视觉扫描阅读训练对脑卒中偏侧忽略患者认知功能及日常生活活动.PDFVIP

中国康复理论与实践2016年12月第22卷第12期ChinJRehabilTheoryPract,Dec.,2016,Vol.22,No.12 - 1430 - DOI: 10.3969/j.issn. 1006-9771.2016.12.014 ·临床研究 · 视觉扫描阅读训练对脑卒中偏侧忽略患者认知功能及 日常生活活动能力的影响① 程凯，杨婷，李雪萍，林强，陈安亮，俞长君 [摘要] 目的 观察视觉扫描阅读训练对脑卒中偏侧忽略患者认知功能及日常生活活动能力的影响。方法 2012 年1月~2014 年6 月在本科住院的脑卒中偏侧忽略患者24 例，随机分为对照组(n=12)和观察组(n=12) 。对照组接受常规康复训练，观察组另外接 受视觉扫描阅读训练，共3 周。采用简易精神状态检查(MMSE)、蒙特利尔认知评估量表(MoCA)、改良Barthel 指数(MBI)和中国行 为性忽略测试-香港版(CBIT-HK)进行评价。结果 两组各评分均在治疗后显著提高(t5.375, P0.001) ；除MMSE(P0.05)外，治疗 组各评分均高于对照组(t2.120, P0.05) 。结论 视觉扫描阅读训练不仅能提高脑卒中患者的偏侧忽略症状，还能改善患者的认知 功能和日常生活活动能力。 [关键词] 脑卒中；偏侧忽略；视觉扫描训练；认知功能；日常生活活动能力 Effect of Visual Exploration Therapy on Cognitive Function and Activities of Daily Living of Stroke Patients with Unilateral Neglect CHENG Kai, YANG Ting, LI Xue-ping, LIN Qiang, CHEN An-liang, YU Chang-jun Rehabilitation Department, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing First Hospital, Nan- jing, Jiangsu 210006, China Correspondence to YU Chang-jun. E-mail: yuchangjun_good@126.com Abstract: Objective To evaluate whether visual exploration therapy could lead to the recovery of cognitive function and activities of daily living (ADL) of stroke patients with unilateral neglect. Methods From January, 2012 to June, 2014, 24 stroke patients with unilateral neglect were randomly divided into control group (n= 12) and observaton group (n= 12). The control group received conventional rehabilita- tion therapy, and the observation group received visual exploration therapy additionally. They were evaluated with Mini-Mental State Exami- nation (MMSE), Montreal Cognitive Assessment (MoCA), modified Barthel index (MBI) and Chinese Behavioral Inattention Test- Hong Kong version (CBIT-HK). Results