强制诱导言语治疗结合音乐疗法对脑卒中后失语症患者语言交流能力的影响观察  

Observation on effect of post-stroke aphasia patients by combining constraint-induced aphasia therapy with music therapy

作　　者：李世美 曹全荣 林晓云 李志斌 唐辉玲 叶锦萍 LI Shi-mei;CAO Quan-rong;LIN Xiao-yun(Department of Rehabilitation Therapy,Jiangmen Rehabilitation Hospital,Jiangmen 529000,China)

机构地区：[1]江门市康复医院康复治疗科,529000

出　　处：《中国实用医药》2025年第4期163-167,共5页China Practical Medicine

基　　金：江门市卫生健康系统科研立项项目(项目编号:21A029)。

摘　　要：目的观察强制诱导言语治疗结合音乐疗法对脑卒中后失语症患者语言交流能力的影响。方法60例脑卒中后失语症患者,随机分为对照组、观察组,每组30例。两组患者均给予常规的言语治疗,对照组给予强制诱导言语治疗,观察组给予强制诱导言语治疗结合音乐疗法。比较两组治疗前后中国康复研究中心汉语标准失语症检查量表(CRRCAE)、日常生活交流能力检查量表(CADL)评分。结果治疗4周后,观察组名词理解、动词理解、句子理解、复述名词、复述动词、复述句子、说名词、动作说明、画面说明、出声读名词、出声读动词、出声读句子、阅读名词、阅读动词、阅读句子评分分别为(7.26±1.448)、(6.36±1.684)、(3.50±2.192)、(8.70±1.830)、(8.36±1.720)、(2.66±1.066)、(5.60±2.811)、(4.83±2.074)、(3.33±1.874)、(5.90±2.155)、(4.93±1.512)、(1.23±1.344)、(6.96±1.772)、(6.10±1.951)、(3.26±1.473)分,高于对照组的(6.30±1.654)、(5.40±1.847)、(2.13±2.885)、(7.73±1.664)、(7.33±1.974)、(1.73±1.448)、(4.23±2.013)、(3.60±2.058)、(2.33±1.470)、(4.63±2.605)、(3.76±1.370)、(0.56±0.887)、(5.63±1.624)、(4.80±1.604)、(2.16±2.097)分,差异有显著性意义(P<0.05)。治疗4周后,观察组患者CADL评分(40.83±13.001)分高于对照组的(32.86±14.591)分,差异有显著性意义(P<0.05)。结论强制诱导语言治疗结合音乐疗法能有效提高脑卒中后失语症患者的语言交流能力。Objective To observe the effect of post-stroke aphasia patients by combining constraint-induced aphasia therapy with music therapy.Methods 60 patients with post-stroke aphasia were randomly divided into control group and observation group,each with 30 cases.Both groups were given routine speech therapy.The control group was treated with constraint-induced aphasia therapy,and the observation group was treated with constraint-induced aphasia therapy in combination with music therapy.The Chinese Rehabilitation Research Center Standard Aphasia Examination(CRRCAE)and Communication Abilities of Daily Living(CADL)scores before and after treatment were compared between the two groups.Results After 4 weeks of treatment,the scores of noun comprehension,verb comprehension,sentence comprehension,noun paraphrasing,verb paraphrasing,sentence paraphrasing,noun speaking,action description,visual description,reading nouns aloud,reading verbs aloud,reading sentences aloud,reading nouns,reading verbs,and reading sentences were(7.26±1.448),(6.36±1.684),(3.50±2.192),(8.70±1.830),(8.36±1.720),(2.66±1.066),(5.60±2.811),(4.83±2.074),(3.33±1.874),(5.90±2.155),(4.93±1.512),(1.23±1.344),(6.96±1.772),(6.10±1.951),and(3.26±1.473)points,which were higher than(6.30±1.654),(5.40±1.847),(2.13±2.885),(7.73±1.664),(7.33±1.974),(1.73±1.448),(4.23±2.013),(3.60±2.058)(2.33±1.470),(4.63±2.605),(3.76±1.370),(0.56±0.887),(5.63±1.624),(4.80±1.604),and(2.16±2.097)points in the control group,and the difference was statistically significant(P<0.05).After 4 weeks of treatment,the observation group had higher CADL score of(40.83±13.001)points than(32.86±14.591)points in the control group,and the difference was significant(P<0.05).Conclusion The combination of constraint-induced aphasia therapy and music therapy can effectively improve language communication ability of patients with post-stroke aphasia.

关 键 词：强制诱导言语治疗 音乐疗法 脑卒中后失语症 语言交流能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]