综合性语言治疗对完全性失语患者的疗效评估

Evaluation of global aphasia with comprehensive speech therapy

目的:探讨完全性失语的治疗方法及其疗效。方法:采用中国康复研究中心汉语标准失语症检查法对17例患者进行评价,诊断为完全性失语,采用常用的综合治疗方法结合计算机语言训练软件对患者进行语言治疗,比较训练前后评价结果。结果:17例都伴有不同程度的口颜面失用,16例伴言语失用,8例伴有单侧空间忽略。17例患者训练后在说、抄写以及听理解、阅读理解、复述方面差异有显著性意义(前两者P<0.05,后三者P<0.01),但在出声读、描写、听写、计算方面差异无显著性意义(P>0.05)。结论:完全性失语的患者经综合语言治疗后可在一定范围内恢复,少部分患者可恢复到似Broca失语的临床模式,但要达到日常交流还必须借助语言及非语言的综合方式进行,使交流能力最大限度的提高。

AIM:To investigate the therapy for global aphasia and its therapeutic effect. METHODS:Seventeen patients with global aphasia, diagnosed with China Rehabilit ation Research Center Aphasia Examination(CRRCAE),were enrolled. All the 17 case s were trained with the purposeful systematic training program and computer-bas ed training for a comparison before and after training. RESULTS:Of the 17 cases, different degree of buccofacial apraxia was found in all the cases,speech apraxia in 16 cases, and unilateral neglect in 8 cases. Th ere were significant differences in speaking,copying,hearing,reading comprehensi on and repeating(the former two,P< 0.05;the latter three,P< 0.01),but not in rec iting, description, dictation and calculation(P >0.05). CONCLUSION:Patients with global aphasia can recover to a certain extent after comprehensive speech therapy,and a small part of them can recover to the clinica l mode similar to Broca aphasia, which needs further speech or other therapy to recover daily communication to a maximum extent.