摘要
[目的 ]探讨集体语言强化训练对脑卒中后失语病人语言功能恢复的作用。 [方法 ]将 84例脑卒中失语病人随机分为 3组 ,集体强化组 (3 0例 )给予集体语言强化训练 ;一对一康复组 (2 4例 )进行一对一康复训练 ;对照组 (3 0例 )不进行康复训练。比较 3组病人康复前后失语严重程度 ,应用汉语失语检查法检查 84例病人的失语商 (AQ ) ,并进行自身和 3组间比较。 [结果 ]康复训练 2 8d后集体强化组 10 0 %显效 ;一对一康复组 3 8%显效 ,2 9%有效 ,3 3 %无效 ;对照组 10 0 %无效。 3个月后集体强化组AQ变化差异有统计学意义 (P <0 .0 5 ) ,一对一康复组差异无统计学意义 (P>0 .0 5 ) ,对照组A值降低 ,与康复前A值比较差异有统计学意义 (P<0 .0 5 )。 [结论 ]集体语言强化训练可促进脑卒中失语病人语言功能的恢复。
Objective: to probe into the effect of collective language strengthened training on the recovery of acute cerebral apoplexy patients with aphasia. Method: a total of 84 cerebral apoplexy patients with aphasia were divided into 3 groups randomly. 30 patients of collective strengthening group were given collective language strengthened training, one to one training group (24 cases) were accepted one-to-one rehabilitative training, while the other 30 patients of control group were given no training. The degrees of aphasia of all 84 patients before and after treatment were compared. And aphasia quotient (AQ) of all cases was checked via Chinese aphasia examination and compared with themselves before treatment and among the three groups. Result: the excellence rate in patients of collective strengthening group was 100% after 28 days' rehabilitative training, and 38% in one-to-one training group. The utility rate was 29% and inefficiency rate was 33% in one-to-one training group. And the inefficiency rate in control group patients was 100%.There was a statistic difference in terms of AQ of the collective strengthening group patients compared with themselves three months after therapy (P<0.05), and there was also a difference in control group (P>0.05), but no difference in one-to-one training group (P<0.05). Conclusion: it showed that the collective language strengthening training can promote the recovery of language functions of acute cerebral apoplexy patients with aphasia.
关键词
集体语言训练
脑卒中
失语
失语商
collective language training
cerebral apoplexy
aphasia
aphasia quotient
