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

doi:10.3969/j.issn.1006-9771.2016.12.014

《中国康复理论与实践》 ›› 2016, Vol. 22 ›› Issue (12): 1430-1429.doi: 10.3969/j.issn.1006-9771.2016.12.014

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

程凯，杨婷，李雪萍，林强，陈安亮，俞长君

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。

收稿日期:2016-09-30 出版日期:2016-12-25 发布日期:2017-01-15
通讯作者: 俞长君(1980-)，女，汉族，安徽滁州市人，主治医师，主要研究方向：神经系统疾病康复。E-mail: yuchangjun_good@126.com。
作者简介:程凯(1978-)，男，汉族，江苏南京市人，主治医师，主要研究方向：神经康复。
基金资助:
南京市医学科技发展计划青年人才启动项目(QYK11171)。

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

CHENG Kai, YANG Ting, LI Xue-ping, LIN Qiang, CHEN An-liang, YU Chang-jun

Rehabilitation Department, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing First Hospital, Nanjing, Jiangsu 210006, China

Received:2016-09-30 Published:2016-12-25 Online:2017-01-15
Contact: YU Chang-jun. E-mail: yuchangjun_good@126.com

摘要/Abstract

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(MoCA)、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。

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

Abstract: 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 (MoCA), 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.

Key words: stroke, unilateral neglect, visual exploration therapy, cognitive function, activities of daily living

中图分类号:

R743.3

程凯，杨婷，李雪萍，林强，陈安亮，俞长君. 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[J]. 《中国康复理论与实践》, 2016, 22(12): 1430-1429.

CHENG Kai, YANG Ting, LI Xue-ping, LIN Qiang, CHEN An-liang, YU Chang-jun. Effect of Visual Exploration Therapy on Cognitive Function and Activities of Daily Living of Stroke Patients with Unilateral Neglect 　[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2016, 22(12): 1430-1429.

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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

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