语言康复训练对脑卒中后偏瘫失语患者语言功能的改善作用
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摘要
目的探讨语言康复训练对脑卒中后偏瘫失语患者语言功能的改善作用。方法选取2016年1月~2017年5月脑卒中后偏瘫失语患者80例,应用抛硬币法将其分为两组。两组予控制血糖、血压和颅压、营养脑神经和增加脑部血供等治疗。对照组予常规健康干预,干预组在对照组基础上予Schuell言语康复训练干预,45 min/次,2次/周,干预8周。观察两组干预前后语言功能改善情况,并比较其临床效果。结果干预8周后,两组言语表达、听理解力、阅读能力和书写能力等各项语言功能明显改善(P<0.05或P<0.01),且干预组改善情况优于对照组(P<0.05);同时干预组临床总有效率高于对照组(χ~2=4.07,P<0.05)。结论语言康复训练治疗脑卒中后偏瘫失语患者的临床效果较确切,能减轻神经功能缺损,改善语言功能。
Objective To discuss the improvement effect of language rehabilitation training on language function of patients with hemiplegia and dysphasia after stroke.Methods A total of 80 cases of patients with hemiplegia and dysphasia after stroke during the period from January 2016 to May 2017 were divided into two groups by tossing the coin.The patients in two groups were given control of blood sugar,blood pressure and intracranial pressure,nutrition of brain nerves and increasing blood supplement of brain,and the patients in control group were routine health intervention,while the patients in intervention group were additionally given Schuell language rehabilitation training,45 minutes per time,twice a week,on the basis of those in control group for 8 weeks.The language function improvement in two groups were observed and compared before and after intervention,and the clinical curative effect was compared as well.Results After 8 weeks' intervention,verbal expression,listening comprehension,reading ability and writing ability of language function in two groups were obviously improved(P<0.05 or P<0.01),and the improvement in intervention group was much higher than that in control group(P<0.05).Meanwhile,total clinical efficiency in intervention group was higher than that in control group(χ~2=4.07,P<0.05).Conclusion The language rehabilitation training has reliable clinical curative effect on patients with hemiplegia and dysphasia after stroke,which can release defect of nerve function and improve language function.
Objective To discuss the improvement effect of language rehabilitation training on language function of patients with hemiplegia and dysphasia after stroke.Methods A total of 80 cases of patients with hemiplegia and dysphasia after stroke during the period from January 2016 to May 2017 were divided into two groups by tossing the coin.The patients in two groups were given control of blood sugar,blood pressure and intracranial pressure,nutrition of brain nerves and increasing blood supplement of brain,and the patients in control group were routine health intervention,while the patients in intervention group were additionally given Schuell language rehabilitation training,45 minutes per time,twice a week,on the basis of those in control group for 8 weeks.The language function improvement in two groups were observed and compared before and after intervention,and the clinical curative effect was compared as well.Results After 8 weeks' intervention,verbal expression,listening comprehension,reading ability and writing ability of language function in two groups were obviously improved(P<0.05 or P<0.01),and the improvement in intervention group was much higher than that in control group(P<0.05).Meanwhile,total clinical efficiency in intervention group was higher than that in control group(χ~2=4.07,P<0.05).Conclusion The language rehabilitation training has reliable clinical curative effect on patients with hemiplegia and dysphasia after stroke,which can release defect of nerve function and improve language function.
引文
[1]Liu M,Wu B,Wang WZ,et al.Stroke in China:Epidemiology,prevention,and managements trategies[J].Lancet Neurol,2007,6(5):456-464.
[2]Naruishi K,Kunita A,Kubo K,et al.Predictors of improved functional outcome in elderly inpatients after rehabilitation:A retrospective study[J].Clin Interv Aging,2014,9(3):2133-2141.
[3]张贺诚,韩浩,刘悦,等.脑梗塞后失语症发病及恢复机制的研究进展[J].现代生物医学进展,2017,17(4):766-768,683.
[4]Bersano A Burgio F Gattinoni M.Aphasia burden to hospitalised acute stroke patients need for an early ehabilitation programme[J].Int J Stroke,2009,4(6):443-447.
