音乐疗法联合语言训练对脑卒中后非流畅性失语的疗效研究

Effects of Music Therapy Combined with Speech Language Therapy on Language Perfor⁃mance in Non-Fluent Aphasia after Stroke

目的:观察音乐疗法联合常规语言治疗对脑卒中后非流畅性失语患者语言功能恢复的影响。方法:将37例符合纳入条件的脑卒中后非流畅性失语患者随机分为观察组(19例)和对照组(18例),2组患者均接受常规药物治疗及肢体康复治疗,观察组在此基础上每天接受30 min音乐疗法和30 min常规语言治疗,对照组每天接受1 h常规语言治疗,每周治疗5 d。治疗前及治疗4周后,采用西方失语成套测验(WAB)汉化版口语部分与Goodglass-Kaplan失语症严重程度分级标准(ASRS)评定患者语言功能。结果:治疗后,2组WAB各项评分及ASRS评级均较治疗前改善(P<0.01)。治疗后,观察组流畅度,复述,命名及失语指数(AQ)评分均优于对照组(P<0.05),但2组患者信息量、自发言语、听理解评分及ASRS评级组间差异无统计学意义(P>0.05)。结论:音乐疗法联合常规语言治疗能有效改善脑卒中后非流畅性失语患者的语言功能,尤其是言语流畅度,复述及命名能力。

Objective:To explore the effects of music therapy combined with speech language therapy on the recovery of language skills in cases with non-fluent aphasia following stroke.Methods:Thirty-seven patients with stroke who presented with non-fluent aphasia were randomly assigned to the experimental group(n=19)and the control group(n=18).All cases received conventional pharmacotherapy and rehabilitation training.The experimental group received additional 30 min music therapy and 30 min speech language therapy sessions while the control group received 1 h speech language therapy sessions only.Music therapy and speech language therapy were conducted once a day,5 days a week,for a total of 4 weeks.Four subtests on spoken language in the Chinese version of the Western Aphasia Battery(WAB)and the six-point Goodglass-Kaplan’s Aphasia Severity Rating Scale(ASRS)were performed to evaluate language capability before and after treatment.Re⁃sults:All WAB scores and ASRS scores improved significantly in both experimental and control groups after 4 weeks of treatment(P<0.01).The experimental group showed significantly greater improvement than control group in fluency,repetition,naming,and aphasia quotient(AQ)scores after treatment(P<0.05).However,there was no significant difference in information content,spontaneous speech,auditory comprehension,and ASRS scores between the two groups after treatment(P>0.05).Conclusion:Combining music therapy with speech language therapy can improve language performance in patients with non-fluent aphasia following stroke,especially for verbal fluency,repetition,and naming abilities.