论文部分内容阅读
目的探讨不同语言背景对于中风后失语康复训练的影响,并制定有效的失语康复原则。方法将112例中风后失语患者分为2组,其中沪语组68例和普通话组44例,分别进行语言功能评定和康复。结果语言康复能明显改善中风后失语症状(P<0.001)。沪语组在口语表达方面改善更显著(P=0.03);普通话组在书写方面效果更佳(P=0.03);听理解和阅读能力方面,沪语组或普通话组的康复效果差异不明显(P值分别为0.88和0.20)。各种可能影响失语恢复的因素中,失语的严重程度和开始康复距离中风发生的时间极大影响恢复效果;受教育程度显著影响沪语组和普通话组的阅读及书写的康复(P值均<0.001);失语类型对听理解和阅读康复的影响显著(P值为0.02);年龄和初始中风严重程度(以日常生活能力评价)对不同语言背景失语康复的影响不明显。结论对中风后失语患者语言康复训练能极大地改善症状,使用患者日常用语结合恰当的康复训练手段效果会更理想。
Objective To explore the impact of different language backgrounds on post-stroke aphasia rehabilitation training and to develop an effective aphasia recovery principle. Methods A total of 112 post-stroke patients with aphasia were divided into two groups: 68 cases in Shanghai-Shanghai group and 44 cases in Putonghua group, respectively, for language function evaluation and rehabilitation. Results Speech rehabilitation significantly improved aphasia after stroke (P <0.001). (P = 0.03); the Putonghua group was better at writing (P = 0.03); there was no significant difference in rehabilitation effect between Shanghai-speaking group and Putonghua group on listening comprehension and reading ability P values were 0.88 and 0.20, respectively). Among the various factors that may affect the recovery of aphasia, the severity of aphasia and the time from the beginning of rehabilitation to the time of onset of stroke greatly affected the recovery effect. The education level significantly affected the reading and writing rehabilitation (P < 0.001). Aphasia type had a significant effect on listening comprehension and reading rehabilitation (P = 0.02). Age and the severity of initial stroke (evaluated by daily living ability) had no significant effect on aphasia rehabilitation in different language backgrounds. CONCLUSIONS: Speech rehabilitation training for post-stroke patients with aphasia can greatly improve the symptoms. It is more effective to use patients’ everyday language in combination with proper rehabilitation training.