右侧忽略患者眼动追踪技术评估及认知训练1例并文献复习

doi:10.3969/j.issn.1004-583X.2023.03.014

临床荟萃 ›› 2023, Vol. 38 ›› Issue (3): 268-272.doi: 10.3969/j.issn.1004-583X.2023.03.014

右侧忽略患者眼动追踪技术评估及认知训练1例并文献复习

赵越¹^,², 张少华³, 赵振彪^4a, 闫彦宁^4a, 孙增鑫^4a, 王晓晗^4a, 吕佩源^4b^,⁵, 尹昱²^,^4a^,⁵

1.华北理工大学护理与康复学院,河北唐山 063000
2.河北医科大学研究生学院,河北石家庄 050017
3.河北省老年病医院,河北石家庄 050000
4.河北省人民医院 a.康复医学科; b.神经内科,河北石家庄 050000
5.河北省脑网络与认知障碍疾病重点实验室,河北石家庄 050000

收稿日期:2021-07-20 出版日期:2023-03-20 发布日期:2023-05-11
通讯作者: 尹昱
基金资助:
2021年度河北省中医药管理局科研计划项目——针刺联合经颅直流电刺激对脑卒中后偏侧忽略的康复疗效及神经网络机制的临床研究(2021168)

Evaluation and cognitive training of eye tracking technology in right-sided unilateral neglect patients: A case report and literature review

Zhao Yue¹^,², Zhang Shaohua³, Zhao Zhenbiao^4a, Yan Yanning^4a, Sun Zengxin^4a, Wang Xiaohan^4a, Lyu Peiyuan^4b^,⁵, Yin Yu²^,^4a^,⁵

1. College of Nursing and Rehabilitation,North China University of Science and Technology,@Tangshan 063000,China
2. Graduate School of Hebei Medical University,Shijiazhuang 050000,China;@3.Hebei Geriatrics Hospital,Shijiazhuang 050000,China
3. Department of Rehabilitation Medicine，Shijiazhuang 050000,China
4a. Department of Rehabilitation Medicine;b.Department of Neurology,Hebei General Hospital,Shijiazhuang 050000,China
5. Hebei Provincial Key Laboratory of Cerebral Networks and Cognitive Disorders,Shijiazhuang 050000,China

Received:2021-07-20 Online:2023-03-20 Published:2023-05-11
Contact: Yin Yu

摘要/Abstract

摘要：

目的探讨脑卒中后右侧忽略伴严重认知障碍患者的康复方案。方法回顾性分析卒中后右侧忽略伴有严重认知障碍和失语的患者进行评定与认知训练1例并进行文献复习。结果眼动追踪技术、非言语认知功能评估及行为学观察能够客观评价患者的认知障碍程度,通过眼动追踪训练及经颅直流电刺激等技术的综合康复训练,取得了一定的治疗效果。结论眼动追踪技术结合认知训练为重度认知障碍患者的康复提供了新思路。

关键词: 卒中, 单侧忽略, 眼动追踪, 认知训练

Abstract:

Objective To explore the rehabilitation options for patients with right-sided unilateral neglect complicated with severe cognitive impairment after stroke. Methods Retrospective analysis of one patient with severe cognitive impairment and aphasia accompanied by right-sided unilateral neglect after stroke was conducted for evaluation and cognitive training, and literature review was conducted. Results Eye tracking technology, non-verbal cognitive function assessment and behavioral observation could objectively evaluate the degree of cognitive impairment of patients. Through comprehensive rehabilitation training such as eye tracking training and transcranial direct current stimulation, certain therapeutic effects had been achieved. Conclusion Eye tracking technology combined with cognitive training provides new ideas for the rehabilitation of patients with severe cognitive impairment.

Key words: stoke, unilateral neglect, eye tracking technology, cognitive training

中图分类号:

R743

赵越, 张少华, 赵振彪, 闫彦宁, 孙增鑫, 王晓晗, 吕佩源, 尹昱. 右侧忽略患者眼动追踪技术评估及认知训练1例并文献复习[J]. 临床荟萃, 2023, 38(3): 268-272.

Zhao Yue, Zhang Shaohua, Zhao Zhenbiao, Yan Yanning, Sun Zengxin, Wang Xiaohan, Lyu Peiyuan, Yin Yu. Evaluation and cognitive training of eye tracking technology in right-sided unilateral neglect patients: A case report and literature review[J]. Clinical Focus, 2023, 38(3): 268-272.

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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2023.03.014

https://huicui.hebmu.edu.cn/CN/Y2023/V38/I3/268

图/表 4

图1 患者影像学资料

Fig.1 Imaging data of patients

表1 入院时及认知干预后言语和日常生活活动能力评分(分)

Tab. 1 Speech and activities of daily living scores at admission and after cognitive intervention(scores)

评定时间	WAB	MFDA	MBI
入院评估	不配合	不配合	0
认知干预前	不配合	不配合	0
认知干预3周后	不配合	不配合	3
认知干预6周后	1.5	不配合	6

表2 入院及认知干预后认知和单侧忽略评分

Tab. 2 Cognitive and unilateral neglect scores at admission and after cognitive intervention

评定时间	MMSE	NLCA	LBT	眼动追踪
入院评估	不配合	不配合		\
认知干预前	不配合	不配合	不配合	左86%右13%
认知干预3周后	不配合	1分	不配合	左73%右27%
认知干预6周后	不配合	5分	不配合	左66%右33%

图2 患者眼动追踪训练成绩单

Fig. 2 Eye-tracking training report card of patients

参考文献 26

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右侧忽略患者眼动追踪技术评估及认知训练1例并文献复习

Evaluation and cognitive training of eye tracking technology in right-sided unilateral neglect patients: A case report and literature review

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