《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (04): 374-376.

• 临床研究 • 上一篇    下一篇

重度半侧空间忽略症的临床分析(附5例临床病案分析)

何静杰1,2; 王晓艳1,2; 张小年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神经康复科,北京市 100068
  • 收稿日期:2006-12-07 出版日期:2007-04-01 发布日期:2007-04-01

Clinical Analysis of Serious Unilateral Spatial Neglect with a Five-case Report

HE Jing-jie, WANG Xiao-yan, ZHANG Xiao-nian   

  1. Capital Medical University School of Rehabilitation Medicine, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2006-12-07 Published:2007-04-01 Online:2007-04-01

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被引次数

20

摘要： 目的研究重度半侧空间忽略症的临床表现、病变部位、可能机制,分析其康复疗效。方法分析5例合并重度半侧空间忽略症且不伴有偏盲的脑卒中患者康复治疗前后的临床检测数据。结果5例患者均合并明显的左侧空间忽略,均为右利手,康复治疗前后的半侧空间忽略检测差异有显著性意义(P<0.05)。结论多项半侧空间忽略检测可了解残存视空间注意能力,其中Albent测验检出率最高;康复治疗对半侧空间忽略症有明确疗效。

关键词: 脑卒中, 半侧空间忽略症, 检测, 康复

Abstract: Objective To investigate the clinical manifestation, diseased region, and possible mechanism of serious unilateral spatial neglect (USN),and analyze the effect of rehabilitation management.MethodsFive stroke patients with USN and without hemianopsia were selected and the data of clinical examination before and after rehabilitation management was analyzed.ResultsAll of five patients complicated obvious left spatial neglect and were right handedness. The results of examination for USN before and after rehabilitation management were significantly different ( P<0.05).ConclusionMany examinations for USN can detect remaining vision spatial attention, of which Albent test is most effective; the rehabilitation management has certain effect.

Key words: stroke, unilateral spatial neglect, examination, rehabilitation