卒中后失语患者言语康复管理的证据总结

Evidence Summary of Speech and Language Rehabilitation Management in Patients with Post-stroke Aphasia

目的总结卒中后失语患者言语康复的相关证据,为临床医务人员开展言语康复管理提供依据。方法系统检索国内外数据库与专业机构网站中有关卒中后失语患者言语康复的临床指南、证据总结、系统评价以及专家共识,并进行质量评价与证据提取。结果共纳入14篇文献,包括1篇临床决策,1篇证据总结,8篇指南以及4篇系统评价。从言语康复的筛查与评估、组织培训、康复环境、康复时机、康复方式、随访以及健康教育7个方面总结了24条证据。结论积极开展失语筛查、组织培训康复团队成员、营造良好的康复环境、把握最佳的康复时机、选择个性化的康复方式以及制定全面的健康教育与随访计划可提高言语康复的有效性。

Objective To summarize the evidence of speech and language rehabilitation in patients with post stroke aphasia,and to provide reference for speech and language rehabilitation management in clinical practice.Methods We searched databases and websites to collect guidelines,evidence summaries,systematic reviews and expert consensus on speech and language rehabilitation for patients with post stroke aphasia.Quality evaluation and evidence extraction of the included literature were also carried out.Results A total of 14 pieces of literature were incorporated,including 1 clinical decision,1 evidence summary,8 guidelines,and 4 systematic reviews and 24 pieces of evidence were summarized from 7 aspects:screening and assessment of aphasia,training,rehabilitation environment,optimal timing,rehabilitation methods,follow-up visits and health education.Conclusion The effectiveness of speech and language rehabilitation can be improved by aphasia screening,training for rehabilitation team members,a good rehabilitation environment,grasping the optimum rehabilitation timing,personalized rehabilitation methods,and comprehensive health education and follow-up plans.