高压氧治疗对失语症患者语言功能的影响  

The influence of hyperbaric oxygen（ HBO ） on the language function of aphasia patients

作　　者：陈卓铭[1,2] 陈艳[2] 莫雷[1] 陈善成[3] 殷万春[3] 王红[1] 费建林[2] 邝志强[2] 

机构地区：[1]华南师范大学心理应用研究中心,广州510631 [2]暨南大学附属第一医院语言障碍中心 [3]暨南大学附属第一医院神经外科

出　　处：《中华物理医学与康复杂志》2007年第3期171-174,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：广东省自然科学基金项目（No.04010435）,广州市重大攻关项目（No.2003Z3-E0271）

摘　　要：目的通过对脑卒中及轻、中型颅脑损伤失语症患者进行高压氧治疗，探讨高压氧对失语症患者语言功能康复的影响。方法将40例失语症患者按入院次序分为治疗组及对照组。对照组患者给予常规治疗，治疗组患者则在此基础上于发病7d后加用高压氧干预，治疗15d为1个疗程，每疗程中间休息3d，共治疗3个疗程。本研究采用ZM2．1型语言障碍诊治仪分别于治疗前、后检测2组患者残存语言功能情况，并在每一疗程高压氧治疗结束后检测2组患者的语言能力，观察其语言功能是否改善。结果经1个疗程治疗后，治疗组患者各项语言功能评分均有提高，但与对照组比较，差异无统计学意义（P〉0．05）；经2个疗程治疗后，治疗组患者除听读字项目外，其它10项语言功能评分均明显高于对照组（P〈0．05）；经3个疗程治疗后，治疗组患者11项语言功能评分均明显高于对照组（P〈0．05）。对治疗组患者治疗前、后的语言功能进行比较，发现该组患者每一疗程结束后其各项语言功能评分均有一定程度提高，其中高压氧治疗1个疗程与治疗前比较、治疗2个疗程与治疗1个疗程时比较，均显示患者复杂指令、表达语音及表达语义3项评分显著提高（P〈0．05）；高压氧治疗3个疗程与治疗2个疗程时比较，发现患者各项语言功能改善均不显著（P〉0．05）。结论高压氧治疗能促进失语症患者语言功能康复，患者经1—2个疗程治疗后其语言功能改善较明显。Objective To explore the effects hyperbaric oxygen（HBO） therapy on the language function rehabilitation of aphasia patients. Methods Forty patients were recruited and divided into a treatment group and a control group. Patients in the treatment group received HBO therapy besides routine therapy from the 7th clay after the onset of illness, the patients received three sessions of treatment, in which each session lasted for 15 days, with an interval of 3 clays in between. Patients in the control group received routine therapy. To observe the effects of HBO therapy on language function, the verbal ability scores of the two groups were tested with the ＂ Apparatus ZM2.1 for Diagnosis and Treatment of Language Disorders＂ before and after each session of HBO. Results The scores of 11 sub-items were statistically different between the 2 groups after 1 session of treatment. There was significant difference between the 2 groups after 2 and 3 sessions of treatment with regard to the scores of 10 sub-items and 11 sub-items, respectively. It was also found that the language sub-item scores of advanced dictation, voice expression and semantic expression were progressively improving after HBO therapy （P 〈 0.05 ） , however, there was no statistical difference between the 2nd and the 3rd sessions （P 〉 0.05）. Conclusion The HBO therapy can promote rehabilitation of the aphasia patients, and progressively improve the scores of language function during the first 30 days of HBO therapy.

关 键 词：高压氧 失语 语言障碍诊治 

分 类 号：R686[医药卫生—骨科学]