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阶段性语言康复训练在卒中后失语症患者中的应用效果

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目的:观察阶段性语言康复训练在卒中后失语症患者中的应用效果.方法:选取 2020 年 5 月至 2021 年 5 月该院收治的80 例卒中后失语症患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 40 例.对照组给予常规护理,观察组在对照组基础上给予阶段性语言康复训练护理.比较两组干预前后语言功能[波士顿诊断性失语症检查量表(BDAE)]评分、神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]评分、认知功能[蒙特利尔认知评估量表(MoCA)]评分和生命质量[脑卒中失语症生活质量量表(SAQOL-39)]评分.结果:干预后,两组复述、阅读理解、书写和语言流利性等BDAE评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组MoCA评分均高于干预前,且观察组高于对照组,两组NIHSS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组SAQOL-39 评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上采用阶段性语言康复训练护理可提高卒中后失语症患者的语言功能评分、认知功能评分和生命质量评分,以及降低神经功能缺损评分的效果优于单纯常规护理效果.
Application effects of staged language rehabilitation training in patients with aphasia after stroke
Objective:To observe application effects of staged language rehabilitation training in patients with aphasia after stroke.Methods:A prospective study was conducted on 80 patients with aphasia after stroke admitted to this hospital from May 2020 to May 2021.They were divided into control group and observation group according to the random number table method,40 cases in each group.The control group was given routine nursing,while the observation group was given the staged language rehabilitation training nursing on the basis of that of the control group.The scores of language function[Boston diagnostic aphasia examination(BDAE)],the neurological deficit[National Institutes of Health stroke scale(NIHSS)],cognitive function[Montreal cognitive assessment(MoCA)]and quality of life[stroke aphasia quality of life(SAQOL-39)]were compared between the two groups before and after the intervention.Results:After the intervention,the BDAE scores of retelling,reading comprehension,writing and language fluency in the two groups were higher than those before the intervention,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The MoCA scores of the two groups were higher than those before the intervention,and that in the observation group was higher than that in the control group;the NIHSS scores of the two groups were lower than those before the intervention,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).Further,the SAQOL-39 scores of the two groups were higher than those before the intervention,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the staged language rehabilitation training nursing can improve the language function scores,the cognitive function scores and the quality of life scores of the patients with aphasia after stroke,and reduce the neurological deficit scores.Moreover,it is superior to single routine nursing.

Staged language rehabilitation trainingAphasia after strokeLanguage functionCognitive functionNeurological deficitQuality of life

黄春水

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周口市中医院神经内科一病区,河南 周口 466000

阶段性语言康复训练 卒中后失语症 语言功能 认知功能 神经功能缺损 生命质量

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(3)
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