镜像治疗对脑卒中偏侧忽略症改善的疗效观察

Effect of mirror therapy on the improvement of unilateral spatial neglect after stroke

目的:探讨镜像治疗对于脑卒中偏侧忽略患者功能的影响。方法:脑卒中偏侧忽略患者24例,随机分为对照组12例和镜像组12例,2组患者均接受常规的针对偏侧忽略的康复训练,镜像组在此基础上增加镜像治疗。治疗前和治疗3周后采用中国行为性忽略测试-香港版(CBIT-HK)量表进行评估,并分别比较常规测试评分、行为测试评分及总评分。结果:治疗3周后,2组患者CBIT-HK常规测试评分、行为测试评分及总评分均较治疗前有显著提高(均P<0.01),且观察组3项评分均更高于对照组(均P<0.01)。结论:镜像治疗结合常规康复训练短期可以明显改善脑卒中偏侧忽略症状。

Objective：To investigate the effectiveness of mirror therapy for unilateral spatial neglect after stroke.Method：Twenty-four stroke patients with unilateral spatial neglect were randomly divided into control group（n=12）and mirror therapy group（n=12）.Both groups accepted normal rehabilitation for unilateral spatial neglect,and mirror therapy group accepted mirror therapy in addition.Before and 3 weeks after training,the patients in both groups were assessed with the Chinese behavioral inattention test-Hong Kong version（CBIT-HK）scale.Their routine test score,behavioral test score and total score were compared between two groups.Result：After treatment for3 weeks,the routine test score,behavioral test score and total score assessed by CBIT-HK were significantly increased as compared with those before treatment in both groups（P〈0.01）.As compared with control group,the routine test score,behavioral test score and total score in mirror therapy group were significantly increased（P〈0.01）.Conclusion：The mirror therapy combined with conventional rehabilitation treatments can significantly improve symptoms of unilateral spatial neglect after stroke.