园艺疗法结合康复治疗对脑卒中单侧空间忽略的疗效观察

目的:探讨园艺疗法结合康复治疗对脑卒中单侧空间忽略（USN）的临床疗效。方法:将46例脑卒中USN 病人随机分为观察组和对照组，各23例。对照组采用常规康复治疗，观察组在对照组的基础上进行园艺疗法结合针对性康复训练治疗。治疗前后，所有研究对象均采用汉密尔顿抑郁量表（HAMD）评定心理状态，Fugl-Meyer运动功能评定法（FMA）评估运动功能，采用改良Barthel 指数（MBI） 和功能独立性评定法（FIM）评定日常生活活动能力，并进行比较。结果:2组病人治疗前的FMA、MBI、HAMD评分及FIM各项评分差异均无统计学意义（P>0.05），治疗后各项评分均较治疗前明显改善（P<0.01），而观察组病人治疗后各项评分改善程度均显著优于对照组（P<0.01）。结论:在脑卒中USN康复过程中，利用园艺疗法结合针对性的康复训练治疗，不仅可以改善USN状况，提高病人生存质量，且对于脑卒中病人的康复及预后都有重要的意义。

Effect of the horticultural therapy combined with rehabilitation therapy in stroke patients with unilateral spatial neglect

Objective:To observe the effects of horticultural therapy combined with rehabilitation intervention in stroke patients with unilateral spatial neglect( USN) . Methods:Forty-six USN patients were randomly divided into the observation group and control group (33 cases each group). The control group were treated with routine rehabilitation, and the observation group were treated with horticultural therapy combined with rehabilitation. The mentality,exercise function and ability of daily living( ADL) in two groups before and after treatment were assessed using the Hamilton Depression Scale( HAMD) ,Fugl-Meyer Assessment( FMA) ,and Modified Barthel Index(MBI) and Functional Independence Measure(FIM),respectively. Results:The differences of the scores of HAMD,FMA,and MBI and FIM between two groups before treatment were not statistically significant(P>0. 05). After treatment,all items scores in two groups were significantly improved compared before treatment(P<0. 01),and the improvement degree of which in observation group was significantly better than that in control group(P<0. 01). Conclusions:During the rehabilitation training of USN,the horticultural therapy can improve the USN status and quality of life patient's,and which has important significance in the rehabilitation and prognosis of patients with stroke.