镜像神经元康复疗法治疗脑卒中后运动性失语症的疗效观察

Effect of Mirror Neuron Rehabilitation Therapy on Motor Aphasia affer Stroke

目的探讨镜像神经元康复疗法对脑卒中后运动性失语症的疗效。方法以符合入选标准的60例脑卒中后运动性失语症患者为研究对象,运用随机数字表分成治疗组和对照组,每组30例。两组均给予常规言语康复训练,治疗组在此基础上增加镜像神经元康复疗法,每次30 min,每周5次,连续治疗8周。干预前后采用汉语标准失语症检查表(China rehabilitation research center aphasia examination,CRRCAE)和波士顿诊断性失语症检查法(Boston diagnostic aphasia examination,BDAE)对两组疗效进行评定。结果两组干预前CRRCAE 9个亚项的正答率差异无统计学意义(P>0.05),在干预后治疗组CRRCAE中9个亚项的正答率均显著提高(P<0.05),对照组在干预后仅有5个亚项正答率显著提高(P<0.05);干预后治疗组CRRCAE 9个亚项的正答率均显著高于对照组(P<0.05)。BDAE评级结果显示,治疗组干预后总疗效较对照组好(P<0.05)。结论镜像神经元康复疗法可明显改善脑卒中后运动性失语症患者的语言功能,其临床疗效显著。

Objective To observe the theraputic effect of mirror neuron rehabilitation therapy on motor aphasia after stroke.Methods A total of 60 patients with post-stroke motor aphasia were randomly divided into treatment group and control group with 30 in each group.Both groups were given routine speech rehabilitation training,and the treatment group added mirror neuron rehabilitation therapy,30 minutes each time,5 times a week,continuous treatment for 8 weeks.Before and after the intervention,Chinese rehabilitation research center aphasia examination(CRRCAE)and Boston diagnostic aphasia examination(BDAE)were used to evaluate the clinical efficacy.Results There was no statistically significant difference in the positive answer rate of the 9 sub-items of CRRCAE before the intervention between the two groups(P>0.05).After the intervention,the positive answer rate of 9 sub-items in the CRRCAE of the treatment group all increased(P<0.05).In control group,only 5 sub-items positive response rate increased after intervention(P<0.05).The positive rates of CRRCAE 9 sub-items in the post-treatment group were significantly higher than those in the control group(P<0.05).BDAE rating results shoed that the total efficacy of the treatment group after intervention was better than the control group(P<0.05)Conclusion Mirror neuron rehabilitation therapy can improve the language function of patients with motor aphasia after stroke,and its clinical effect is significant.