汉语成语组合关联词语在脑卒中非流畅性失语中的应用研究  

Application of Chinese Idiom-related Speech Rehabilitation Training in Non-fluency Aphasia after Stroke

作　　者：李薇薇 何小俊[2] 朱珊珊[3] 胡含波 孙沛 Li Weiwei;He Xiaojun;Zhu Shanshan(Renming Hospital of Wuhan University, the First Clinical College of Wuhan University, Wuhan 430060, China)

机构地区：[1]武汉大学人民医院老年病科,武汉430060 [2]武汉大学人民医院干部保健处,武汉430060 [3]武汉大学人民医院康复科,武汉430060 [4]武汉大学人民医院肿瘤一科,武汉430060 [5]武汉大学人民医院第一临床学院,武汉430060

出　　处：《中国康复》2022年第4期195-199,共5页Chinese Journal of Rehabilitation

基　　金：武汉市科技局课题(2013062301010820);武汉大学人民医院院内课题(HL2020YB-01)。

摘　　要：目的:探讨汉语成语组合关联词语康复策略在脑卒中非流畅性失语患者语言康复中的应用效果。方法:脑卒中非流畅性失语症患者63例,分为观察组31例和对照组32例。2组均给予神经内科常规治疗及康复,观察组在此基础上结合汉语成语组合关联词语的康复策略,比较2组患者训练前后语言功能。结果:训练2周后,观察组患者的听理解、复述、说、出声读、阅读等各项语言功能评分均高于训练前及对照组(均P<0.05),对照组除说项目的画面说明、漫画说明、阅读项目的执行文字命令的评分差异无统计学意义外,其余各项语言功能评分均高于训练前(均P<0.05)。结论:汉语成语组合关联词语的言语康复训练后,观察组听理解、复述、说、出声读、阅读各项语言功能的提高优于对照组,汉语成语组合关联词语康复训练能有效提高脑卒中非流畅性失语症患者的听理解、复述、说、出声读、阅读能力。Objective:To explore the application effect of Chinese idiom-associated speech rehabilitation training method in stroke non-fluency aphasia.Methods:A total of 62 stroke patients with non-fluency aphasia in the Department of Neurology of a third-class hospital in Wuhan were selected and divided into observation group(n=30)and control group(n=32).The control group was given routine neurology treatment and nursing;the observation group was given two weeks of Chinese idiom-related speech rehabilitation training on the basis of neurology routine treatment and nursing,and the language function of the two groups before and after the training was compared.Results:After speech rehabilitation training,the differences in the language function scores of listening comprehension,retelling,speaking,reading aloud,and reading were statistically significant between two groups(all P<0.05).Conclusion:After speech rehabilitation training,the language functions of retelling,speaking,reading aloud,and reading in the observation group are better than those in the control group.Chinese idiom-related speech rehabilitation training can effectively improve the language function of stroke patients with non-fluency aphasia.

关 键 词：脑卒中 非流畅性失语症 言语康复 汉语成语 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]