| 冯虹，陈苏徽，王慧，吴鸣.进阶式言语训练对基底节性失语的康复效果[J].神经损伤功能重建,2021,16(10):587-589 |
| 进阶式言语训练对基底节性失语的康复效果 |
| Application of Advanced Speech Training in Patients with Basal Ganglia Aphasia after Stroke |
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| DOI： |
| 中文关键词: 脑卒中 基底节失语 言语训练 |
| 英文关键词: stroke basal ganglia aphasia speech training |
| 基金项目:安徽省重点研发
项目（No. 20200
4h07020017）；
安徽省卫生健康
软科学研究项目
（No. 2020WR02
015） |
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| 中文摘要: |
| 目的：探讨进阶式言语训练法对脑卒中后基底节性失语症患者的康复效果。方法：选取基底节性失语症
患者18例，随机分为对照组和治疗组，各9例。对照组给予传统语言康复，治疗组给予进阶式言语训练法，均
治疗3周。于治疗前、后，采用波士顿诊断性失语检查法（BDAE）及西方失语测验量表（WAB）评价2组患者的
失语程度及言语功能。出院后随访3个月，采用BDAE量表评估失语程度并判定康复疗效。结果：治疗后，2
组的BDAE分级均较治疗前升高，且治疗组的BDAE分级高于对照组（P＜0.05）；2组的WAB量表各项评分均
高于同组治疗前（P＜0.05），且治疗组自发言语（信息量及流畅度）得分高于对照组（P＜0.05）。随访3个月后， 2组的BDAE分级继续提高，治疗组的总有效率（88.89%）高于对照组的总有效率（77.78%），但2组间差异均无
统计学意义（均P＞0.05）。结论：进阶式言语训练有助于改善卒中后基底节性失语症患者的言语功能。 |
| 英文摘要: |
| To explore the rehabilitative effect of advanced speech training on patients with basal ganglia aphasia after stroke. Methods: Eighteen patients with basal ganglia aphasia were randomly assigned to the
treatment group or control group, with 9 patients in each. The control group was given conventional language therapy, and the treatment group received advanced speech training, both for 3 months. Patients were assessed with the
Boston Diagnostic Aphasia Examination (BDAE) and Western Aphasia Battery (WAB) before and after therapy. Patients were followed up 3 months after discharge and evaluated with the BDAE to investigate the degree of aphasia
and rehabilitative effect. Results: After therapy, the BDAE score in both groups increased compared to before therapy, and the treatment group showed a greater score than the control group (P<0.05). Within each group, all WAB
subscores were higher after therapy than before (P<0.05); furthermore, the treatment group showed a higher score
in spontaneous speech (greater information and fluency) than the control group (P<0.05). Three months after discharge, the BDAE score in both groups continued to increase, but there was no significant difference between the
groups (P>0.05). The total effectiveness rate of the treatment group (88.89% ) was greater than that of the control
group (77.78% ), but not significantly (P>0.05). Conclusion: Advanced speech training is useful in improving
speech function in patients with basal ganglia aphasia after stroke. |
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