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脑卒中后偏侧忽略的临床评测分析

Analysis of the clinical assessment of unilateral neglect after stroke
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摘要 目的探讨偏侧忽略患者线段划消(Lc)和直线二等分(LB)评测表现的特点。方法对30例偏侧忽略患者进行康复治疗前、后的LB和Lc评定结果进行回顾性分析。结果在治疗前,患者在LB和Lc测试表现的偏侧忽略的差异无统计学意义(P〉0.05)。治疗后,患者在LB和LC测试表现的偏侧忽略的差异有统计学意义(P〈0.01);LB检测出97%的偏侧忽略患者,Lc检测出73%的偏侧忽略患者。结论随着偏侧忽略的恢复,患者在LB和LC测试中所表现出的偏侧忽略程度不同。采用一种测试可能漏检偏侧忽略患者,联合两种测试对偏侧忽略的检测更加敏感。 Objective To investigate the performances in line bisection (LB) and line eaneellation( LC ) tasks of patients with unilateral neglect. Methods The unilateral neglect patients, performances in LB and LC tasks before and after rehabilitation treatment were retrospective]y analyzed. Results Before treatment, statistical analyses revealed the patients, performances in LC and LB tasks did not differ from each other (P = 0. 902). After treatment, statistical analyses revealed a significant difference between the two tasks (P = 0. 007 ). With LB only, 29/30 (97%) patients with neglect were detected; with LC only, 22/30 (73%) patients with negleet were detected. Conclusions As the performances of unilateral neglect patients improved, patients revealed difference between the performances in LI:I and in LC tasks. One test alone would miss some subjects with neglect. Combinative use of the two tests was more sensitive than either of the 2 tests alone.
出处 《中华物理医学与康复杂志》 CAS CSCD 北大核心 2009年第10期685-688,共4页 Chinese Journal of Physical Medicine and Rehabilitation
基金 基金项目:国家A然科学基金(30540058,30770714)、北京市自然科学基金(7052030)、北京市委组织部优秀人才基金、北京市科技计划项目(Z0005187040191.1)资助
关键词 偏侧忽略 直线二等分 线段划消 康复 Unilateral neglect Line bisection Line cancellation Rehabilitation
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参考文献13

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