| 章丽雅,谭同才,叶祥明,程瑞动.中医对症配乐结合言语训练治疗运动性失语的疗效观察[J].浙江中西医结合杂志,2014,24(1): |
| 中医对症配乐结合言语训练治疗运动性失语的疗效观察 |
| Observation of curative effect of speech training on Broca aphasia with TCM symptomatic scores |
| 投稿时间：2014-06-04 修订日期：2014-08-26 |
| DOI： |
| 中文关键词: 中医对症配乐 言语训练 运动性失语 |
| 英文关键词:TCM symptomatic scores speech training Broca aphasia |
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| 中文摘要: |
| 目的：本研究观察中医对症配乐结合言语训练对脑卒中后运动性失语患者的治疗效果，探讨该疗法应用于言语功能障碍患者的临床康复意义，为临床脑卒中后言语功能障碍的康复治疗寻求新的康复方案。方法：选取我院住院治疗的无明显认知功能障碍的脑卒中后运动性失语患者60例，将60例患者随机分为治疗组与对照组，各30例，两组患者均给予脑卒中后临床常规治疗，包括药物治疗、运动疗法和作业疗法等。对照组在常规治疗基础上增加言语功能训练，治疗组在对照组治疗的基础上给予中医对症配乐疗法。两组患者在治疗前后接受《汉语标准失语症检查表》（ABC 法）评定其语言功能，并采用失语商（AQ值）作为观测指标。结果：治疗组语言功能恢复明显优于对照组疗效，差异有统计学意义（P<0.05)，治疗组（ABC）汉语失语检查法各亚项（信息量，流利性，复述，词命名，颜色命名，反应命名，是否，听辨认，执行指令）分值明显高于对照组，两组比较有显著性差异（P<0.05），治疗前两组AQ值差异无统计学意义（P>0.05），治疗后两组的AQ值水平都有显著增长，治疗组疗效优于对照组，差异有统计学意义（P<0.05）。结论：中医对症配乐结合言语训练和单纯言语训练对脑卒中后运动性失语的患者治疗均有一定疗效，但中医对症配乐结合言语训练的疗效优于单纯言语训练。 |
| 英文摘要: |
| Objective: The study of traditional Chinese medicine combined with speech training for the treatment of symptomatic score in patients with motor aphasia after stroke rehabilitation, clinical significance of the treatment in the patients with speech disorders, for rehabilitation of speech impairment after stroke rehabilitation scheme for the new.
Methods: Selection of treatment in my hospital were no significant cognitive impairment after stroke patients with aphasia in 60 cases, 60 cases were randomly divided into treatment group and control group, each of 30 cases, two patients were given after stroke clinical routine treatment, including drug therapy, physical therapy and occupational therapy. The control group on the basis of conventional therapy increased speech function training, treatment group was given TCM symptomatic scores therapy based on the control group treatment. The two groups of patients "Chinese Standard Aphasia Examination scale before and after treatment" (ABC method) to evaluate the function of language, and adopt the aphasia quotient (AQ) as the observation index.
Results: The treatment group was better than control group in language function recovery effect, the difference was statistically significant (P<0.05), the treatment group (ABC) of all the sub items between the Chinese Aphasia Examination (information content, fluency, repetition, naming, color naming, named reactions, whether or not, listen to identify, instruction execution) score was significantly higher than the control group, the two groups there was significant difference (P<0.05), before treatment in the two groups was no significant difference between AQ values (P>0.05) in two groups after the treatment, the AQ level increased significantly, the curative effect of treatment group was superior to the control group, the difference was statistically significant (P<0.05).
Conclusion: TCM symptomatic score combined with speech training and simple speech training for patients have a certain effect of motor aphasia after stroke, but the curative effect of the combined TCM symptomatic scores in language training is better than simple speech training. |
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