早期康复护理对脑卒中失语症患者言语功能恢复的影响  

Influence of early rehabilitation care on verbal function of patients with stroke aphasia

作　　者：何喜春[1] 杨冰霞[1] 林长缨[1] 蔡少诚[1] 

机构地区：[1]广东医学院附属医院神经康复科,湛江524001

出　　处：《中国实用护理杂志（下旬版）》2009年第6期17-19,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨脑卒中失语症早期综合康复护理的方法和效果。方法将75例脑卒中失语症患者随机分为早期康复护理组、延期康复护理组与对照组各25例，对照组接受神经内科的常规治疗和护理，早期、延期康复护理组在此基础上予以心理护理和健康教育。采用中国康复研究中心汉语标准失语症检查量表（CRRCAE）在康复护理前后对3组患者进行评分，并进行比较。结果康复干预后CRRCAE各项评分，早期康复护理组、延期康复护理组在听理解、复述、口语表达、朗读、阅读方面与对照组比较差异显著。早期康复护理组在听力理解、复述、口语表达、朗读、阅读方面与延期康复护理组比较差异显著。结论综合康复护理对脑卒中失语症患者言语功能的恢复有促进作用，早期介入康复护理效果更明显。Objective To explore the methods and results of early comprehensive rehabilitation care of post-stroke aphasia. Methods 75 patients with post-stroke aphasia were randomly divided into the early rehabilitation care group, the delayed rehabilitation care group and the control group with 25 patients in each group. The control group received routine neurological treatment and nursing, while the early and delayed rehabilitation care groups were given psychological nursing and health education based upon routine nursing. Chinese Rehabilitation Research Center Standard Aphasia Examination （CRRCAE） was used for assessment before and after the rehabilitation care among the three groups and then the results underwent comparison. Results After rehabilitation intervention, the early and delayed rehabilitation care groups were significantly different from the control group in hstening, understanding, repeating, oral expression, recitation and reading. The ability of listening, understanding, repeating, oral expression, recitation and reading in early rehabilitation care group improved more greatly than those of the delayed rehabilitation care group. Conclusions Comprehensive rehabilitation nursing intervention can promote verbal function of patients with stroke aphasia. Earlier intervention care has more obvious effect.

关 键 词：脑卒中 失语症 康复护理 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R743.309[医药卫生—临床医学]