言语功能训练对老年脑卒中失语症患者的疗效分析

Analysis of the Effect of Speech Function Training on Elderly Patients with Aphasia

目的分析研讨言语功能训练对老年脑卒中失语症患者的疗效。方法用1:1随机数字法分两组讨论方便选取该院2015年8月—2018年3月期间收治的老年脑卒中失语症患者38例,每组19例,对照组接受综合治疗和认知功能训练,研究组在对照组干预基础上接受言语功能训练,观察两组患者言语功能改善情况,并比较。结果比较两组患者西方失语症Wab评分,组内比较治疗前后西方失语症Wab评分差异有统计学意义(P<0.05),两组治疗后西方失语症Wab评分比较,研究组结构能力(9.8±1.3)分、运用(12.4±1.2)分、书写能力(16.7±2.5)分、阅读能力(18.7±0.6)分、命名检查(15.7±0.3)分、复述检查(15.7±1.1)分、听理解检查(10.7±1.2)分、自发言语内信息量评分(12.4±1.2)分高于对照组(5.8±1.1)分、(8.7±1.3)分、(12.4±0.8)分、(15.7±0.4)分、(11.4±1.1)分、(9.5±1.1)分、(5.8±1.3)分、(8.7±1.1)分(t=21.032、12.457、10.546、26.549、45.587、21.578、11.257、23.548,P=0.000、0.000、0.000、0.000、0.000、0.000、0.000、0.000)。结论老年脑卒中失语症患者接受言语功能训练后,其言语功能改善更为突出,患者和其家庭痛苦均得到降低,恢复其生活自理能力,改善其生活质量。

Objective To analyze the effect of speech function training on patients with apoplexy aphasia.Methods With 1:1 random number method in convenient selection 2 groups to discuss the hospital from August 2015 to March 2018 elderly cerebral apoplexy aphasia patients admitted during the period of 38 cases,19 cases in each group,control group treated with comprehensive training and cognitive function,the team in the control group,intervention based on the speech function training,speech function in both groups was observed,and compared Results The WAb scores of Western aphasia were compared between the two groups.The difference of Wab scores in Western aphasia before and after treatment was statistically significant(P<0.05).The WAb scores of Western aphasia after treatment were compared between the two groups.The structural capacity of the study group(9.8±1.3)points,use(12.4±1.2)points,writing ability(16.7±2.5)points,reading ability(18.7±0.6)points,naming examination(15.7±0.3)points,rehearsal examination(15.7±1.1)points,listening comprehension(10.7±1.2)points,the information score(12.4±1.2)points in the speech was higher than the control group(5.8±1.1)points,(8.7±1.3)points,(12.4±0.8)points,(15.7±0.4)points,(11.4±1.1)points,(9.5±1.1)points,(5.8±1.3)points,(8.7±1.1)points(t=21.032,12.457,10.546,26.549,45.587,21.578,11.257,23.548,P=0.000,0.000,0.000,0.000,0.000,0.000,0.000,0.000).Conclusion Speech function training is more prominent in elderly patients with aphasia after stroke,and the pain of patients and their families has been reduced,and their self-care ability has been restored,and their quality of life has been improved.