“两段法”治疗急性脑血管病言语障碍患者的效果分析

Analysis of the effect of “two-step method" on aphasia in patients with acute cerebrovascular disease

目的:探讨急性脑血管病患者病灶部位和大小与失语轻重程度,失语类型之间的关系,以及影响失语症的康复因素。方法:选择安阳市灯塔医院急性脑血管病所致言语障碍住院患者236例,随机分为治疗组(120例)和对照组(116例)治疗组语言训练采用“两段法”包括通过视觉性刺激和手势、文字图案帮助患者理解语言,随医护人员发音、读单字、做娱乐等。对照组未进行语言语康复训练。结果:治疗组显效率(37.5%)明显高于对照组(14.6%),差异有非常显著性意义(χ2=25.32,P<0.01),影响言语障碍康复因素除和失语症类型、失语轻重程度、年龄、发病时间、并发症有关外,还和病灶部位及大小、脑卒中的性质、是否坚持康复训练有关。结论:大脑言语区受损会引起相应的言语功能障碍,经过反复、持久的功能训练,语言恢复是可能的。

AIM:To explore the relationship of focal position and size with the severity a nd type of aphasia,and the factors that affect the rehabilitation of aphasia. ME THODS:Totally 236 inpatients with aphasia induced by acute cerebrovascular disea se in the Dengta hospital of Anyang city were selected in the study.The patients in the treatment group(n=120),received the speech training by using the “2-st ep method',including visual stimulus, gesture and word pattern which were good f or the patients to understand the language,as well as following pronunciation,re ading single word and entertainments following the doctors and nurses;while pat ients in the control group(n=116),did not receive the speech rehabilitation. RESULTS:The significant effective rate in the treatment group(37.5%) was obvi ously higher than that in the control group(14.6%)(χ2=25.32, P< 0.01).Besides the type and severity of aphasia,age,episode time and the complications,the fact ors that affected the aphasia rehabilitation were also related with the focal po sition and size and whether or not to persist in the rehabilitation training. CONCLUSION:Injury at the speech area of cerebrum can result in corresponding s peech dysfunction,and language recovery is possible through repeated and lasting functional training.