《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (03): 217-219.

• 专题 • 上一篇    下一篇

颅脑损伤所致半侧空间忽略的临床研究

何静杰1,2; 张小年1,2; 胡雪艳1,2   

  1. 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
  • 收稿日期:2008-01-22 出版日期:2008-03-01 发布日期:2008-03-01

Unilateral Spatial Neglect after Brain Injury:196 Cases Report

HE Jing-jie, ZHANG Xiao-nian, HUXue-yan.   

  1. Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing100068, China
  • Received:2008-01-22 Published:2008-03-01 Online:2008-03-01

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摘要： 目的观察颅脑损伤后半侧空间忽略的发病率及其与损伤部位的关系,评价不同检测方法的敏感性。方法对196例颅脑损伤患者采用不同方法进行视空间忽略检测。结果半侧空间忽略的发生率为41.33%;顶叶损伤发生率最高,其次是颞顶枕交界区、颞叶、基底节;Albert测试最敏感,其次为Shenckenberg测验、字母、图形删除试验、图形临摹画图、画钟试验及字体抄写试验。额叶损伤的患者对Albert测试最敏感,颞、顶叶或颞顶枕交界区损伤的患者对Shenckenberg测试最敏感。结论颅脑损伤后半侧空间忽略的发病率较高,应根据颅脑损伤部位选择适当的评定方法。

关键词: 颅脑损伤, 半侧空间忽略, 发病率, 评定

Abstract: Objective To investigate the incidence of unilateral spatial neglect(USN)after brain injury in different area with varied test,and to survey their sensitivity.Methods 196 patients after brain injury were assessed with varied test to identify USN.Results The total incidence of USN was 41.33%,which was the highest in the patients with parietal lobe lesion and less in the boundary of tempo-parietal-occipital lobe,the temporal lobe and basal ganglion injury in turn.The sensitivity of the Albert test was the highest,which was less of Shenckenberg test,letter-figure-cancellation test,copying drawing test,clock-drawing test and character test in turn.However,the sensitivity of Albert test was the highest in the patients with frontal lobe lesion,and that of Shenckenberg test was the highest when the temporal,parietal lobe or the boundary of tempo-parietal-occipital lobe injured.Conclusion The incidence of USN was high after brain injury.It is important to choose the test tool according to the area of the focus.

Key words: brain injury, unilateral spatial neglect, incidence, assessment