卒中后同向性偏盲的治疗研究进展

Research Progress on the Treatment of Post-Stroke Homonymous Hemianopia

摘要: 同向性偏盲(homonymous hemianopia, HH)是脑卒中后常见的视觉功能障碍，主要由枕叶、视放射及外侧膝状体损伤引起，表现为双眼同侧视野缺损。HH可严重影响阅读、行走、驾驶及日常生活能力，显著降低患者的生活质量。近年来，随着神经康复学的发展，HH的治疗手段逐渐由传统的代偿训练向视觉恢复训练、神经调控、针刺等综合康复模式发展。本文综述了卒中后HH的发病机制、自然恢复特点及主要康复治疗方法，现存问题及未来研究方向，以期为临床康复及后续研究提供参考。

Abstract: Homonymous hemianopia (HH) is a common visual dysfunction after stroke, primarily caused by damage to the occipital lobe, optic radiation, and lateral geniculate body, manifesting as bilateral homonymous visual field defects. HH can severely affect reading, walking, driving, and activities of daily living, significantly reducing patients’ quality of life. In recent years, with the development of neurorehabilitation, treatment approaches for HH have gradually evolved from traditional compensatory training to comprehensive rehabilitation models including visual restoration training, neuromodulation, acupuncture, and others. This article reviews the pathogenesis, natural recovery characteristics, main rehabilitation methods, current problems, and future research directions of post-stroke HH, aiming to provide a reference for clinical rehabilitation and subsequent studies.