9例完全性失语的言语康复

Speech Training for Globle Aphasia: 9 Case Report

目的探讨完全性失语的语言康复转归。方法对2008年12月～2010年6月本科住院的9例完全性失语患者用汉语标准失语症检查法(CRRCAE)进行评定,利用Schuell刺激法、交流效果促进法(PACE)和功能性交际治疗(FCP)进行语言训练,比较训练前后评价结果。结果 9例患者均伴有口颜面失用,8例并发言语失用。9例患者训练后在理解、复述、命名、抄写方面有显著性差异(P<0.05),但在朗读、描写、听写、计算方面无显著性差异。波士顿诊断性失语症检查法(BDAE)分级2例有明显改善,2例有轻度改善。结论完全性失语语言康复难度大,经过语言训练,其语言功能可在一定范围内得到恢复,其失语症类型也可有转变,结合非语言手段可以提高其日常交流能力。

Objective To observe the speech outcome of globle aphasia after rehabilitation.Methods 9 patients with globle aphasia from Dec.2008 to June.2010 in our hospital were assessed with the Standard Aphasia Examination of Chinese（CRRCAE） and trained using the Schuell aphasic stimulation approach,promoting aphasics communication effectiveness（PACE） and functional communication therapy（FCP）.Results 9 patients were disabled with their faces,8 cases were disabled with speech.9 cases improved in understanding,retelling,naming,and copying after speech training（P〈0.05）.Boston Diagnostic Aphasia Examination（BDAE） showed 2 cases had obvious improvement,and 2 patients had mild improvement.Conclusion The speech rehabilitation on globle aphasia is very difficult,but speech function can recover to a certain extent and the type of aphasia can tranffer after speech training,and it can raise the ability of daily exchange by combining nonspeech means.