脑卒中偏瘫患者发生单侧空间忽略的临床研究

目的 观察单侧空间忽略(USN)对脑卒中偏瘫患者康复预后的影响。方法 选择脑卒中患者93例，均行常规康复治疗。其中USN患者43例，进行纠正USN的治疗者22例作为实验组，未进行纠正USN的治疗者21例作为观察组，无USN的50例患者作为对照组。3组均接受常规康复治疗，治疗前、后采用Banhel指数(BI)对患者进行日常生活活动(ADL)能力的评价。结果 3组患者康复治疗后BI均显著高于治疗前(P＜0．001)。治疗前，实验组和观察组BI均显著低于对照组(P＜0．05)；经康复治疗后，观察组患者BI显著低于实验组和对照组(P＜0．001)，实验组和对照组患者间差异无显著性意义(P＞0．05)。结论 USN影响偏瘫患者的生活自理能力的恢复，进行相应的纠正USN治疗可使USN患者的ADL能力提高。

A Clinical study of unilateral spatial neglect in stroke patients

Objective To study the impact of unilateral spatial neglect (USN) on the rehabilitation outcome of stroke patients with hemiplegia. MethodsNinety-three stroke patients with hemiplegia were treated with routine interventions. Of the 43 patients with USN, 22 patients served as an experimental group and received intervention for USN, and the other 21 patients served as an observation group and were not intervened for USN. The remained 50 patients without USN served as a control group. All the patients were evaluated by Barthel index(BI) before and after rehabilitation treatment to assess their performance in activities of daily living (ADL). ResultsBefore treatment, the patients in the experimental and observation groups scored significantly lower with BI than those in the control group ( P <0.05). After treatment, the patients in all groups scored significantly higher with BI assessment( P <0.001). However, the score with BI assessment in the observation group was significantly lower than those in the control group and experimental group ( P <0.001), and there was no significant difference between the experimental group and the control group ( P >0.05). ConclusionUSN had significant impact on the recovery of the independent living of stroke patients. The rehabilitative intervention for USN may improve ADL performance of stroke patients with USN.