视动训练方案对意识障碍患者眼动功能的影响及效果研究

关键词：意识障碍  脑损伤  视动训练  眼动功能  意识水平

Keywords:disorders of consciousness  brain injury  visual movement training  eye movement function  consciousness level

摘要：

      摘要 目的：探讨视动训练对意识障碍患者眼动功能以及意识水平的影响效果，分析视动训练过程中影响意识障碍患者眼动功能恢复效果的潜在因素。 方法：将71例意识障碍患者随机分为观察组（36例）与对照组（35例）。对照组接受康复医学科常规治疗护理，观察组在对照组基础上接受视动训练。干预前和干预4周后比较两组改良国际昏迷恢复量表（coma recovery scale-revised， CRS-R）、全面无反应量表（full outline of unresponsiveness， FOUR）、东北州立大学视光学院动眼测试（northeastern state university college of optometry test，NSUCO）、视觉诱发电位（visual evoked potential，VEP） P100潜伏期、注视次数、扫视潜伏期、睁眼阻力重复次数。 结果：干预后观察组CRS-R评分、FOUR评分、NUSCO动眼测试评分、注视次数得到明显提高，VEP P100潜伏期、扫视潜伏期显著缩短，与对照组比较有显著性差异（P<0.05），睁眼阻力重复次数两组差异不显著（P>0.05）。 结论：视动训练方案有助于改善意识障碍患者眼动功能、对意识水平的提高有积极意义。

Abstract:

      Abstract Objective：To explore the effects of visual movement training on eye movement function and consciousness level in patients with disorders of consciousness， and to identify the potential factors that affect the recovery of eye movement function in patients with disorders of consciousness during the visual movement training. Method：Seventy-one patients with disorders of consciousness were randomly divided into observation group （36 cases） and control group （35 cases）. The control group received routine treatment and nursing care in the department of rehabilitation medicine， while the observation group received visual movement training on the basis of the control group. The Coma Recovery Scale-Revised （CRS-R）， Full Outline of Unresponsiveness Scale （FOUR）， Northeastern State University College of Optometry Test （NSUCO）， Visual Evoked Potential （VEP） P100 latency， fixation frequency， scanning latency， and repetition of eye opening resistance were assessed between the two groups before and four weeks after intervention. Result：After intervention，the observation group demonstrated significantly improved CRS-R score， FOUR score， NUSCO score， and fixation frequency， while the VEPP100 latency and scanning latency were significantly shortened（P<0.05）. There was no significant difference in the number of repetitions of Resistance to eye opening between the two groups （P>0.05）. Conclusion：The visual movement training program can help improve the eye movement function of patients with disorders of consciousness and has a positive effect in improving their level of consciousness.