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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 2 2例作为实验组 ,未进行纠正USN的治疗者 2 1例作为观察组 ,无USN的 5 0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Barthel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 .0 0 1)。治疗前 ,实验组和观察组BI均显著低于对照组 (P <0 .0 5 ) ;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 .0 0 1) ,实验组和对照组患者间差异无显著性意义 (P >0 .0 5 )。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。
Objective To observe the effect of unilateral spatial neglect (USN) on the prognosis of stroke patients with hemiplegia after rehabilitation. Methods 93 stroke patients were selected, all underwent routine rehabilitation. Among them, 43 cases of USN patients were treated with corrective USN, 22 cases with USN as experimental group, 21 cases without USN correction as observation group and 50 cases without USN as control group. All patients in the three groups received routine rehabilitation, and Barthel index (BI) before and after treatment was used to evaluate their daily living activities (ADL). Results After treatment, the BI in all three groups was significantly higher than that before treatment (P <0.01). Before treatment, BI in the experimental group and the observation group was significantly lower than that in the control group (P <0.05). After rehabilitation, the BI in the observation group was significantly lower than that in the experimental group and the control group (P0.01) There was no significant difference between experimental group and control group (P> 0.05). Conclusions USN can affect the recovery of self-care ability of patients with hemiplegia. The corrective USN treatment can improve the ADL ability of USN patients.