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脑卒中患者视觉受损的调查

Investigation of visual impairment following stroke

摘要目的 探讨脑卒中患者视功能障碍的类型和发病情况.方法 经神经内科确诊为脑卒中的患者147例.平均年龄(71.7±13.3)岁,仔细检查其眼科疾病和视功能状态,如视力、眼位和眼球运动、视知觉和视野缺损等方面的内容.结果 147例患者中,46.9%的患者有斜视/眼球运动受损,34.0%的患者有视野受损,19.7%的患者有视力受损,19.0%的患者有视知觉缺陷.结论 72.1%的脑卒中患者都有不同程度的视功能受损.这不仅影响患者的独立生活能力,还直接影响整个临床康复效果.临床医生应重视脑卒中患者视功能的治疗和康复.

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abstractsObjective To investigate and analyze the types of visual impairment and their prevalence by collecting data from stroke patients. Methods After being diagnosed with stroke by neurologists, ocular pathology and visual function such as visual acuity, eye position and movement, visual perception and visual field, etc., were examined. Results One hundred forty-seven stroke patients were recruited with a mean age of (71.7±13.3)years. Of these, 46.9% had eye alignment/ movement impairment, 34.0% had visual field impairment, 19.7% had low vision or were blind and 19.0% had visual perceptual difficulties. Conclusion Some kind of visual impairment was found in 72.1% of the stroke patients. This not only affects the patient's ability to live independently but also affects the results of clinical rehabilitation. Doctors should give a lot of attention to visual therapy and rehabilitation for stroke patients.

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