言語康復(fù)訓(xùn)練改善缺血性腦卒中后運動性失語患者語言功能作用

言語康復(fù)訓(xùn)練改善缺血性腦卒中后運動性失語患者語言功能作用 　　[摘要] 目的 探討言語康復(fù)訓(xùn)練改善缺血性腦卒中后運動性失語患者語言功能的作用。 方法 選取缺血性腦卒中后運動性失語患者86例，隨機將其分為干預(yù)組（n=43）和對照組（n=43）。兩組患者均予以控制顱內(nèi)壓、血壓、血糖和血脂，抗血小板聚集和營養(yǎng)腦細胞等常規(guī)藥物治療。對照組患者予以常規(guī)康復(fù)干預(yù)，干預(yù)組患者在對照組基礎(chǔ)上加用言語康復(fù)訓(xùn)練，兩組均干預(yù)16周。觀察并比較兩組患者治療前后語言能力的變化情況，并評估其臨床效果。 結(jié)果 干預(yù)16周后，兩組5項基本語言功能較前明顯改善（P0.05或P0.01），且干預(yù)組改善較對照組更明顯（P0.05）；同時干預(yù)組患者臨床總有效率（95.35%）明顯高于對照組（81.40%）（χ2=4.07，P0.05）。 結(jié)論 言語康復(fù)訓(xùn)練改善缺血性腦卒中后運動性失語患者語言功能的效果較確切，能可促進患者語言功能恢復(fù)，最大限度地減輕語言交流障礙對患者的影響。 　　[關(guān)鍵詞] 缺血性腦卒中；運動性失語；言語康復(fù)訓(xùn)練；語言功能 　　[中圖分類號] R743.33 [文獻標(biāo)識碼] B [文章編號] 1673-9701（2017）28-0061-04 　　[Abstract] Objective To explore the role of speech rehabilitation training in improving the language function of patients with motor aphasia after ischemic stroke. Methods A total of 86 patients with motor aphasia after ischemic stroke were selected and randomly divided into intervention group（n=43） and control group（n=43）. Both groups were given conventional drug of controlling intracranial pressure， blood pressure， blood glucose and blood lipids， antiplatelet aggregation and nourishing brain cells. The patients in the control group were treated with routine rehabilitation， and the intervention group was treated with speech rehabilitation based on that of the control group. The two groups were treated for 16 weeks. The changes of language ability before and after treatment were observed and compared between the two groups， and the clinical effect was evaluated. Results After 16 weeks of intervention， the five basic language functions of the two groups were significantly improved（P0.05 or P0.01）， and the improvement of the intervention group was more obvious than that of the control group（P0.05）. The total effective rate （95.35%） in the intervention group was significantly higher than that in the control group（81.40%） （χ2=4.07， P0.05）. Conclusion Speech rehabilitation training can improve the language function of patients with motor aphasia after ischemic stroke. Andit can promote the recovery of language function and minimize the influence of languag

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