朗读训练对脑卒中失读症的疗效  

Effect of Oral Reading Training on Post-stroke Alexia

作　　者：王博 张庆苏[1,2] 张皓[1,3] WANG Bo;ZHANG Qing-su;ZHANG Hao(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Department of Speech and Hearing Therapy,Beijing Bo'ai Hospital,China Rehabilitation Research Centre,Beijing 100068,China;Department of Neurology,Beijing Bo'ai Hospital,China Rehabilitation Research Centre,Beijing 100068,China)

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院听力语言科,北京市100068 [3]中国康复研究中心北京博爱医院神经康复科,北京市100068

出　　处：《中国康复理论与实践》2020年第7期820-824,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中国康复研究中心课题(No.2018ZX-31)。

摘　　要：目的探讨朗读训练对脑卒中后失读症的临床效果。方法2018年9月至2019年8月,脑卒中失读症患者41例随机分成对照组(n=20)和观察组(n=21),两组均采用Schuell刺激疗法,观察组加朗读训练,共治疗4周。治疗前后采用西方失语症成套测验(WAB)进行评定。结果两组治疗后失语商、阅读分数、朗读正确率均明显改善(t>3.641,P<0.01),观察组治疗效应量Cohen d值分别为0.45、0.68和0.85,均高于对照组的0.29、0.39和0.51。治疗师主观评分与各指标治疗前后差值无显著相关性(P>0.05)。结论基于认知神经心理学的朗读训练可更好改善患者的阅读和朗读障碍。治疗师主观评分与客观评分之间没有明确相关性。Objective To observe the effect of oral reading training on acquired alexia after stroke.Methods From September,2018 to August,2019,41 stroke patients with alexia were randomly divided into control group(n=20)and experimental group(n=21).Both groups accepted Schuell stimulation approach,while the experimental group accepted oral reading training in addition,for four weeks.They were assessed with Western Aphasia Battery(WAB)before and after treatment.Results Aphasia quotient(AQ)increased in both groups after treatment,as well as reading score and oral reading accuracy.The Cohen's d coefficients of all the indexes were more in the experimental group(0.45,0.68,0.85)than in the control group(0.29,0.39,0.51).There was not significant correlation between the subjective scores of the therapists and the indexes improvement(P>0.05).Conclusions Oral reading training may improve the reading ability in stroke patients with alexia.There is no clear correlation between the subjective and objective scores for alexia.

关 键 词：脑卒中 获得性失读症 失语症 朗读训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]