—神经病学与精神病学]