皮层下脑血管病后言语障碍的康复和预后

Rehabilitation and prognosis of speech disorder after subcortical cerebral vascular disease

目的 :了解皮层下脑血管病的言语障碍的预后及言语康复治疗的效果。方法 :《汉语失语症测评法》评价家庭中言语康复训练对 44例皮层下脑血管病的言语障碍预后的影响。结果 :32例皮层下失语症中 81 2 5 %在言语康复治疗 3个月后好转 ,34 78%在 3个月时大致恢复正常。皮层下失语症病灶位于右侧者预后好于左侧者 (1,3月好转率比较 ,P <0 0 1) ,病灶为出血者好于梗塞者 (1、3个月好转率比较 ,P <0 0 1)。 12例经典失语症中 ,除完全性失语症恢复较差外 ,其余各型失语症恢复均较好。结论 :家庭言语康复治疗实际可行 。

Objective:To explore the prognostic of speech disorder after subcortical cerebral vascular disease(SCVD) and the role of family speech treatment on the speech disorder.Method:To scale 44 cases with speech disorder after SCVD in the procedure of family speech treatment with Chinese Aphasia Measurement Method.Result:Of 32 cases with subcortical aphasia syndrome (SCA),81.25% showed symptom improvement and 34.78% recovered to roughly normal level after 3 months family speech treatment.The prognostic of cases with lesion in right hemisphere was better than left (the difference of improvement rates was significant in time of 1 and 3 month, P <0.01).The prognosis of hemorrhage was better than that of infarction (the difference of improvement rates was significant in time of 1 and 3 month, P <0.01).12 cases with classical aphasia syndrome,apart from the global aphasia,have satisfactory recovery.Conclusion:The prognosis of speech disorder after SCVD is satisfactory after speech treatment and speech treatment, family treatment is a practical rehabilitation form.