数字型成语训练对老年脑卒中后非流畅性失语患者语言功能的影响  

Impact of digital idiom training on language function in elderly post-stroke patients with non-fluent aphasia

作　　者：马凯[1] 李德岩 陈迎年 丁克元 汪佳月 Ma Kai;Li Deyan;Chen Yingnian;Ding Keyuan;Wang Jiayue(Department of Neurological Rehabilitation,Affiliated Wannan Rehabilitation Hospital of Wannan Medical College/Anhui WanNan Rehabilitation Hospital/Wuhu Fifth People's Hospital,Wuhu Anhui 241000,China;Department of Intensive Rehabilitation,Affiliated Wannan Rehabilitation Hospital of Wannan Medical College/Anhui Wannan Rehabilitation Hospital/Wuhu Fifth People's Hospital,Wuhu Anhui 241000,China)

机构地区：[1]皖南医学院附属皖南康复医院/安徽省皖南康复医院/安徽省芜湖市第五人民医院神经康复科,安徽芜湖241000 [2]皖南医学院附属皖南康复医院/安徽省皖南康复医院/安徽省芜湖市第五人民医院重症康复科,安徽芜湖241000

出　　处：《保健医学研究与实践》2024年第5期95-100,共6页Health Medicine Research and Practice

基　　金：安徽省临床医学研究转化专项项目(202304295107020091)。

摘　　要：目的探讨数字型成语训练对老年脑卒中后非流畅性失语患者语言功能的影响,以期为该类患者的康复方案选择提供参考。方法选取2019年1月—2023年6月安徽省皖南康复医院收治的102例老年脑卒中后非流畅性失语患者,采用随机数字表法分为对照组和观察组,每组51例。对照组患者接受常规语言康复训练,观察组患者在对照组基础上接受数字型成语训练。比较2组患者干预前及干预4周后的语言功能、日常生活交流能力、生活质量及满意度等指标。结果干预前,2组患者听理解、复述、说、出声读、阅读5项语言功能评分比较,差异均无统计学意义(P>0.05);干预4周后,观察组患者听理解、复述、说、出声读、阅读5项语言功能评分均高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者实用性语言交流能力检查表(CADL)评分比较,差异无统计学意义(P>0.05);干预4周后,2组患者CADL评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者中风和失语症生活质量量表-39(SAQOL-39)的生理、交流、心理社会3个维度评分及总分比较,差异均无统计学意义(P>0.05);干预4周后,2组患者SAQOL-39量表各维度评分及总分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。观察组患者对语言训练素材、语言训练方式及语言训练科学性3项满意度评分均高于对照组,差异均有统计学意义(P<0.05)。结论数字型成语训练有助于改善老年脑卒中后非流畅性失语患者的语言功能和日常生活交流能力,提高患者的生活质量和满意度,有较好的临床推广应用价值。Objective To explore the impact of digital idiom training on language function in elderly post-stroke patients with non-fluent aphasia,providing a reference for rehabilitation strategies for this patient group.Methods A total of 102 elderly post-stroke patients with non-fluent aphasia admitted to Anhui Wannan Rehabilitation Hospital between January 2019 and June 2023 were selected and randomly divided into a control group and an observation group,with 51 patients in each group.The control group received conventional language rehabilitation training,while the observation group received additional digital idiom training.The language function,communication abilities in daily living,quality of life,and degree of satisfaction were compared between the two groups before and after 4 weeks of intervention.Results Before intervention,no significant differences were observed in the scores of listening comprehension,repetition,speaking,oral reading,and reading between the two groups(P>0.05).After 4 weeks of intervention,the observation group had significantly higher scores in these five language function subscales compared to the control group(P<0.05).No significant differences were noted in the Communication Activities of Daily Living(CADL)scores between the groups before intervention(P>0.05).The CADL scores improved significantly in both groups 4 weeks after intervention,with the observation group showing greater improvement than the control group(P<0.05).No significant differences were found in the subscale(physiological,communication,and psychosocial dimensions)and total scores of the Stroke and Aphasia Quality of Life Scale-39(SAQOL-39)between the groups before intervention(P>0.05).The subscale and total scores of SAQOL-39 were significantly increased 4 weeks after intervention,with the observation group having higher scores than the control group(P<0.05).The degree of satisfaction scores in language training materials,methods,and scientific rigor were also significantly higher in the observation group than in the cont

关 键 词：数字型成语训练 老年人 脑卒中 非流畅性失语 语言功能 生活质量 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学]