成人听力言语康复系统用于脑卒中后构音障碍患者言语训练的效果观察  

Clinical application of adult hearing and speech rehabilitation system in patients with post-stroke dysarthria

作　　者：许颖[1] 杨坚[1] 李洪丽[1] 丁珊珊[1] 杨震亚 

机构地区：[1]上海市徐汇区中心医院康复科,上海200031 [2]中国科学院上海声学研究所,上海200032

出　　处：《现代医学》2017年第10期1446-1449,共4页Modern Medical Journal

基　　金：上海市科委医学引导类项目(14411973900)

摘　　要：目的:探讨成人听力言语康复系统对脑卒中后构音障碍(AD)患者进行言语训练的效果。方法:100例脑卒中后AD患者随机分为观察组和对照组各50例;观察组患者采用成人听力言语康复系统进行言语训练,对照组患者则采用传统人工言语康复训练,于训练前后采用韵母发音、声母发音、声调和总体评分4项评估内容对两组患者进行训练效果测评。结果:韵母发音观察组总有效率(92.00%)显著高于对照组(68.00%)(P<0.01),声母发音观察组总有效率(88.00%)显著高于对照组(70.00%)(P<0.05),声调观察组总有效率(68.00%)高于对照组(58.00%)但差异无统计学意义(P>0.05),总体评价观察组(90.00%)明显高于对照组(72.00%)(P<0.05)。结论:成人听力言语康复系统对脑卒中后AD患者进行言语训练较纯人工言语训练有更好的疗效。Objective： To evaluate the clinical effects of adult hearing speech rehabilitation system software for speech rehabilitation training in patients with post-stroke dysarthria. Methods： One hundred patients with post- stroke dysarthria were randomized into observation group and control group with 50 cases in each group. The observation group were treated with adult hearing and speech rehabilitation system. And the control group underwent traditional speech rehabilitation treatment. Initial consonant, vowel consonant, tone and overall effectiveness were used to evaluate the clinical outcomes before and after the treatment in both groups. Results： Initial consonant： the total effective rate of the observation group was significantly higher than that of the control group（92.00% vs 68.00% ,P 〈 0.01 ）. Vowel consonant： the total effective rate of the observation group was significantly higher than that of the control group（88.00% vs 70.00% ,P 〈 0.05 ）. Tone： the total effective rate of the observation group was higher than that of the control group without statistically significant differences（68.00% vs 58.00% ,P 〉0.05）. Overall effectiveness： the total effective rate of the observation group was significantly higher than that of the control group（90.00% vs 72.00% ,P 〈0.05）. speech training, adult hearing and speech rehabilitation system has rehabilitation in patients with post-stroke dysarthria. Conclusion： Compared with the traditional obvious curative effectiveness for speech

关 键 词：脑卒中 构音障碍 言语训练 

分 类 号：R493[医药卫生—康复医学] R743[医药卫生—临床医学]