手部训练在脑卒中失语症语言康复中的应用研究

Rehabilitation effect of hand training on language function of patients with aphasia

目的探讨手部训练法对脑卒中后失语症患者语言功能康复的影响。方法将40例失语症患者匹配分成对照组(n=20)和实验组(n=20),两组均接受常规药物治疗和康复护理,实验组额外给予手部训练治疗6周,分别在6周的手部训练前后使用汉语失语症(aphasia battery of Chinese,ABC)测评表对患者的语言功能进行测评。结果组内比较,6周后两组患者的ABC得分均明显提高,差异有统计学意义(t对照组=-10. 184,P <0. 001;t实验组=-13. 158,P <0. 001)。组间比较,两组在手部训练前ABC得分差异无统计学意义(t=-0. 725,P=0. 473),6周手部训练后,实验组的ABC得分明显高于对照组(t=4. 425,P <0. 001),组间差异有统计学意义;两组感觉性失语患者ABC得分差异无统计学意义(t=-0. 171,P=0. 872),实验组运动性失语(t=5. 187,P <0. 001)、混合性失语(t=4. 108,P=0. 003)患者ABC得分高于对照组,差异均具统计学意义。结论手部训练法可以有效帮助提高失语症患者的语言运动功能的恢复。

Objective To investigate rehabilitation effect of hand training on language function of patients with aphasia. Methods A total of 40 patients with aphasia were randomly divided into control group （ n = 20） and experimental group （ n = 20）. Both groups received routine drug treatment and rehabilitation, and the experimental group was given additional hand training for 6 weeks. Aphasia battery of Chinese （ABC） was used to evaluate the patients＇ language function before and after 6 weeks of training respectively. Results The ABC scores of the two groups were significantly improved ＂after 6 weeks （tcon. = -10.184, P 〈0. 001 ;texp = -13. 158, P 〈0. 001 ）. There was no statistically significant difference between the two groups before hand training （t = - 0. 725, P = 0. 473 ）. After 6 weeks of hand training, the ABC score of the experimental group was significantly higher than that of the control group （ t = 4. 425, P 〈 0. 001 ）. There was no significant difference in the ABC scores between the two groups of sensory aphasia （t = -0. 171 , P =0. 872）. The ABC scores of patients with motor and mixed aphasia in experimental group were significantly higher than those in the control group （ t = 5. 187, P 〈 0. 001 ; t = 4. 108, P = 0. 003 ）. Conclusion Hand training can effectively improve the language function of patients with aphasia.