康复治疗对脑卒中后单侧空间忽略病人运动功能及日常生活活动能力的影响
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摘要
目的:探讨康复治疗对脑卒中后单侧空间忽略病人运动功能及日常生活活动能力的影响。方法:对36例脑卒中后单侧空间忽略病人采取视觉感官、肢体运动及心理等多方面的康复治疗,比较治疗前后病人运动功能及日常生活活动能力的恢复情况。结果:病人康复治疗1个月、2个月及3个月后NIHSS评分均显著低于治疗前(P <0. 01),治疗时间越长,NIHSS评分越低(P <0. 01)。治疗后病人BI评分亦显著高于治疗前水平(P <0. 01),但治疗后不同时间点间差异无统计学意义(P>0. 05)。左侧空间忽略病人治疗后的BI指数评分与右侧空间忽略病人比较差异无统计学意义(P> 0. 05)。结论:对脑卒中后单侧空间忽略病人采用视觉感官、肢体运动及心理等多方面的康复治疗明显改善运动功能及日常生活活动能力,有效提高病人生活质量,值得推广。
Objective: To investigate the effects of rehabilitation therapy on motor function and activities of daily living in patients with unilateral spatial neglect after stroke. Methods: Thirty-six patients with unilateral spatial neglect after stroke were treated with visual sensory,physical exercise and psychological rehabilitation. The recovery of motor function and activities of daily living between before and after treatment were compared. Results: The NIHSS scores after 1 month,2 months and 3 months of rehabilitation therapy were significantly lower than that before treatment( P < 0. 01),and the longer the rehabilitation treatment time,the lower the NIHSS score was( P < 0. 01). The BI score after treatment was significantly higher than that before treatment( P < 0. 01),but the difference of which at different time-points after treatment was not statistically significant( P > 0. 05). The difference of BI index between left-side and rightside spatial neglect patients was not statistically significant( P > 0. 05). Conclusions: The visual sensory,physical exercise and psychological rehabilitation in the treatment of unilateral spatial neglect can significantly improve motor function and activities of daily living,and effectively improve the quality of life in patients with stroke,which is worthy of promotion.
Objective: To investigate the effects of rehabilitation therapy on motor function and activities of daily living in patients with unilateral spatial neglect after stroke. Methods: Thirty-six patients with unilateral spatial neglect after stroke were treated with visual sensory,physical exercise and psychological rehabilitation. The recovery of motor function and activities of daily living between before and after treatment were compared. Results: The NIHSS scores after 1 month,2 months and 3 months of rehabilitation therapy were significantly lower than that before treatment( P < 0. 01),and the longer the rehabilitation treatment time,the lower the NIHSS score was( P < 0. 01). The BI score after treatment was significantly higher than that before treatment( P < 0. 01),but the difference of which at different time-points after treatment was not statistically significant( P > 0. 05). The difference of BI index between left-side and rightside spatial neglect patients was not statistically significant( P > 0. 05). Conclusions: The visual sensory,physical exercise and psychological rehabilitation in the treatment of unilateral spatial neglect can significantly improve motor function and activities of daily living,and effectively improve the quality of life in patients with stroke,which is worthy of promotion.
引文
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[14]纪小凤,郑丽维,梁水华.康复训练对脑卒中后单侧空间忽略患者功能影响的Meta分析[J].解放军护理杂志,2016,33(1):1.
[15]王永慧.运动再学习方法干预对脑卒中后单侧空间忽略患者运动功能的影响[J].山东医药,2014,54(5):30.
[2] AYYAGARI R,VEKEMAN F,LEFEBVRE P,et al. pulse pressure and stroke risk:development and validation of a new stroke risk model[J]. Curr Med Res Opin,2014,30(12):2453.
[3]吴丽花,常元梅.应用品管圈降低脑卒中康复患者单侧空间忽略程度[J].中国康复,2014,29(5):369.
[4]张小冬,赵燕娇,刘杨.运动想象疗法在单侧空间忽略患者中的应用[J].中华现代护理杂志,2016,22(23):3361.
[5] DORMAL V,SCHULLER AM,NIHOUL J,et al. Causal role of spatial attention in arithmetic problem solving:evidence from left unilateral neglect[J]. Neuropsychologia,2014,22(5):1.
[6]高呈飞,朱其秀.偏侧忽略康复治疗的新进展[J].中国康复医学杂志,2014,29(3):285.
[7]张华.引导性上肢协调训练对脑卒中所致单侧空间忽略的疗效观察[J].中国康复,2016,31(1):42.
[8]王志军,黄文柱,陆少欢,等.有针对性的单侧空间忽略治疗结合常规康复治疗脑卒中单侧空间忽略的疗效观察[J].中华物理医学与康复杂志,2016,38(8):584.
[9]杨永红,方乃权,何成奇.基于脑注意网络的单侧忽略研究进展[J].四川医学,2014,35(9):1255.
[10] VERDECCHIA DH,MENDOZA M,SANGUINETI F,et al.Outcomes after vestibular rehabilitation and wii therapy in patients with chronic unilateral vestibular hypofunction[J]. Acta Otorrinolaringologica(English Edition),2014,65(6):339.
[11]冯玲,范虹.常规康复干预联合针刺治疗脑卒中后单侧空间忽略的疗效观察[J].中华物理医学与康复杂志,2016,38(8):580.
[12]范虹,冯玲.针刺在脑卒中后单侧空间忽略康复中的疗效观察[J].中国康复医学杂志,2015,30(10):1017.
[13]马兰,陈芳,刘红英,等.规范化三级康复护理模式对脑卒中后单侧空间忽略预后的影响[J].中华全科医学,2016,14(9):1582.
[14]纪小凤,郑丽维,梁水华.康复训练对脑卒中后单侧空间忽略患者功能影响的Meta分析[J].解放军护理杂志,2016,33(1):1.
[15]王永慧.运动再学习方法干预对脑卒中后单侧空间忽略患者运动功能的影响[J].山东医药,2014,54(5):30.