言语训练结合心理支持对卒中后构音障碍的疗效研究  

Curative Effect of Speech Training Combined with Psychological Support on Dysarthria after Stroke

作　　者：李勇[1] 郑洁皎[1] 段林茹 徐洲[1] 丁建伟[1] Li Yong Zheng Jiejiao Duan Linru Xu Zhou Ding Jianwei(Department of Rehabilitation Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, P. R. Chin)

机构地区：[1]复旦大学附属华东医院康复医学科,上海200040

出　　处：《老年医学与保健》2017年第3期165-166,174,共3页Geriatrics & Health Care

基　　金：上海市卫生系统重要薄弱学科(康复医学)(2015ZB0402);上海申康医院发展中心上海市市级医院新兴前沿技术联合攻关项目(SHDC12014126)

摘　　要：目的观察言语训练结合心理支持对卒中后构音障碍患者构音功能和心理功能的康复疗效。方法选择20例脑卒中后构音障碍患者随机分为观察组和对照组,每组10例。观察组采用言语训练结合心理支持,对照组采用常规的言语训练。分析对比2组的构音功能和心理改善情况。结果 2组患者改良的Frenchay构音障碍评定量表得分与治疗前相比,均有明显下降(P<0.01),与对照组比较,观察组下降更明显(.P<0.01);观察组a级项数较治疗前和对照组均明显提高(P<0.01、.P<0.05);观察组汉密尔顿抑郁量表得分较治疗前和对照组均明显下降(P<0.05、P<0.05)。结论言语训练结合心理支持有利于改善脑卒中后构音障碍患者的构音功能和心理状态。Objective To observe the curative effect of speech training combined with psychological support on rehabilitation of articulation function psychological function of the patients with dysarthria after stroke.Methods 20 patients with dysarthria after stroke were randomly divided into 2 groups：observation group and control group,10 in each;routine speech training was performed on patients in both groups while psychological support was added to patients in observation group;articulation function and psychological improvement of the patients in the 2 groups were compared and an analysis was made.Results The scores of the modified Frenchay articulation disorder rating scale of the patients in both groups after treatment were obviously lower than those before treatment（P〈0.01）,the decrease in observation group was even greater（P〈0.01）;the number of ＂a＂ items of the patients in observation group after treatment was much higher than that before treatment and than that in control group（P〈0.01,P〈0.05）;the scores of Hamilton depression rating scale of the patients in observation group after treatment dropped down more than those before treatment and than those in control group（P〈0.01,P〈0.05）.Conclusions Speech training combined with psychological support can help improve the articulation function and mental status of the patients with dysarthria after stroke.

关 键 词：言语训练 心理支持 脑卒中 构音障碍 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学]