基于眼动技术的VR认知训练在卒中后右脑半球损伤注意障碍患者中的康复应用  

Application of VR cognitive training based on eye movement technology in rehabilitation of patients with right hemisphere injury after stroke

作　　者：林宜杰 张利[1] 徐琳峰[2] 邵梦鸣 Lin Yijie;Zhang Li;Xu Linfeng(Zhejiang Provincial People's Hospital(Affiliated People's Hospital),HangZhou Medical College,Hangzhou 310014,China)

机构地区：[1]浙江省人民医院(附属人民医院),杭州310014 [2]杭州医学院,杭州310059 [3]浙江中医药大学附属康复医院(浙江康复医疗中心),杭州310053

出　　处：《中国康复》2024年第2期72-75,共4页Chinese Journal of Rehabilitation

基　　金：浙江省自然科学基金项目(LGF22H170006);浙江康复医疗中心院级科研课题(ZK2208)。

摘　　要：目的:评价基于眼动技术的VR认知训练在卒中后右脑半球损伤注意障碍患者康复中的疗效。方法:将40例右脑半球损伤脑卒中后注意障碍的患者随机分成2组,2组均进行常规治疗,观察组在其基础上进行眼动技术的VR认知康复训练替代常规治疗中认知功能训练。治疗前后分别采用MoCA评分,数字广度测试,字母删除测验,凝视时间评估。结果:治疗6周后,2组患者MoCA评分,数字广度测试,凝视时间均明显提高(P<0.05),而2组字母删除测验中错误删除数、总治疗时长治疗前后和组间无明显变化;治疗后观察组MoCA评分、字母删除测验中正确删除数、数字广度测试顺背数字和倒背数字、凝视时间指标改善程度优于对照组(P<0.05)。结论:基于眼动技术的VR认知康复训练可以有效改善卒中后右脑半球损伤注意障碍患者的注意功能。Objective:To evaluate the efficacy of VR cognitive training based on eye movement technology in the rehabilitation of attention deficit patients with right hemisphere injury after stroke.Methods:A total of 40 patients with attention deficit after stroke with right hemisphere injury were randomly divided into two groups.Both groups received routine treatment,and the treatment group received VR cognitive rehabilitation training on eye movement technology additionally.MoCA score,digit span test,letter deletion test,and gaze time assessment were used before and after intervention.Results:After 6 weeks of treatment,the MoCA score,digit span test,and gaze time indicators of both groups were significantly improved(P<0.05).However,there were no significant changes in the number of incorrect deletions in the letter deletion test,total treatment duration before and after treatment in the two groups,and between groups.After intervention,the MoCA score,the number of correct deletions in the letter deletion test and the number span test,and the improvement of gaze time indicators was better in the eye movement experimental group than those of the control group(P<0.05).Conclusion:VR cognitive rehabilitation training based on eye movement technology can effectively improve the attention function of patients with right hemisphere injury and attention deficit after stroke.

关 键 词：眼动技术 脑卒中 注意障碍 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]