言语治疗中脑卒中患者血压变化对预后的影响

The influence of blood pressure on prognosis during speech therapy after stroke

目的观察在言语治疗中血压上升患者和血压不变患者的言语改善情况。方法采用回顾性方法分析了 30例脑卒中患者在 2个月的言语治疗过程中 ,血压的变化和治疗前后的汉语失语检查法 (ABC)检查得分的变化情况。结果血压上升者 ( 12例 )口语表达方面的得分变化较血压不变者 ( 8例 )有显著性差异 (P <0 .0 5 )。对于听理解方面的得分变化 ,血压上升者较血压不变者无显著性差异 (P >0 .0 5 )。结论治疗中血压上升者口语表达方面进步明显。

ObjectiveTo investigate the improvement of speech in patients with increased blood pressure(BP) and stable blood pressure during speech therapy. MethodsAfter monitoring blood pressure with dynamic blood-pressure meter during speech therapy, patients were divided into increased BP group and stable BP group. Patients received two-month speech therapy, then their score changes in ABC examination of pre-treatment and post-treatment were compared. ResultsIn oral expression, score changes in increased BP group were significantly different from those in stable BP group ( P<0.05). In listening comprehension, score changes had no significant difference between two groups( P>0.05). Conclusions Patients in increased blood pressure group progressed obviously in oral expression.