脑卒中后眼球运动障碍行为视觉训练的效果

doi:10.3969/j.issn.1006-9771.2024.06.013

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (6): 726-730.doi: 10.3969/j.issn.1006-9771.2024.06.013

脑卒中后眼球运动障碍行为视觉训练的效果

王雪^1a, 王立平², 宋宁^1a, 刘兰群^1b, 周洁^1a, 吴珺^1a()

1.中国康复研究中心北京博爱医院，a.眼科；b.中医康复科，北京市 100068
2.中国人民大学医院，北京市 100872

收稿日期:2024-01-22 修回日期:2024-05-06 出版日期:2024-06-25 发布日期:2024-07-03
通讯作者: 吴珺(1973-)，女，汉族，黑龙江齐齐哈尔市人，硕士，主任医师，主要研究方向：角膜病、白内障、视觉康复，E-mail： wlllw@126.com。
作者简介:王雪(1983-)，女，汉族，黑龙江伊春市人，硕士，主治医师，主要研究方向：视觉康复、近视防控、斜弱视。
基金资助:
中国康复研究中心科研基金项目(2023ZX-24)

Effect of behavioral vision training on post-stroke ocular motility disorders

WANG Xue^1a, WANG Liping², SONG Ning^1a, LIU Lanqun^1b, ZHOU Jie^1a, WU Jun^1a()

1. a. Department of Ophthalmology; b. Department of Traditional Chinese Medicine Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
2. Hospital of Renmin University of China, Beijing 100872, China

Received:2024-01-22 Revised:2024-05-06 Published:2024-06-25 Online:2024-07-03
Supported by:
China Rehabilitation Research Center Research Fund(2023ZX-24)

摘要/Abstract

摘要：

目的探讨行为视觉训练对脑卒中后眼球运动障碍的效果。

方法 2023年8月至10月，北京博爱医院脑卒中后眼球运动障碍住院患者21例，行行为视觉训练，包括脑视觉训练和视觉融合训练，共4周。治疗前后，采用Snellen视力表、斜视三棱镜度和近立体视功能评价视觉功能。

结果训练后，患者右眼和左眼视力均明显改善(Z_右眼 = -3.601, Z_左眼 = 3.012, P < 0.01)；斜视三棱镜度显著减小(t = 8.930, P < 0.001)；近立体视功能无明显变化(P > 0.05)。

结论行为视觉训练可以改善脑卒中后眼球运动障碍患者的视力，减轻斜视。

关键词: 脑卒中, 眼球运动障碍, 行为视觉训练

Abstract:

Objective To explore the effect of behavioral vision training on post-stroke ocular motility disorders (PSOMD).

Methods From August to Octobor, 2023, a total of 21 PSOMD patients in Beijing Bo'ai Hospital were selected. They received behavioral vision training, including brain-based visual training and visual fusion training, for four weeks. Visual function was assessed with Snellen eye chart, strabismus prism and Titmus near stereopia.

Results The vision of both right and left eyes improved after training (Z _{right eye}= -3.601, Z _{left eye} = 3.012, P < 0.01), while the strabismus prism reduced significantly (t = 8.930, P < 0.001). But Titmus near stereopia showed no difference (P > 0.05).

Conclusion Behavioral vision training could improve vision and strabismus after stroke.

Key words: stroke, ocular motility disorders, behavioral vision training

中图分类号:

R743.3

王雪, 王立平, 宋宁, 刘兰群, 周洁, 吴珺. 脑卒中后眼球运动障碍行为视觉训练的效果[J]. 《中国康复理论与实践》, 2024, 30(6): 726-730.

WANG Xue, WANG Liping, SONG Ning, LIU Lanqun, ZHOU Jie, WU Jun. Effect of behavioral vision training on post-stroke ocular motility disorders[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(6): 726-730.

图/表 1

参考文献 31

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视觉指标		n	测试	数值	Z/t/χ²值	P值
视力	右眼	21	前测	0.5(0.4, 0.6)	-3.601	< 0.001
			后测	0.6(0.5, 0.8)
	左眼	21	前测	0.6(0.5, 0.6)	3.012	0.002
			后测	0.7(0.6, 0.8)
斜视三棱镜度/△		21	前测	36.90±14.87	8.930	< 0.001
			后测	21.60±10.64
近立体视功能(无/有)/n		21	前测	16/5		0.250^a
			后测	13/8

脑卒中后眼球运动障碍行为视觉训练的效果

Effect of behavioral vision training on post-stroke ocular motility disorders

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