脑卒中后Broca失语不同康复时间临床疗效的研究  

The research of clinical results of rehabilitation in different time pointsfor aphasia post cerebral stroke

作　　者：葛玥[1] 储海娟 赵凯[1] 陈和木[1] 范炜 王毅[1,2] 高晓平 

机构地区：[1]安徽医科大学第一附属医院康复科,安徽合肥230022 [2]四川大学华西医院神经外科,四川成都610041

出　　处：《中国当代医药》2017年第36期20-23,共4页China Modern Medicine

基　　金：电子科技大学网络与数据安全四川省重点实验室资助项目(NDSZD201601)

摘　　要：目的研究脑卒中后Broca失语的最佳康复时间。方法选取2012年9月~2015年7月在安徽医科大学第一附属医院康复科进行言语治疗的62名脑卒中后出现Broca失语的患者作为研究对象。按照卒中发生后到接受言语康复治疗的时间分为<15 d组(19例)、15~30 d组(21例)和>30 d组(22例)。以1年为观察研究终点,对3组患者的最终康复结果使用中国康复研究中心汉语标准失语症检查法(CR-RCAE)进行评估,评估时间为接受康复治疗后1、3、6个月及1年。比较不同时间段接受康复治疗患者的康复情况。结果 <15 d组和15~30 d组患者的言语康复疗效比较,差异无统计学意义(P>0.05),但均明显优于>30 d组,差异有统计学意义(P<0.05)。>30 d组患者的3个月内接受康复治疗患者的疗效优于3个月以后,但差异无统计学意义(P>0.05)。结论对于脑卒中后Broca失语,30 d内接受言语康复训练对患者有益,>3个月接受治疗者效果较差。Objective To study the optimal time of Broca aphasia after stroke.Methods From September 2012 to July 2015,62 patients with Broca aphasia after stroke treated in department of Rehabilitation in The first affiliated hospital of AnHui Medical University were selected as the subjects,and divided into three groups according to the interval be- tween stroke to rehabilitation treatment：less than 15 d from stroke to accept speech rehabilitation （19 cases）;more than 15 d but less than 30 d（21 cases）;more than 30 d（22 eases）.The terminal time point of this study was one year after ac- cept speech rehabilitation.The assessments of speech ability were clinical rehabilitation research center aphasia exami- nation （CR-RCAE） and the evaluation time points were 1 month,3 months,6 months and 1 year post speech rehabilita- tion.The rehabilitation were compared among the three groups.Results There was not significiant difference between less than 15 d and more than 15 d but less than 30 d groups in the speech rehabilitation results （P〉0.05）,but all of them were better than more than 30 d group,the difference was statistically significant （P〈0.05）.The outcome of patients within three months to accept speech rehabilitation was better than more than three months in the 30 d group,but with- out significiant difference （P〉0.05）.Conclusion For Broca associated with stroke,the optional time point to accept speech rehabilitation is within 30 d. The prognosis of patients who accept speech rehabilitation more than 3 months post stroke is poor.

关 键 词：脑卒中 BROCA失语 言语康复 康复时间 后遗症 

分 类 号：R743.306[医药卫生—神经病学与精神病学]