摘要
目的 观察康复训练对偏瘫患者失认症和失用症的疗效。方法 对 75例偏瘫患者按失认症和失用症量表进行评定 ,观察各类失认症所占的比例 ,对存在失认症或失用症的患者进行有针对性的康复训练 ,每日训练 1次 ,每次 30min ,1～ 3个月为 1个疗程 ,疗程前后分别进行评价。结果75例偏瘫患者有 2 1例存在失认或失用 ,阳性率为 2 8%。康复治疗前后两次评价结果 ,分别为32 .5 6± 3.12和 45 .0 2± 2 .72 ,差异有显著性 (P <0 .0 5 ) ,说明失认症、失用症患者经过系统的康复训练 ,疗效确切。结论 偏瘫患者中 ,失认症、失用症存在一定的比例 ,应列为常规检查 ,早期发现 。
Objective To explore the effect of rehabilitation training on agnosia and apraxia of hemiplegic patients.Methods 75 hemiplegic patients were evaluated by agnosia and apraxia tables to observe the proportion of different kinds of agnosia and apraxia.Patients with agnosia and apraxia were trained purposely by occupational therapists, 30 min/per time,once a day for one course of treatment(1- 3 months) .The results were evaluated respectively before and after the treatment.Results 21 of 75 hemiplegic patients had agnosia or apraxia and the positive rate was 28%. According to the agnosia and apraxia evaluation tables,before the treatment the score of the 21 agnosia and apraxia patients was 32.56±3.14,but after the treatment, it was 45.02±2.72.There was a significant difference in the results before and after the rehabilitation treatment.(P<0.05).It showed that rehabilitation training had significant effect on patients.Conclusion There is a certain proportion of agnosia and apraxia among the hemiplegic patients.They should be discovered early and treated with rehabilitation training on time.
出处
《中华理疗杂志》
2000年第5期264-266,共3页
Chinese Journal of Physical Therapy
关键词
康复
偏瘫
作业疗法
失认症
失用症
Rehabilitation
Hemiplegia
Occupational therapy
Agnosia
Apraxia
