认知神经心理康复在卒中后失语中的应用  

Application of cognitive neuropsychological rehabilitation in post-stroke aphasia

作　　者：黄幸[1] 张庆苏[2] 常静玲[1,3] 高颖[1,3] 孙塑伦[1] HUANG Xing;ZHANG Qingsu;CHANG Jingling;GAO Ying;SUN Sulun(Department of Encephalopathy,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,P.R.China;Department of Hearing and Language Rehabilitation,China Rehabilitation Research Center,Beijing 100068,P.R.China;Department of Traditional Chinese Medicine Encephalopathy,Beijing University of Chinese Medicine,Beijing 100700,P.R.China)

机构地区：[1]北京中医药大学东直门医院脑病科,北京100700 [2]中国康复研究中心听力语言科,北京100068 [3]北京中医药大学中医脑病研究院,北京100700

出　　处：《华西医学》2020年第5期613-617,共5页West China Medical Journal

基　　金：国家自然科学基金(81973790);国家中医药行业科研专项项目(201407001-9);北京自然科学基金(7181005)。

摘　　要：失语是卒中患者常见的致残病变和后遗症之一,卒中后失语患者多出现非语言认知域的损害,严重影响了日常社交和生活质量。认知神经心理康复是基于认知神经心理学理论发展的神经心理康复,目前应用于脑认知机能康复领域,为卒中后失语的评价和治疗开辟了新途径。该文介绍了认知神经心理康复的应用概况特点,阐述认知神经心理康复的评价模式及治疗原则,论述其在卒中后失语评价及治疗中的应用,为卒中后失语的语言及非语言认知康复提供思路。Aphasia is one of the common disabling lesions and sequelae in stroke patients. In post-stroke aphasia patients, impairments of non-verbal cognitive domain often occur, which seriously affect daily social contact and quality of life. Cognitive neuropsychological rehabilitation is a neuropsychological rehabilitation based on the development of cognitive neuropsychological theory. It is currently applied in the field of rehabilitation of brain cognitive function,opening up a new way for evaluation and treatment of post-stroke aphasia. This paper introduces the general features of the application of cognitive neuropsychological rehabilitation, expounds the evaluation model and treatment principles of cognitive neuropsychological rehabilitation, and discusses its application in the evaluation and treatment of post-stroke aphasia, so as to provide ideas for the linguistic and non-linguistic cognitive rehabilitation of post-stroke aphasia.

关 键 词：卒中 失语 认知神经心理学 非语言认知 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]