脑损伤后注意障碍的评定VIP专享VIP免费

·578·生垦壁筮墨堡皇塞丛垫!!生!旦筮!!鲞箜!塑￡堑!』堕堕鲤!!!!!!旦!!!!：』塑：!!!!!∑!!：!!!塑!：![J]．中国康复医学杂志，2004，19(1)：76—78．[7]EsquenaziA，TalatyM．Gaitanalysis，technologyandclini’calapplictions[M]．／／BraddomR．PhysicalMedicineandRe—habilitation．2nded．Philadephia：WBSaunders。2000：93—108．[8]郭民霞。俞世勋．脑卒中患者偏瘫痉挛的康复[J]．中国康复医学杂志，2000，15(5)：287—288．[9]IvanhoecB，ReistetterTA．spasticity：themisunderstoodpartoftheuppermotorneuronsyndrome[J]．AmJPhysMedRehabil，2004。83(10Suppl)：S3一S9．[10]李华，杨俊。赵艳青，等．抗痉挛模式对偏瘫患者肢体痉挛的作用[J]．中华物理医学与康复杂志，2001，23(1)：55—56．[11]郭名霞，余世勋．脑卒中患者偏瘫痉挛的康复[J]．中国康复，1999，14(3)：43．[12]LevinMF，Hui—ChancwY．Reliefofhemipareticspastici。tybyTENSisassociatedwithimpm’，ementinreflexandvoluntarymotorfunctions[J]．ElectroencephalograclinNeuroghysiol，1992，85：131—142．[13]LevinMF．Hui—ChancwY．Anklespasticit)，isinverselycorrelatedwithantagonistvoluntarycontractioninhemipa—reticsubjects[J]．ElectroencephaJograclinNeurophysiol，1994，34：415—425．[14]BohanonRw，AndrewsAw，wandelA，eta1．Predictionofwalkingfunctioninstrokepatientswithinitiallowerex—tremityparalysis：theCopenhagenStrokeStudy[J]．ArchPhysMedRehabil，2000，8l(6)：736—738．[15]HagemannG．Increasedlongtermpotentiationinthesur—roundofexperimentaUyinducedfocalcorticalinfarcaion[J]．AnnulNeurol。2001。23(11)：453—461．[16]BohannonRw，smithMB．Interraterreliabilityonamodi—fiedAshworthscaleofmusclespasticity[J]．PhysTher，1987，67：206—207．(收稿日期：2010—03一04)·临床研究·脑损伤后注意障碍的评定王科英1，恽晓平2，张丽君1，何小花1，李艳1，隋晓亮1，戴文晋1[摘要]目的对脑损伤(脑外伤、脑卒中)后注意障碍进行评定。方法采用多类型注意测验(持续作、Ip测验、Stroop字色干扰任务、连线测验B及同步序列听觉加法测试)从不同维度对26例脑损伤患者(脑损伤组)和30例正常人(正常组)进行评定；整理各项数据进行统计学处理。结果脑损伤组与正常组的注意测验评分存在显著性差异(Po．05)。结论脑损伤患者注意功能可表现为持续、选择、分配及转移性注意障碍；脑损伤后注意障碍临床表现不受病因的影响，与损伤部位密切相关。[关键词]注意障碍；评定；脑损伤A鼹e醛mentofA“entjonDencitFbIlowi呜BrainI面uryW．ANGKPyi行g，YI，NX妇o-户ing，ZHANGL叫“疗，“nZ．D已加rfme以fD，Re_Il口6iZi￡口fio行，G已竹PrnZHDs户i￡dZD．厂Dn口i雄gOi￡Fi已Z矗，Dngi挖g163001，HPiZD”昌-i盘砣g，(强i赡口Abstract：objectiveToevaluatetheattentionalabilityfollowingbraininjury．Methods26patientswithbraininjuryincludingtraumaticbraininiury(TBI)andstroke，and30normalvolunteerswererandomlyselected．Differentattentiontests(ContinuousPer—formanceTest，StroopColor-WordInterferenceTest。TrailMakingTestandPacedAuditorySerialAdditionTask)wefeappliedtoassesstheattentionalabilltyofthepatientsandnormalvolunteesrs．Thenthedataweresortedoutbeforestatisticalanalysiswasper—fomed．ResultsTherewassigni“cantdifferencebetweenthenonnalandbraininjurygroupsinscores(P<：O．05)．Therewasnosig—nificantdifferencebetweenTBIandstrokeinscores(P>O．05)．C呲I鹏i∞Themultipleaspectsofattentiondeficitexistedinthepa-tientswithbraininjury，includingsustainedattention，selectiveattention，dividedattentionandattentionalswitching．Clinicalmani—festationsofattentiondeficitaftertraumaticbraininjuryandstrokeiscloselyreIatedwiththein...