左侧空间忽略患者远空间忽略的表现与评定研究

doi:10.3969/j.issn.1006-9771.2022.05.005

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (5): 520-523.doi: 10.3969/j.issn.1006-9771.2022.05.005

左侧空间忽略患者远空间忽略的表现与评定研究

郭华珍^1,²,恽晓萍^1,²(),张慧丽^1,²,何泽佳^1,²,余杰华³,祝剑虹³,宋桂芸^1,²,李晞⁴,李玫⁴,李钰⁴

1.首都医科大学康复医学院,北京市 100068
2.中国康复研究中心北京博爱医院,北京市 100068
3.杭州极智医疗科技有限公司,浙江杭州市 311121
4.中国残疾人辅助器具中心,北京市 100070

收稿日期:2021-12-07 修回日期:2022-02-10 出版日期:2022-05-25 发布日期:2022-06-10
通讯作者: 恽晓萍 E-mail:15901285769@163.com
作者简介:郭华珍(1964-),女,汉族,湖南冷水江市人,硕士,副主任医师,主要研究方向：认知功能障碍的评定与康复。
基金资助:
中国残疾人联合会残疾人辅助器具专项(CJFJRRB25-2020)

Far space neglect in left spatial neglect patients: features and assessment

GUO Huazhen^1,²,YUN Xiaoping^1,²(),ZHANG Huili^1,²,HE Zejia^1,²,YU Jiehua³,ZHU Jianhong³,SONG Guiyun^1,²,LI Xi⁴,LI Mei⁴,LI Yu⁴

1. Capital Medical University School of Rehabilitation, Beijing 100068, China
2. Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
3. Hangzhou Extreme Medical Tech Co., Ltd., Hangzhou, Zhejiang 311121, China
4. China Assistive Devices and Technology Center for Persons with Disabilities, Beijing 100070, China

Received:2021-12-07 Revised:2022-02-10 Published:2022-05-25 Online:2022-06-10
Contact: YUN Xiaoping E-mail:15901285769@163.com
Supported by:
China Disabled Persons' Federation Research Funds for Assistive Devices(CJFJRRB25-2020)

摘要/Abstract

摘要：

目的探讨右脑卒中后左侧空间忽略患者的远空间忽略特点和评定。方法 2021年1月至10月,北京博爱医院30例右侧脑卒中后左侧空间忽略患者(n = 30, 患者组)与性别、年龄和文化程度匹配的健康人(n = 30, 对照组)行近空间和远空间线段划销测验、星星划销测验、线段二等分测验。方便抽取对照组25例于第二天同一时间行远空间线段二等分测验。结果对照组近空间和远空间漏划线段数和百分比、漏划星星数均为零;患者组二等分测验偏离中点长度和百分比均显著大于对照组(|t| > 4.319, P < 0.001);患者组远空间除二等分测验的偏离中点长度显著大于近空间测验外(t = -4.994, P < 0.001),其余指标与近空间测试无显著性差异(|Z| < 1.638, t = -1.282, P > 0.05)。二等分测验重测ICC > 0.462 (P < 0.01)。结论左侧近空间忽略脑卒中患者可同时存在远空间忽略,二等分测验可以用于远空间忽略的评定。

关键词: 单侧空间忽略, 远空间忽略, 线段划销测验, 星星划销测验, 线段二等分测验

Abstract:

Objective To explore the features and assessment for far space neglect in left spatial neglect patients after right brain stroke. Methods From January to October, 2021, 30 left unilateral spatial neglect (USN) patients after right stroke (patients, n = 30) from Beijing Bo'ai Hospital and healthy volunteers matching with gender, age and level of education (controls, n = 30) were evaluated with line cancelation (LC), star cancelation (SC) and line bisection (LB) tests, nearly and far away. The 25 controls were evaluated with LB on the second day. Results No line or star was omissed in the controls. Both the deviation and percentage were more in the patients than in the controls (|t| > 4.319, P < 0.001). Both the deviation and percentage were less different for all the test (|Z| < 1.638, t = -1.282, P > 0.05) between nearly and far away, except the deviation of LB (t = -4.994, P < 0.001). The ICC of test-retest was above 0.462 (P < 0.01). Conclusion Right brain stroke patients with USN may present far spatial neglect, which can be assessed with LB.

Key words: unilateral spatial neglect, far spatial neglect, line cancelation, star cancelation, line bisection

中图分类号:

R493

郭华珍,恽晓萍,张慧丽,何泽佳,余杰华,祝剑虹,宋桂芸,李晞,李玫,李钰. 左侧空间忽略患者远空间忽略的表现与评定研究[J]. 《中国康复理论与实践》, 2022, 28(5): 520-523.

GUO Huazhen,YUN Xiaoping,ZHANG Huili,HE Zejia,YU Jiehua,ZHU Jianhong,SONG Guiyun,LI Xi,LI Mei,LI Yu. Far space neglect in left spatial neglect patients: features and assessment[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(5): 520-523.

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参考文献 24

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组别	n	性别(男/女)/n	年龄/岁	受教育年限/年
对照组	30	24/6	50.67±11.99	13.10±3.20
患者组	30	24/6	51.57±10.94	12.67±2.89
χ²/t值		0.000	-0.304	0.550
P值		1.000	0.767	0.584

组别	n	近空间		远空间
组别	n	长度/mm	百分比/%	长度/mm	百分比/%
对照组	30	0.92±1.08	0.01±0.01	14.82±4.81	0.02±0.01
患者组	30	8.55±8.24	0.09±0.08	112.63±114.83	0.14±0.15
t值		-5.033	-4.890	-4.662	-4.319
P值		< 0.001	< 0.001	< 0.001	< 0.001

项目	n	LC	LB		SC
项目	n	LC	长度/mm	百分比/%	SC
近空间	30	2.50(0, 18.50)	8.55±8.24	0.09±0.08	0.50(0, 4.50)
远空间	30	6.00(0, 27.00)	112.63±114.83	0.14±0.15	1.00(0, 22.25)
Z/t值		-1.638	-4.994	-1.282	-1.002
P值		0.101	< 0.001	0.205	0.316

时间	n	长度/mm	百分比/%
第一次	25	14.01±4.49	0.02±0.01
第二次	25	14.77±4.18	0.02±0.00
ICC		0.501	0.462
P值		0.001	0.002

左侧空间忽略患者远空间忽略的表现与评定研究

Far space neglect in left spatial neglect patients: features and assessment

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