进阶式言语训练对基底节性失语的康复效果

Application of Advanced Speech Training in Patients with Basal Ganglia Aphasia after Stroke

目的:探讨进阶式言语训练法对脑卒中后基底节性失语症患者的康复效果。方法:选取基底节性失语症患者18例,随机分为对照组和治疗组,各9例。对照组给予传统语言康复,治疗组给予进阶式言语训练法,均治疗3周。于治疗前、后,采用波士顿诊断性失语检查法(BDAE)及西方失语测验量表(WAB)评价2组患者的失语程度及言语功能。出院后随访3个月,采用BDAE量表评估失语程度并判定康复疗效。结果:治疗后,2组的BDAE分级均较治疗前升高,且治疗组的BDAE分级高于对照组(P<0.05);2组的WAB量表各项评分均高于同组治疗前(P<0.05),且治疗组自发言语(信息量及流畅度)得分高于对照组(P<0.05)。随访3个月后,2组的BDAE分级继续提高,治疗组的总有效率(88.89%)高于对照组的总有效率(77.78%),但2组间差异均无统计学意义(均P>0.05)。结论:进阶式言语训练有助于改善卒中后基底节性失语症患者的言语功能。

Objective:To explore the rehabilitative effect of advanced speech training on patients with basal ganglia aphasia after stroke.Methods:Eighteen patients with basal ganglia aphasia were randomly assigned to the treatment group or control group,with 9 patients in each.The control group was given conventional language therapy,and the treatment group received advanced speech training,both for 3 months.Patients were assessed with the Boston Diagnostic Aphasia Examination(BDAE)and Western Aphasia Battery(WAB)before and after therapy.Patients were followed up 3 months after discharge and evaluated with the BDAE to investigate the degree of aphasia and rehabilitative effect.Results:After therapy,the BDAE score in both groups increased compared to before therapy,and the treatment group showed a greater score than the control group(P<0.05).Within each group,all WAB subscores were higher after therapy than before(P<0.05);furthermore,the treatment group showed a higher score in spontaneous speech(greater information and fluency)than the control group(P<0.05).Three months after discharge,the BDAE score in both groups continued to increase,but there was no significant difference between the groups(P>0.05).The total effectiveness rate of the treatment group(88.89%)was greater than that of the control group(77.78%),but not significantly(P>0.05).Conclusion:Advanced speech training is useful in improving speech function in patients with basal ganglia aphasia after stroke.