计算机言语矫治结合言语训练在运动性失语症中的应用  

Application of computerized speech therapy combined with speech training in motor aphasia

作　　者：张亚洁 刘阳阳 徐唱 Zhang Yajie;Liu Yangyang;Xu Chang(Department of Rehabilitation,Huai an First People’s Hospital,Huai an 223300,China)

机构地区：[1]淮安市第一人民医院康复科,江苏淮安223300

出　　处：《海军医学杂志》2024年第11期1195-1199,共5页Journal of Navy Medicine

摘　　要：目的探讨计算机言语矫治结合言语训练在运动性失语症中的应用效果。方法选取淮安市第一人民医院收治的78例运动性失语症患者作为研究对象,采用随机数字表法随机分为2组,每组各39例,对照组采用计算机言语矫治,研究组另给予言语训练治疗。比较2组患者言语功能评分、失语商评分、日常生活交流能力(CADL)评分、波士顿诊断性失语症检查(BDAE)分级及临床疗效。结果治疗后,研究组语言表达能力[(34.92±5.63)分]、理解能力[(61.75±6.89)分]、阅读能力[(62.72±9.68)分]和书写文字能力[(1.94±0.33)分]评分均高于治疗前[(4.16±0.94)分、(17.39±4.94)分、(20.37±3.71)分、(1.38±0.20)分],且高于对照组治疗后[(30.47±4.71)分、(48.52±6.76)分、(54.46±8.14)分、(1.75±0.28)分],差异有统计学意义(P<0.05)。治疗后,研究组患者失语商评分[(68.72±8.49)分]高于治疗前[(47.58±5.72)分]和对照组治疗后[(61.34±7.16)分],差异有统计学意义(P<0.05)。治疗后,研究组患者CADL评分[(215.48±27.29)分]高于治疗前[(134.54±17.68)分]和对照组治疗后[(187.63±21.46)分](P<0.05)。治疗后,研究组患者BDAE分级优于对照组(P<0.05)。研究组总有效率(92.31%)高于对照组(74.36%),差异有统计学意义(P<0.05)。结论计算机言语矫治结合言语训练用于治疗运动性失语症患者,可以改善临床症状,疗效确切,同时可以提高生活质量。Objective To explore the effect of computerized speech therapy combined with speech training on motor aphasia.Methods A total of 78 patients with motor aphasia who were admitted to Huai'an First People’s Hospital were randomly divided into two groups(n=39).The control group was treated with computerized speech therapy.The study group was given computerized speech therapy combined with speech training.The speech function score,aphasia quotient score,Communication Activities of the Daily Living(CADL)score,Boston Diagnostic Aphasia Examination(BDAE)grade and clinical efficacy were compared between the two groups.Results The scores of language expression ability,comprehension ability,reading ability and handwriting ability were 34.92±5.63,61.75±6.89,62.72±9.68 and 1.94±0.33 in the study group after treatment,which were significantly higher than those before treatment(4.16±0.94,17.39±4.94,20.37±3.71 and 1.38±0.20)and those in the control group after treatment(30.47±4.71,48.52±6.76,54.46±8.14 and 1.75±0.28)(P<0.05).The aphasia quotient score in the study group after treatment(68.72±8.49)was significantly higher than that before treatment(47.58±5.72)and that in the control group(61.34±7.16)(P<0.05).The CADL score in the study group after treatment(215.48±27.29)was also higher than that before treatment(134.54±17.68)and that in the control group(187.63±21.46)(P<0.05).BDAE grade in the study group was superior to the control group after treatment(P<0.05).The total effective rate of the study group was higher than that of the control group(92.31%vs 74.36%,P<0.05).Conclusion Computerized speech therapy combined with speech training can improve the clinical symptoms and quality of life of patients with motor aphasia with reliable curative effect.

关 键 词：计算机言语矫治 言语训练 脑卒中 运动性失语症 

分 类 号：R473.72[医药卫生—护理学]