棱镜适应技术治疗卒中后偏侧空间忽略的临床研究.pdfVIP

26 ●临床研究● 《中国医学前沿杂志 （电子版）》2013 年第5 卷第10 期 棱镜适应技术治疗卒中后偏侧空间忽略的 临床研究 杜晓霞，宋鲁平，徐莹，公维军 （中国康复研究中心北京博爱医院　神经康复中心，北京　100068 ） 【摘要】目的　探讨棱镜适应技术治疗卒中后偏侧空间忽略的临床疗效。方法　将30 例卒中后偏侧空 间忽略的患者分为治疗组及对照组各15 例，并对治疗组进行每日2 次，每周5 次，为期2 周的棱镜治疗。 在治疗前后采用半侧空间忽略量表分别对两组患者进行评定。结果　治疗前两组患者半侧空间忽略程 P P 度无显著差异 （ ＞0.05 ），治疗后，治疗组偏侧空间忽略程度较对照组改善 （ ＜0.05 ）。棱镜适应 技术具有持久的较好的即时效应和后续效应。结论　棱镜适应技术是一种主动的适应过程，治疗卒中 后偏侧空间忽略安全有效。 【关键词】偏侧空间忽略；脑卒中；棱镜适应技术；康复 Effect of prism adaption on unilateral spatial neglect DU Xiao-xia, SONG Lu-ping, XU Ying, GONG Wei-jun (1. Department of neurology rehablitation Capital Medical University school of Rehabilitation Medicine, Beijing 100068, China) Corresponding author: SONG Lu-ping, E-mail: songluping882002@ Abstract Objective To investigate the efficacy of prism adaptation (PA) for stroke patients with unilateral 【 】 　 spatial neglect (USN). Methods　30 cases of post-stroke USN patients were divided into treatment group (n ＝ 15) and control group (n ＝ 15), the treatment group performed PA therapy two times a day, five times a week, training 2 weeks. Before and after treatment using the hemi-spatial neglect scales evaluated two groups of patients. Results　Before the treatment, there were no significant difference of USN degree between two groups (P ＞0.05), after the treatment. The USN degree of patient in the treatment group decreased significantly after PA treatment (P ＜ 0.05). PA technologies have long-lasting effects. Conclusion PA is an effective procedure for rehabilitation symptoms of USN-producing relatively sustained improvements on a variety of spatial attention. Key words Unilateral spatial neglect; Stroke; Prism adaptation; Rehabilitation 【 】 单侧忽略又称单侧空间忽略 （unilateral spatial 的用品；行走或驱动轮椅时易撞到左边视野内的障 neglect ，USN ），是脑卒中患者常见的一种认知功 碍物；与人交流时不注视在左边与其交流谈话的人； 能障碍，是病损半球对侧空间未知的或有意义的刺