[5]张华,吴瑞鹏,李娜.卒中后失语症康复治疗的现状及进展[J].宁夏医学杂志,2013,35(4):377-379.
[6]Sifonios L,Trinchem M,Cereseto M,et al.An enriched nvironment restores nomal behavior while pmviding cytokeletal restoration and synaptic changes in me hippocamus of rats exposed to an experimental model of depression[J].Neuroscience,2009,164(3):929-940.
[7]谭玉婷,屈群芳,刘红华,等.音乐疗法和Schuell刺激法治疗脑卒中后运动性失语的疗效观察[J].中医药导报,2017,23(2):90-93.
[8]李千穗,雷迈.计算机辅助训练联合Schuell刺激疗法治疗脑卒中后失语症的效果[J].广西医学,2017,39(7):948-951.
[9]全国第四届脑血管疾病学术会议.各类脑血管疾病诊断要点及临床功能缺损程度评分标准[J].中华神经科杂志,1996,29(6):379-381.
[10]吕杰民,李世学,张芳.脑卒中失语症的早期康复治疗[J].中国实用神经疾病杂志,2008,11(8):86-87.
[11]王茜,刘晓加.卒中后失语与卒中后认知功能障碍的相关因素研究现状[J].中华临床医师杂志(电子版),2015,9(24):4685-4689.
[12]Nunnari D,Bonanno L,Bramanti P,et al.Diffusion tensor imaging and neuropsychologic assessment in aphasic stroke[J].J Stroke Cerebrovasc Dis,2014,23(10):e477-e478.
[13]Sander AM,Raymer A,Weaheimer J,et al.Perceived roles and collaboration between neuropsychologists and speech-language pmhdogists in rehabilitation[J].Clin Neuropsycho,2009,23(7):1196-1212.
[14]邓娜,李小凤.失语症康复治疗的研究进展[J].中华物理医学与康复杂志,2011,37(5):398-400.
[15]付婧,余茜,肖军,等.言语训练联合经颅磁刺激治疗外侧裂周失语的疗效及BOLD-f MRI表现[J].中华物理医学与康复杂志,2016,38(1):34-38.
[16]Kong KH,Lee J,Chua KS.Occurrence and temporal evolution of upper limb spasticity in stroke patients admitted to a rehabilitation unit[J].Arch Phys Med Rehabil,2012,93(6):143-148.
[17]Filiz A,Feridun A,Goksemin A,et al.The influence of subthalamic nucleus deep brain stimulation on physical,emotional,cognitive functions and daily living activities in patients with Parkinson's disease[J].Turk Neurosurg,2011,21(8):140-146.
[18]周伟,吴永斌,张荣.个性化康复训练改善早期脑卒中后运动性失语的临床研究[J].心血管病防治知识(学术版),2014,4(11):13-15.
[19]王灵敏.脑梗死运动性失语患者的语言康复训练探讨[J].中国实用神经疾病杂志,2016,19(24):98-99.
[20]韦献萍,霍建珊,刘伟有.语言训练在脑卒中失语症患者康复中的疗效观察[J].国际医药卫生导报,2013,19(1):112-113.
[21]Fridfiksson J,Richardson JD,Baker JM,et al.Transcranial direct current stimulation improves naming reaction time in fluent aphasia:A double-blind,sham-controlled study[J].Stroke,2011,42(3):819-821.
[22]于国华,吴芬,李俊.综合语言康复治疗对运动性构音障碍的疗效[J].实用临床医学,2015,16(5):61-62.
[23]杜彩霞.早期语言康复训练在脑卒中运动性失语患者中的应用[J].中国实用神经疾病杂志,2014,17(14):81.
[24]刘晓丽.早期语言康复训练改善急性脑卒中后失语症患者的效果观察[J].中国实用神经疾病杂志,2017,20(6):141-142.
[2]Naruishi K,Kunita A,Kubo K,et al.Predictors of improved functional outcome in elderly inpatients after rehabilitation:A retrospective study[J].Clin Interv Aging,2014,9(3):2133-2141.
