發(fā)布時(shí)間：2019-01-19 19:53

【摘要】：目的觀(guān)察鹽酸美金剛聯(lián)合言語(yǔ)訓(xùn)練治療早期腦卒中后失語(yǔ)(PSA)的臨床效果。方法將75例患者隨機(jī)分為聯(lián)合治療組、言語(yǔ)訓(xùn)練組和對(duì)照組,每組25例。對(duì)照組僅采取基礎(chǔ)治療,聯(lián)合治療組與言語(yǔ)訓(xùn)練組給予語(yǔ)言障礙、言語(yǔ)康復(fù)訓(xùn)練,其中聯(lián)合治療組加用鹽酸美金剛治療。分別于治療前和治療后第4周、第8周和第12周使用漢語(yǔ)失語(yǔ)檢查量表(CRRCAE)、卒中后失語(yǔ)抑郁問(wèn)卷(SADQ)以及神經(jīng)功能缺損評(píng)分(NIHSS)進(jìn)行療效評(píng)定。結(jié)果與對(duì)照組治療后各時(shí)間點(diǎn)比較,聯(lián)合治療組及言語(yǔ)訓(xùn)練組CRRCAE總分、分項(xiàng)評(píng)分、SADQ、NIHSS評(píng)分均有顯著性改善(P0.05);聯(lián)合治療組與言語(yǔ)訓(xùn)練組比較,在治療后各個(gè)時(shí)間點(diǎn)上述評(píng)分也有顯著性改善(P0.05)。結(jié)論語(yǔ)言康復(fù)訓(xùn)練對(duì)PSA患者的語(yǔ)言功能改善有效,美金剛與其聯(lián)合應(yīng)用療效更佳。
[Abstract]:Objective to observe the clinical effect of the treatment of aphasia (PSA) after cerebral apoplexy with the combination of MJ and speech training. Methods 75 patients were randomly divided into combined treatment group, speech training group and control group with 25 cases in each group. The control group was treated only with basic therapy, the combined treatment group and the speech training group were given speech rehabilitation training. Chinese aphasia scale (CRRCAE),) was used before treatment and 4 weeks, 8 weeks and 12 weeks after treatment respectively to evaluate the efficacy of (SADQ) and (NIHSS). Results compared with the control group, the total CRRCAE score, sub-score and SADQ,NIHSS score of the combined treatment group and the speech training group were significantly improved (P0.05). In the combined treatment group and speech training group, the above scores were also significantly improved at each time point after treatment (P0.05). Conclusion language rehabilitation training is effective in improving the language function of PSA patients.
【作者單位】： 中山大學(xué)孫逸仙紀(jì)念醫(yī)院神經(jīng)科;中山大學(xué)孫逸仙紀(jì)念醫(yī)院中醫(yī)科;
【分類(lèi)號(hào)】：R743.3

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