中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2010年
12期
984-986
,共3页
脑血管意外%视觉障碍%视轴矫正法
腦血管意外%視覺障礙%視軸矯正法
뇌혈관의외%시각장애%시축교정법
Cerebrovascular accident%Vision disorders%Orthoptics
目的 调查脑卒中患者视觉受损的类型和视力康复情况.方法 经神经内科确诊为脑卒中的患者,检查其眼科疾病和视功能状态,尤其是视力的矫正和康复.结果 547例脑卒中视觉受损患者中、斜视或眼球运动受损者占47.0%,视野受损者占34.0%,19.0%的患者有视知觉缺陷,19.9%的患者有低视力或盲,用手持放大镜康复后.脱盲率为35.7%,脱残率为58.2%,屈光矫正前后平均视力分别为0.36±0.34、0.48±0.36(t=-3.949,P=0.03)、戴望远镜前后低视力患者平均视力分别为0.13±0.007和0.46±0.26(t=-5.208.P=0.01)、盲患者平均视力分别为0.01±0.01和 0.06±0.05(t=-3.628,P=0.05),差异有统计学意义(均P＜0.01).结论 72%的脑卒中患者均有某种程度上的视功能受损,这不仅影响患者的独立生活能力,还直接影响其临床康复治疗效果.屈光矫正和配戴望远镜是视力康复的有效手段,临床医生应重视脑卒中患者视功能的康复和治疗.
目的 調查腦卒中患者視覺受損的類型和視力康複情況.方法 經神經內科確診為腦卒中的患者,檢查其眼科疾病和視功能狀態,尤其是視力的矯正和康複.結果 547例腦卒中視覺受損患者中、斜視或眼毬運動受損者佔47.0%,視野受損者佔34.0%,19.0%的患者有視知覺缺陷,19.9%的患者有低視力或盲,用手持放大鏡康複後.脫盲率為35.7%,脫殘率為58.2%,屈光矯正前後平均視力分彆為0.36±0.34、0.48±0.36(t=-3.949,P=0.03)、戴望遠鏡前後低視力患者平均視力分彆為0.13±0.007和0.46±0.26(t=-5.208.P=0.01)、盲患者平均視力分彆為0.01±0.01和 0.06±0.05(t=-3.628,P=0.05),差異有統計學意義(均P＜0.01).結論 72%的腦卒中患者均有某種程度上的視功能受損,這不僅影響患者的獨立生活能力,還直接影響其臨床康複治療效果.屈光矯正和配戴望遠鏡是視力康複的有效手段,臨床醫生應重視腦卒中患者視功能的康複和治療.
목적 조사뇌졸중환자시각수손적류형화시력강복정황.방법 경신경내과학진위뇌졸중적환자,검사기안과질병화시공능상태,우기시시력적교정화강복.결과 547례뇌졸중시각수손환자중、사시혹안구운동수손자점47.0%,시야수손자점34.0%,19.0%적환자유시지각결함,19.9%적환자유저시력혹맹,용수지방대경강복후.탈맹솔위35.7%,탈잔솔위58.2%,굴광교정전후평균시력분별위0.36±0.34、0.48±0.36(t=-3.949,P=0.03)、대망원경전후저시력환자평균시력분별위0.13±0.007화0.46±0.26(t=-5.208.P=0.01)、맹환자평균시력분별위0.01±0.01화 0.06±0.05(t=-3.628,P=0.05),차이유통계학의의(균P＜0.01).결론 72%적뇌졸중환자균유모충정도상적시공능수손,저불부영향환자적독립생활능력,환직접영향기림상강복치료효과.굴광교정화배대망원경시시력강복적유효수단,림상의생응중시뇌졸중환자시공능적강복화치료.
Objective To investigate the visual impairment and its rehabilitation after stroke.Methods After diagnosis of stroke by the neurologists, the patients received examinations of ocular pathology and visual function, especially in vision correction and rehabilitation. Results Five hundred and forty-seven stroke patients were recruited. 47.0% of the patients had eye alignment/movement impairment, 34.0% had visual field impairment, 19. 0% had visual perceptual difficulties and 19.9% had low vision blind. After using telescope, 35.7% blind patient's distance vision was ≥0.05; 58.2% low vision patient's distance vision was ≥0.3. After refraction (average vision:0.36±0.34 vs. 0.48 ±0.36,t =- 3.949,P=0.03) or using telescope(average vision of patients had low vision:0. 13±0. 07 vs. 0. 46±0.26,t=-5. 208,P=0.01 ;average vision of blind patients:0. 01 ±0.01 vs. 0. 06±0. 05,t = -3. 628, P= 0. 05), the improvement of vision for patients was significant.Conclusions The 72% of stroke patients has some kinds of visual impairment, which will affect not only the patients' independent living but also the clinical rehabilitation. Refraction and using telescope are effective for vision rehabilitation. Doctors should pay much attention to the visual therapy and rehabilitation for the stroke patients.
