ICF框架下言语语言训练治疗脑卒中患者命名障碍的效果研究

Effect of Speech Language Training in the Treatment of Naming Disorder in Stroke Patients under the Framework of ICF

目的观察基于《国际功能、残疾和健康分类》(International Classification of Functioning,Disability,and Health,ICF)框架下“语言认知评估训练与沟通仪”软件对脑卒中患者命名障碍的疗效。方法2019年12月至2020年1月,将20例年龄60~79岁不同程度命名障碍的脑卒中患者按照SPSS软件随机分为实验组(n=10)和对照组(n=10),实验组平均年龄为62.60±6.17岁,对照组平均年龄为65.70±6.13岁。对照组进行常规言语语言训练,实验组采取ICF框架下“语言认知评估训练与沟通仪”软件在优势刺激下进行命名、续话及列名训练。治疗前、治疗2周、治疗4周后采用西方失语症成套测验(Western aphasia battery,WAB)的命名部分、“语言认知评估训练与沟通仪”失语症系统进行效果评估。结果治疗4周后,两组WAB命名评分、“语言认知评估训练与沟通仪”命名评分均优于治疗前、治疗2周后(P<0.05,P<0.05),实验组WAB命名评分、“语言认知评估训练与沟通仪”命名评分优于对照组(P<0.05,P<0.05)。实验组治疗2周和治疗4周后WAB命名评分与“语言认知评估训练与沟通仪”命名评分均具有高度正相关性(分别为r=0.79,P<0.05;r=0.91,P<0.001)。结论ICF框架下的“语言认知评估训练与沟通仪”失语症系统的命名障碍康复方案能有效改善脑卒中患者的命名障碍。

Objective To observe the effect of precise rehabilitation of aphasia anomia based on the International Classification of Functioning,Disability and Health(ICF)theory on anomia in stroke patients.Methods From December 2019 to January 2020,20 stroke patients(60~79 years old)with different degrees of naming disorder were randomly divided into two groups according to SPSS software experimental group(n=10)and control group(n=10).The average age of the experimental group was 62.60±6.17 years,and the average age of the control group was 65.70±6.13 years.The control group received routine speech language training.The experimental group was given naming,continuation and listing training with"language cognitive assessment training and communication instrument"software under the stimulation of advantages under the ICF concept.Before treatment,2 weeks after treatment and 4 weeks after treatment,the named portion of Western aphasia battery(WAB)and the aphasia system of"language cognitive assessment training and communication instrument"were used for evaluation.Results After 4 weeks of treatment,WAB score and"language cognitive assessment training and communication instrument"aphasia score of the two groups were better than those before treatment and 2 weeks of treatment(P<0.05,P<0.05),while WAB score and"language cognitive assessment training and communication instrument"aphasia score of the experimental group were better than those of the control group(P<0.05,P<0.05).There was a high positive correlation between WAB score and"language cognitive assessment training and communication instrument"of aphasia score in experimental group after 2 weeks and 4 weeks of treatment(r=0.79,P<0.05;r=0.91,P<0.001).Conclusion The rehabilitation program of naming disorder in aphasia system of"language cognitive assessment training and communication instrument"under the framework of ICF can effectively improve the naming disorder of stroke patients.