脑卒中汉语失语症患者六月内自然恢复

Spontaneous Recovery of Language in Chinese Aphasic Patients during the First 6 months after Stroke

目的 :探讨脑卒中汉语失语症患者 6月内语言能力自然恢复的时程、结果及影响因素 .方法 :分别在平均 10 5d ,1月 ,2月 ,4月 ,6月时 ,用同一套语言测评材料 ,对 30例脑卒中失语症患者进行评估 .结果 :所有患者的语言能力均有不同程度恢复 ,2月内最明显 ,持续 2～ 4月 .听理解 ,口语表达 ,阅读能力最早开始恢复 .书写恢复最差 .年龄大、病初失语程度重、听理解能力差的患者预后差 .结论 :脑卒中汉语失语症的自然恢复在 2月内最明显 ,持续 2～ 4月 .即使是严重失语症 ,也可能获得不同程度的恢复 .经常运用的语言任务较早开始恢复 ,恢复程度较好 .年龄。

Objective: This study illustrated the spontaneous recovery of language in Chinese aphasic patients during the first 6 months after stroke. Methods: 30 Chinese aphasic patients were initially tested at a mean of 10.5 days post-onset and reassessed at 1,2,4,6 months, using the same Chinese aphasia test battery. Results: Improvement of language was seen in all patients to a greater or lesser degree. The greatest improvement was observed during the first 2 months. The spontaneous recovery lasted for 2～4 months. Auditory comprehension, oral expression and reading comprehension got significantly recovery at first. The final level of writing reached at 6 months was the worst. Initial severity of aphasia was negative predictor of aphasic outcome and initial severity of auditory comprehension was positive predictor. The younger recovered better. Conclusion: Spontaneous recovery of language in Chinese aphasic patients was seen most markedly during the first 2 months and lasted for 2～4 months. The extent of recovery in writing ability was the worst. Even patients with severe speech impairment had a considerable potential for recovery. Age, initial severity of aphasia and auditory comprehension affected outcome.