超早期干预在胶质瘤术后失语中的应用效果  

Effect of super early intervention on aphasia after glioma operation

作　　者：胡娟[1] 王爱凤[1] 王伟杰[1] HU Juan;WANG Aifeng;WANG Weijie(Department of Neurosurgery,Huai′an First People′s Hospital,Jiangsu Province,Huai′an223300,China)

机构地区：[1]江苏省淮安市第一人民医院神经外科

出　　处：《中国医药导报》2020年第5期169-172,共4页China Medical Herald

基　　金：江苏省淮安市科技项目（HAB201726）

摘　　要：目的探究超早期干预在胶质瘤术后失语中的应用效果。方法选取2016年12月~2018年12月江苏省淮安市第一人民医院神经外科收治的胶质瘤术后失语患者100例,按随机数字表法将其分为对照组和观察组,每组各50例。对照组给予常规干预,观察组给予超早期干预,比较两组语言功能变化情况、负性情绪及术后并发症发生率。结果两组干预3个月后语言功能评分均高于干预前,差异均有统计学意义(均P<0.05);且观察组干预3个月后语言功能评分高于对照组,差异有统计学意义(P<0.05);两组干预3个月后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于干预前,差异有统计学意义(P<0.05);且观察组SAS、SDS评分低于对照组,差异均有统计学意义(均P<0.05);观察组干预3个月后术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论超早期干预应用于胶质瘤术后失语患者中可显著改善其语言功能变化情况,缓解其负性情绪,并有效降低其术后并发症发生率,值得推广。Objective To explore the effect of super early intervention on aphasia after glioma operation.Methods From December 2016 to December 2018,100 patients with aphasia after glioma operation admitted to neurosurgery Department of Huai′an First People′s Hospital were selected,they were divided into control group and observation group according to the random number table method,with 50 cases in each group.The control group received routine intervention,and the observation group received super early intervention.Results The score of language function in the two groups after 3 months of intervention was higher than that before intervention,and the differences were statistically significant(all P<0.05).After 3 months of intervention,the score of language function in the observation group was higher than that in the control group,with statistically significant difference(P<0.05).After 3 months of intervention,the self-rating anxiety scale(SAS),self-rating depression scale(SDS)scores of the two groups were lower than before intervention,and the differences were statistically significant(P<0.05).After 3 months of intervention,the SAS and SDS scores of the observation group were lower than the control group,with statistically significant differences(all P<0.05).After 3 months of intervention,the incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of super early intervention in aphasia patients after glioma surgery can significantly improve their language function changes,alleviate their negative emotions,and effectively reduce the incidence of postoperative complications,which is worthy of promotion.

关 键 词：超早期干预 胶质瘤术后 失语 负性情绪 术后并发症发生率 

分 类 号：R739.41[医药卫生—肿瘤]