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

Abstract

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

CLC Number:

R493

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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References 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

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

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