摘要
目的:观察有和无半侧中间忽略症状基底核脑卒中的患者日常生活活动能力差异。方法:①选择2002-11/2003-11吉林大学第一医院康复科住院基底核区脑卒中患者25例。均符合第四届全国脑血管病学术会议修订的急性脑梗死诊断标准,并经CT或MRI证实;均对观察目的知情同意。设有半侧空间忽略症状患者12例为阳性组,其中男4例,女8例;平均年龄(62±8)岁;全部为右基底核区脑卒中。无半侧空间忽略症状患者13例为阴性组,其中男10例,女3例;平均年龄(66±8)岁;左侧基底核区脑卒中为5例,右侧基底核区脑卒中为8例。②于患者入院、出院时采用Barthel指数分级法对日常生活活动能力进行评分,每周进行1次。该分级法有10项内容,分3级:<40分为差,依赖较明显或完全依赖;41～60分为中,有功能障碍,稍依赖;总分>60分为良。整个治疗过程中给予患者全面的康复功能训练,包括物理疗法、作业疗法和语言训练。同时对症治疗。结果:基底核区脑卒中患者25例均进入结果分析。入、出院时阳性组Barthel指数均明显低于阴性组[阳性组:(22.50±13.46),(62.83±14.72)分;阴性组:(37.62±11.98),(79.69±10.59)分,P<0.01]。出院时Barthel指数提高度差异不明显[阳性组:(40.33±19.20)分;阴性组:(42.08±11.11)分,P>0.05]。阳性组住院时间明显长于阴性组[(79.83±67.99),(34.15±18.80)d,P<0.01]。结论:①基底核脑卒中出现半侧空间忽略症状的患者日常生活活动能力差。②伴有和不伴有半侧空间忽略症状基底核脑卒中患者经过治疗日常生活活动能力改善程度相近。
AIM： To study the differences in activity of daily living （ADL） between basal nuclei stroke patients with and without unilateral spatial neglect symptoms. METHODS：①Twenty-five patients with basal nuclei stroke ware selected from the Department of Rehabilitation, First Hospital Affiliated to Jilin University between November 2002 and November 2003, who ware in accordance with the diagnostic cdteria of acute cerebral infarction designed by fourth national academic conference of cerebrovescular disease and identified by CT or MRI, and all subjects knew and agreed with the items. Twenty patients with unilateral spatial neglect symptoms ware taken as the positive group including 4 males and 8 females with an average age of （62±8） years, and all patients suffered from stroke in the right basal nuclei. Another 13 patients without unilateral spatial neglect symptoms ware taken as the negative group including 10 males and 3 females with an average of （66±8） years, in which 5 patients suffered from stroke in the left basal nuclei and 8 patients suffered from stroke in the right basal nuclei. ② The ADL of patients were scaled by Barthal index grading method in hospitalization and discharge once a week. The Barthel index grading method was composed of 10 items 3 grades： poor as 〈 40 points, representing as obvious dependence or complete dependence, Mild as between 41 points and 60 points, representing as with functional impairment and slight dependence. Good as 〉 60 points. Patients ware functionally treated for rehabilitation in the whole course of treatment, including physical treatment, occupational therapy and language training. Meanwhile, treatments ware given to patients according to their status. R1ESI.~3[＇S： A total of 25 patients with stroke in the basal nuclei ware involved in the analysis of results. The Barthel index in hospitalization and discharge was obviously lower in the positive group than that in the negative group [positive group： （22.50±13.46）, （62.83±14.72） points;negative group： （37.62±11.98）, （79.69±10.59） points,P 〈 0.01 ]. There was no significant differences in the increase of Barthal index in discharge [positive group： （40.33±19.20）points; negative group： （42.08±11.11 ）points,P 〉 0.05 ]. The length of stay in the positive group was remarkably longer than that in the negative group [（79.83±67.99）, （34.15±18.80） days,P 〈 0.01], CONCLUSION： ①Tha ADL of basal nuclei stroke patients With unilateral spatial neglect symptoms are poor. ② The amelioration in ADL of basa! nuclei stroke patients with unilateral spatial neglect symptoms is similar to that in patients without unilateral spatial neglect symptoms.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2007年第17期3231-3233,共3页
Journal of Clinical Rehabilitative Tissue Engineering Research
