认知功能训练治疗缺血性脑卒中后失语症的临床康复效果及对交流能力的影响

Clinical Rehabilitation Effect of Cognitive Function Training on Post-stroke Aphasia and its Influence on Communication Ability

目的研究认知功能训练治疗缺血性脑卒中后失语症(PSA)临床康复效果及对交流能力的影响。方法以2022年1月-2023年1月天津市北辰区中医院收治的50例PSA患者为研究对象,按照随机数字表法分为对照组和观察组,各25例。对照组给予常规康复治疗,观察组在其基础上开展认知功能训练,比较两组康复效果、认知功能[洛文斯顿作业疗法认知成套测验(LOTCA)、蒙特利尔认知评估量表(MoCA)]、交流能力[中国康复研究中心汉语标准失语症检查表(CRRCAE)、波士顿失语诊断测验(BDAE)评分]及家属满意度。结果观察组康复优良率高于对照组(P<0.05);两组治疗后LOTCA评分低于治疗前,MoCA评分高于治疗前,且观察组LOTCA评分低于对照组,MoCA评分高于对照组(P<0.05);两组治疗后CRRCAE、BDAE评分高于治疗前,且观察组CRRCAE、BDAE评分高于对照组(P<0.05);观察组家属满意度高于对照组(P<0.05)。结论认知功能训练可提高PSA患者的康复效果,改善其认知功能与交流能力,家属满意度高。

Objective To study the clinical rehabilitation effect of cognitive function training on post-stroke aphasia(PSA)and its influence on communication ability.Methods A total of 50 PSA patients admitted to Tianjin Beichen Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were divided into control group and observation group according to random number table method,with 25 patients in each group.The control group was given routine rehabilitation treatment,and the observation group was given cognitive function training on the basis of the control group.The rehabilitation effect,cognitive function[Loewenstein Occupational Therapy Cognitive Assessment(LOTCA),Montreal Cognitive Assessment(MoCA)],communication ability[China Rehabilitation Research Center Chinese Standard Aphasia Examination(CRRCAE),Boston Diagnostic Aphasia Examination(BDAE)score]and family satisfaction were compared between the two groups.Results The excellent and good rate of rehabilitation in the observation group was higher than that in the control group(P<0.05).The LOTCA score of the two groups after treatment was lower than that before treatment,and the MoCA score was higher than that before treatment,while the LOTCA score of the observation group was lower than that of the control group,and the MoCA score was higher than that of the control group(P<0.05).The CRRCAE and BDAE scores of the two groups after treatment were higher than those before treatment,and the CRRCAE and BDAE scores of the observation group were higher than those of the control group(P<0.05).The satisfaction of family members in the observation group was higher than that in the control group(P<0.05).Conclusion Cognitive function training can improve the rehabilitation effect of PSA patients,improve their cognitive function and communication ability,and have high family satisfaction.