[3]张贺诚,韩浩,刘悦,等.脑梗塞后失语症发病及恢复机制的研究进展[J].现代生物医学进展,2017,17(4):766-768,683.
[4]Bersano A Burgio F Gattinoni M.Aphasia burden to hospitalised acute stroke patients need for an early ehabilitation programme[J].Int J Stroke,2009,4(6):443-447.
[5]张华,吴瑞鹏,李娜.卒中后失语症康复治疗的现状及进展[J].宁夏医学杂志,2013,35(4):377-379.
[6]Sifonios L,Trinchem M,Cereseto M,et al.An enriched nvironment restores nomal behavior while pmviding cytokeletal restoration and synaptic changes in me hippocamus of rats exposed to an experimental model of depression[J].Neuroscience,2009,164(3):929-940.
[7]谭玉婷,屈群芳,刘红华,等.音乐疗法和Schuell刺激法治疗脑卒中后运动性失语的疗效观察[J].中医药导报,2017,23(2):90-93.
[8]李千穗,雷迈.计算机辅助训练联合Schuell刺激疗法治疗脑卒中后失语症的效果[J].广西医学,2017,39(7):948-951.
[9]全国第四届脑血管疾病学术会议.各类脑血管疾病诊断要点及临床功能缺损程度评分标准[J].中华神经科杂志,1996,29(6):379-381.
[10]吕杰民,李世学,张芳.脑卒中失语症的早期康复治疗[J].中国实用神经疾病杂志,2008,11(8):86-87.
[11]王茜,刘晓加.卒中后失语与卒中后认知功能障碍的相关因素研究现状[J].中华临床医师杂志(电子版),2015,9(24):4685-4689.
[12]Nunnari D,Bonanno L,Bramanti P,et al.Diffusion tensor imaging and neuropsychologic assessment in aphasic stroke[J].J Stroke Cerebrovasc Dis,2014,23(10):e477-e478.
[13]Sander AM,Raymer A,Weaheimer J,et al.Perceived roles and collaboration between neuropsychologists and speech-language pmhdogists in rehabilitation[J].Clin Neuropsycho,2009,23(7):1196-1212.
[14]邓娜,李小凤.失语症康复治疗的研究进展[J].中华物理医学与康复杂志,2011,37(5):398-400.
[15]付婧,余茜,肖军,等.言语训练联合经颅磁刺激治疗外侧裂周失语的疗效及BOLD-f MRI表现[J].中华物理医学与康复杂志,2016,38(1):34-38.
[16]Kong KH,Lee J,Chua KS.Occurrence and temporal evolution of upper limb spasticity in stroke patients admitted to a rehabilitation unit[J].Arch Phys Med Rehabil,2012,93(6):143-148.
[17]Filiz A,Feridun A,Goksemin A,et al.The influence of subthalamic nucleus deep brain stimulation on physical,emotional,cognitive functions and daily living activities in patients with Parkinson's disease[J].Turk Neurosurg,2011,21(8):140-146.
[18]周伟,吴永斌,张荣.个性化康复训练改善早期脑卒中后运动性失语的临床研究[J].心血管病防治知识(学术版),2014,4(11):13-15.
[19]王灵敏.脑梗死运动性失语患者的语言康复训练探讨[J].中国实用神经疾病杂志,2016,19(24):98-99.
[20]韦献萍,霍建珊,刘伟有.语言训练在脑卒中失语症患者康复中的疗效观察[J].国际医药卫生导报,2013,19(1):112-113.
[21]Fridfiksson J,Richardson JD,Baker JM,et al.Transcranial direct current stimulation improves naming reaction time in fluent aphasia:A double-blind,sham-controlled study[J].Stroke,2011,42(3):819-821.
[22]于国华,吴芬,李俊.综合语言康复治疗对运动性构音障碍的疗效[J].实用临床医学,2015,16(5):61-62.
[23]杜彩霞.早期语言康复训练在脑卒中运动性失语患者中的应用[J].中国实用神经疾病杂志,2014,17(14):81.
[24]刘晓丽.早期语言康复训练改善急性脑卒中后失语症患者的效果观察[J].中国实用神经疾病杂志,2017,20(6):141-142.